Summary

Diabetes mellitus, particularly type 2, presents a global health challenge owing to its multifactorial pathogenesis and the limitations of existing therapies. Phytomedicine investigates plant-derived compounds that act on multiple targets, including inhibition of carbohydrate-digesting enzymes, enhancement of insulin secretion and sensitivity, augmentation of peripheral glucose uptake, and mitigation of oxidative and inflammatory stress. Key bioactive classes encompass flavonoids, alkaloids, terpenoids and phenolic acids, many of which exhibit complementary mechanisms such as modulation of signalling pathways, reduction of advanced glycation end products and support of pancreatic β-cell function. Technological advances in chromatographic separation, mass spectrometry, nuclear magnetic resonance and molecular docking have enabled high-throughput profiling and mechanistic elucidation of phytochemicals. Coupling ethnobotanical leads with rigorous in vitro, in vivo and in silico platforms has accelerated the discovery pipeline, yielding candidate agents poised for clinical translation. Phytomedicine strategies hold particular promise for developing affordable, multi-modal interventions that can alleviate the burden of diabetes in diverse populations.

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Antidiabetic Strategies in Phytomedicine publication trend

The graph below shows the total number of articles in antidiabetic strategies in phytomedicine across all publications each year (not limited to Nature Index journals).

Technical terms

Phytochemical: A biologically active compound produced by plants, often secondary metabolites such as flavonoids, alkaloids and terpenoids.

Glycaemic control: The regulation of blood glucose levels through physiological and pharmacological means, critical for preventing diabetes complications.

Alpha-glucosidase: A digestive enzyme that breaks down carbohydrates into glucose; its inhibition delays postprandial hyperglycaemia.

Alpha-amylase: A salivary and pancreatic enzyme that catalyses the initial hydrolysis of starch into oligosaccharides.

Insulinotropic: Describing a substance that stimulates insulin secretion from pancreatic β-cells.

Metabolomics: A high-throughput analytical approach for comprehensive profiling of small-molecule metabolites in biological samples, used to elucidate biochemical pathways and bioactive constituents.

References

  1. Antidiabetic Phytochemicals From Medicinal Plants: Prospective Candidates for New Drug Discovery and Development. Frontiers in Endocrinology (2022).
  2. Understanding glycaemic control and current approaches for screening antidiabetic natural products from evidence-based medicinal plants. Plant Methods (2019).
  3. Antidiabetic Potency, Antioxidant Effects, and Mode of Actions of Citrus reticulata Fruit Peel Hydroethanolic Extract, Hesperidin, and Quercetin in Nicotinamide/Streptozotocin‐Induced Wistar Diabetic Rats. Oxidative Medicine and Cellular Longevity (2020).
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