精选植物成分治疗 2 型糖尿病综述

Aditya Mathur, S. Asthana, Samir Patra, Pulak Jana
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摘要

几乎 90% 的成人糖尿病病例都是 2 型糖尿病(T2DM)。这是一种因胰岛素抵抗而导致慢性高血糖的慢性代谢紊乱。这篇综述文章基于医学、系统综述数据库的检索。这篇综述介绍了 2 型糖尿病的病因和主要发病因素,以及有助于治疗 2 型糖尿病的生活方式的改变。根据世界卫生组织(WHO)和美国糖尿病协会(ADA)的标准进行筛查和诊断。糖脂毒性如果不及时治疗,会降低胰岛β细胞的功能。各种环境因素和遗传因素导致糖尿病发病率上升。治疗方法包括改变生活方式、控制肥胖、口服降糖药和胰岛素增敏剂,如二甲双胍、双胍类药物,可降低胰岛素抵抗,其他还有磺脲类药物、噻唑烷二酮类药物、α-葡萄糖苷酶抑制剂。它还包括对当前糖尿病控制策略的解释。此外,还解释了植物成分作为多靶点分子的应用及其作为一线药物的潜在用途,这有助于减少合成药物引起的副作用。
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A Review on Current Type-2 Diabetes Mellitus Treatment by selected Phytoconstituents
Almost 90% of cases of diabetes in adult is type 2 diabetes mellitus (T2DM). It is a chronic metabolic disorder happens for insulin resistance that cause chronic hyperglycaemia. This review article based on search on medicine, database of systemic reviews. This review presenting the etiology and major factors involved in development of type 2 diabetes mellitus and also the modification of lifestyle which is useful in the management of T2DM. Screening and diagnosis is based on the World Health Organization (WHO) and American Diabetes Association (ADA) criteria. Glucolipotoxicity, if left untreated it reduce function of pancreatic beta cell. Various environmental factors and genetic factors cause onset action of increase in diabetes. Treatment include lifestyle modification, obesity maintaining, oral hypoglycaemic agents and insulin sensitizer like metformin, biguanide decrease resistance of insulin and other is sulfonylureas thiazolidinediones, alpha- glucosidase inhibitor. It also includes the explanation of current strategies to control diabetes. The employment of phytoconstituent as multitargeting molecules and their potential use with a first line drug that helps to reduce the side effects which is caused by synthetic drugs are also explained.
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