Open Access Open Access  Restricted Access Subscription or Fee Access

Epidemiology, Diagnosis, Management and Treatment of Diabetes Mellitus (DM): A Review

Kamal Singh Bani, Khushboo Bhardwaj, Stuti Tripathi

Abstract


Diabetes mellitus (DM), a condition caused by metabolic abnormalities, is the most common worldwide. Sometimes known as diabetes, in which a person's blood sugar levels are abnormally high, either because the body does not make enough insulin or because the insulin that is produced does not reach the cells. Polyuria (frequent urine), polydipsia (increased thirst), and polyphagia are all common indicators of elevated blood sugar (increased hunger). Type 1 diabetes, also known as insulin-dependent diabetes mellitus (IDDM), is characterized by the body's inability to manufacture insulin, necessitating the use of insulin injections or the use of an insulin pump. It's also known as "juvenile diabetes." Insulin resistance, also known as non-insulin-dependent diabetes mellitus (NIDDM), is a disease in which cells fail to utilize insulin properly, either with or without an absolute insulin deficit. This condition was originally known as "adult-onset diabetes." The third major kind is gestational diabetes, which happens when women who have never had diabetes have a high blood glucose level during pregnancy. It may occur before the onset of type 2 diabetes. Insulin and oral hypoglycemic medications are currently available medicines for the treatment of diabetes mellitus. These medications work by raising insulin production from the pancreas or decreasing plasma glucose levels by enhancing glucose absorption and decreasing gluconeogenesis. These present medications, on the other hand, do not restore normal glucose homeostasis for a longer period of time and are not without side effects such as hypoglycemia, kidney illness, GIT difficulties, hepatotoxicity, heart risk concerns, insulinoma, and they must be used for the rest of one's life. Various herbal medications have also been shown to be successful in the treatment of diabetes due to their beneficial ingredients. As a result, the current analysis attempts to concentrate on the physiological elements of diabetes, its consequences, management goals, and synthetic and herbal diabetes treatment. 


Keywords


Diabetes mellitus (DM), Types of DM, Diagnosis, Management, Synthetic treatment, Herbal treatment

Full Text:

PDF

References


Ismail, M.Y., Clinical evaluation of antidiabetic activity of Trigonella seeds and Aegle marmelos Leaves, Worl Appl Scien J., 7(10): 1231-1234 (2009)

Arora, S., Ojha, S.K., Vohora, D., Characterisation of Streptozotocin induced diabetes mellitus in Swiss Albino mice, Glo J of Pharmacol., 3(2): 81-84 (2009)

Jothivel, N., Ponnusamy, S.P., Appachi, M., Antidiabetic activities of methanol leaf extract of Costus pictus D. Don in alloxan-induced diabetic rats, J of health sci.,53(6): 655-663 (2007).

Bastaki, S., Review Diabetes mellitus and its treatment, Int J Diabetes & Metabolism, 13: 111-134 (2005)

Dixit, V.P., Joshi, S., Antiatherosclerotic effects of alfalfa and injection in chicks:a biochemical evaluation, Ind J of physiol & pharmacol., 29: 47-50 (1985)

Halin, E.M., Effect of Coccinia indica (L.) and Abroma augusta (L) on glycemia, lipid profile and on indicators of end organ damage in streptozotocin induced diabetic rats, Ind J of Clin Biochem., 18: 54-63 (2003)

Grover, N., Bafna, P.A., Rana, A.C., Diabetes and methods to induce experimental diabetes, Inter J of pharm and biolo scie. 1(4): 414-419 (2011)

Ahmed AM. History of diabetes mellitus. Saudi Med J 2002 Apr;23(4):373-378.

Diabetes mellitus history-from ancient to modern times. Available at http:// science.jrank.org/pages/2044/Diabetes-Mellitus.html. (accessed on 22nd July, 2011)

Patlak M. New weapons to combat an ancient disease: treating diabetes. FASEB J 2002 Dec;16(14):1853.

Maitra A, Abbas AK. Endocrine system. In: Kumar V, Fausto N, Abbas AK (eds). Robbins and Cotran Pathologic basis of disease (7th ed) 2005. Philadelphia, Saunders; 1156-1226.

Chen L, Magliano DJ, Zimmet PZ. The worldwide epidemiology of type 2 diabetes mellitus: present and future perspectives. Nature reviews endocrinology. Available at: www.nature.com/uidfinder. (Accessed 22nd December 2011)

Genetic basis of type 1 and type2 diabetes, obesity, and their complications. Advances and emerging opportunities in diabetes research: a Strategic Planning report of the DMICC. www2.niddk.nih.gov/NR. (Accessed 22nd December 2011).

Azevedo M, Alla S. Diabetes in sub-saharan Africa: kenya, mali, mozambique, Nigeria, South Africa and zambia. Int J Diabetes Dev Ctries 2008 Oct;28(4):101-108.

Deepthi B, Sowjanya K, Lidiya B, et al. A Modern Review of Diabetes Mellitus: An Annihilatory Metabolic Disorder. J In Silico in Vitro Pharmacol. 2017, 33:1.

Zimmet PZ (1992) Kelly West Lecture 1991. Challenges in diabetes epidemiology--from West to the rest. Diabetes Care 15: 232-252.

Jumpup (2007) Williams Textbook of endocrinology (12thed.). Elsevier/ Saunders, Philadelphia, USA 1371–1435.

Chen L, Magliano DJ, Zimmet PZ The worldwide epidemiology of type 2 diabetes mellitus: present and future perspectives. Nature reviews endocrinology. (2014)

DMICC Genetic basis of type 1 and type2 diabetes, obesity, and their complications. Advances and emerging opportunities in diabetes research: a Strategic Planning report of the DMICC. (2014)

Central Intelligence Agency (2008) The World Fact book: CIA.

Type 2 diabetes in children and adolescents. American Diabetes Association. Pediatrics 105: 671-680. 2000

Rosenbloom AL, Joe JR, Young RS, Winter WE (1999) Emerging epidemic of type 2 diabetes in youth. Diabetes Care 22: 345-354.

Grinstein G, Muzumdar R, Aponte L, Vuguin P, Saenger P, et al. (2003) Presentation and 5-year follow-up of type 2 diabetes mellitus in African- American and Caribbean-Hispanic adolescents. Horm Res 60: 121-126.

González EL, Johansson S,Wallander MA, Rodríguez LA. Trends in the prevalence and incidence of diabetes in the UK:1996 – 2005. J. Epidemiol. Community Health. 2009;63: 332 336.

Hu FB, Manson JE, Stampfer MJ,Colditz G, Liu S, Solomon CG, et al.Diet, lifestyle, and the risk of type 2diabetes mellitus in women. N Engl J Med 2001. Sep;345(11):790-797

Jaya Raj,P P Nair, Reny Napolean, Justin Stephen, NishanthK, Suresh D. Prevalance of overweight and obesity among students of South Asia. A Pilot study. Asian, J. of diabetology. July Sept 2014;vol17(3):23 -27

Kaprio J, Tuomilehto J, Koskenvuo M, Romanov K, Reunanen A, Eriksson J, Stengård J, Kesäniemi YA. Concordance for Type 1 (insulin dependent) and Type 2 (non-insulindependent) diabetes mellitus in population based cohort of twins in Finland. Diabetologia. 1992;35:

-1067

Kaku k 2010. Pathophysiology of type 2 diabetes and its treatment policy. JMAJ. 2010; 53(1):

-4

Mueckler M. Family of glucosetransporter genes: implications for glucose homeostasis and diabetes. Diabetes. 1990;39:6-11.

Global burden of diabetes. International Diabetes federation. Diabetic atlas fifth edition 2011, Brussels.

Chamnan P, Simmons RK, Forouhi NG, Luben R. Khaw Ky, Wareham NJ et al. Incidence of type 2 diabetes using proposed HbA1c diagnostic criteria in the EPIC-Norflok cohort: Implication for preventive strategies.

Zimmet P, Alberti KG, Shaw J. Global and societal implications of the diabetes epidemic. Nature 2001. Dec;414(6865):782-787 10.1038/414782a

Mbanya JC. The burden of type 2 diabetes mellitus in the African diaspora.

Department of Health and Human Services. Centres for Disease Control and Prevention, 2011. National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011.

Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimate for the year 2000 and projections for 2030. Diabetes Care 2004;127(5):1047-1053 .10.2337/diacare.27.5.1047

Yach D, Hawkes C, Gould CL, Hofman KJ. The global burden of chronic diseases: overcoming impediments to prevention and control. JAMA 2004. Jun;291(21):2616-2622 10.1001/jama.291.21.2616

Ripsin CM, Kang H, Urban RJ. Management of blood glucose in type 2 diabetes mellitus. Am Fam Physician 2009. Jan;79(1):29-36

Hu FB, Manson JE, Stampfer MJ, Colditz G, Liu S, Solomon CG, et al. Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N Engl J Med 2001. Sep;345(11):790-797 10.1056/NEJMoa010492

Prevalence of overweight and obesity among adults with diagnosed Diabetes United States, 1988-1994 and 1999-2000"Centers for Disease Control and Prevention (CDC) (November 2004) MMWR. Morbidity and Mortality Weekly Report; 53(45): 1066-1068.

Barlow SE and the Expert committee Expert committee recommendations regarding the prevention, assessment and treatment of childhood and adolescent overweight and obesity: Summary report. Paediatrics 2007;120:S164-S192 .10.1542/peds.2007-2329C

Lang IA, Galloway TS, Scarlett A, Henley WE, Depledge M, Wallace RB, et al. Association of urinary bisphenol A concentration with medical disorders and laboratory abnormalities in adults. JAMA 2008. Sep;300(11):1303-1310 10.1001/jama.300.11.1303

Willi C, Bodenmann P, Ghali WA, Faris PD, Cornuz J. Active smoking and the risk of type 2 diabetes: a systematic review and meta-analysis. JAMA 2007. Dec;298(22):2654-2664 10.1001/jama.298.22.2654

Yoon KH, Lee JH, Kim JW, Cho JH, Choi YH, Ko SH, et al. Epidemic obesity and type 2 diabetes in Asia. Lancet 2006. Nov;368(9548):1681-1688 10.1016/S0140-6736(06)69703-1

Boffetta P, Mclerran D, Chan Y, Manami I, Sinha R, Gupta PC, et al. Body mass index and diabetes mellitus in Asia. A cross sectional pooled analysis of 900,000 individuals in the Asia cohort consortium 2011.

Chiniwala N, Jabbour S. Management of diabetes mellitus in the elderly. Curr Opin Endocrinol Diabetes Obes 2011. Apr;18(2):148-152 10.1097/MED.0b013e3283444ba0

Collier CA, Bruce CR, Smith AC, Lopaschuk G, Dyck DJ. Metformin counters the insulin-induced suppression of fatty acid oxidation and stimulation of triacyglycerol storage in rodents skeletal muscle. Am J Physiol Endocrinol Metab 2006;219(1):182-189 .10.1152/ajpendo.00272.2005

Kim YD, Park KG, Lee YS, Park YY, Kim DK, Nedumaran B, et al. Metformin inhibits hepatic gluconeogenesis through AMP-activated protein kinase-dependent regulation of the orphan nuclear receptor SHP. Diabetes 2008. Feb;57(2):306-314 10.2337/db07-0381

Van Staa T, Abenhaim L, Monette J. Rates of hypoglycemia in users of sulfonylureas. J Clin Epidemiol 1997. Jun;50(6):735-741 10.1016/S0895-4356(97)00024-3

Shorr RI, Ray WA, Daugherty JR, Griffin MR. Individual sulfonylureas and serious hypoglycemia in older people. J Am Geriatr Soc 1996. Jul;44(7):751-755

Scheen AJ. Drug interactions of clinical importance with antihyperglycaemic agents: an update. Drug Saf 2005;28(7):601-631 10.2165/00002018-200528070-00004

Fuhlendorff J, Rorsman P, Kofod H, Brand CL, Rolin B, MacKay P, et al. Stimulation of insulin release by repaglinide and glibenclamide involves both common and distinct processes. Diabetes 1998. Mar;47(3):345-351 10.2337/diabetes.47.3.345

Blicklé JF. Meglitinide analogues: a review of clinical data focused on recent trials. Diabetes Metab 2006. Apr;32(2):113-120 10.1016/S1262-3636(07)70257-4

Yki-Järvinen H. Thiazolidinediones. N Engl J Med 2004. Sep;351(11):1106-1118 10.1056/NEJMra041001

Coniff RF, Shapiro JA, Seaton TB, Bray GA. Multicenter, placebo-controlled trial comparing acarbose (BAY g 5421) with placebo, tolbutamide, and tolbutamide-plus-acarbose in non-insulin-dependent diabetes mellitus. Am J Med 1995. May;98(5):443-451 10.1016/S0002-9343(99)80343-X

Kawamori R, Tajima N, Iwamoto Y, Kashiwagi A, Shimamoto K, Kaku K, Voglibose Ph-3 Study Group Voglibose for prevention of type 2 diabetes mellitus: a randomised, double-blind trial in Japanese individuals with impaired glucose tolerance. Lancet 2009. May;373(9675):1607-1614 10.1016/S0140-6736(09)60222-1

Stonehouse AH, Darsow T, Maggs DG. Incretin-based therapies. J Diabetes 2011. (published online ahead of print).

Pratley RE, Salsali A. Inhibition of DPP-4: a new therapeutic approach for the treatment of type 2 diabetes. Curr Med Res Opin 2007. Apr;23(4):919-931 10.1185/030079906X162746

Barnett A. DPP-4 inhibitors and their potential role in the management of type 2 diabetes. Int J Clin Pract 2006. Nov;60(11):1454-1470 10.1111/j.1742-1241.2006.01178.x

Mayfield JA, White RD. Insulin therapy for type 2 diabetes: rescue, augmentation, and replacement of beta-cell function. Am Fam Physician 2004. Aug;70(3):489-500

Burge MR, Schade DS. Insulins. Endocrinol Metab Clin North Am 1997. Sep;26(3):575-598 10.1016/S0889-8529(05)70268-1

Cameron CG, Bennett HA. Cost-effectiveness of insulin analogues for diabetes mellitus. CMAJ 2009. Feb;180(4):400-407 10.1503/cmaj.081180

Raju SM, Raju B (2010). Illustrated medical biochemistry. 2nd Edition: 721-722

Abdulfatai B. Olokoba, Olusegun A. Obateru, and Lateefat B. Olokoba Type 2 Diabetes Mellitus: A Review of Current Trends Oman Med J. Jul 2012; 27(4):269–273.

Svensson, M., Eriksson, J.W., Dahlquist, G., Early glycemic control, age at onset, and development of microvascular complications in childhood-onset type 1 diabetes: a population-based study in northern Sweden. Diabetes Care 27: 955-962 (2004)

Saely, C.H., Aczel, S., Marte, T. Cardiovascular complications in type 2 diabetes mellitus depend on the coronary angiographic state rather than on the diabetes state. Diabetologia 47: 145-146 (2004)

Bastaki, S., Review Diabetes mellitus and its treatment, Int J Diabetes & Metabolism, 13: 111-134 (2005)

Cox EM, Elelman D. Test for screening and diagnosis of type 2 diabetes. Clin Diabetes 2009;4(27):132-138 .

Harris MI, Klein R, Welborn TA, Knuiman MW. Onset of NIDDM occurs at least 4-7 yr before clinical diagnosis. Diabetes Care 1992 Jul; 15(7):815- 819.

International Expert Committee. International Expert Committee report on the role of the A1C assay in the diagnosis of diabetes. Diabetes Care 2009; 32: 1-8.

Balaji PA, Varne SR, Ali SS. Physiological effects of yogic practices and transcendental meditation in health and disease. North American journal of medical sciences. 2012 Oct 1; 4(10):442.

Dang KK, Sahay BK. Yoga and Meditation, Medicine update. The Association of Physicians of India. 1999; 9:502-12.

Sahay BK, Murthy KJ. Long term follow up studies on effect of yoga in diabetes. Diab Res Clin Pract. 1988; 5(suppl 1):S655.

Chandratreya S. Diabetes and yoga. Jun. 2012; 16.

Delmonte MM .Biochemical indices associated with meditation practice: a literature review. Neurosci Biobehav Rev. 1985; 9: 557-561.

Manjunatha S, Vempati RP, Ghosh D, Bijlani RL. An investigation into the acute and long-term effects of selected yogic postures on fasting and postprandial glycemia and insulinemia in healthy young subjects. Indian journal of physiology and pharmacology. 2005 Jul 31; 49(3):319.

Bijlani RL, Vempati RP, Yadav RK, Ray RB, Gupta V, Sharma R, Mehta N, Mahapatra SC. A brief but comprehensive lifestyle education program based on yoga reduces risk factors for cardiovascular disease and diabetes mellitus. Journal of Alternative & Complementary Medicine. 2005 Apr 1; 11(2):267-74.

Hu H. A review of treatment of diabetes by acupuncture during the past forty years. J Tradit Chin Med 1995; 15:145-154.

Hooper PL. Hot-tub therapy for type 2 diabetes mellitus. N Engl J Med 1999; 341:924-925

Piero NM, Joan MN, Cromwell KM, Joseph NJ, Wilson NM, Daniel M, Peter GK, Eliud NN. Hypoglycemic activity of some Kenyan plants traditionally used to manage diabetes mellitus in Eastern Province. Journal of Diabetes & Metabolism. 2012 Feb 8; 2011.

Rizvi SI, Mishra N. Traditional Indian medicines used for the management of diabetes mellitus. Journal of diabetes research. 2013 Jun 5; 2013.

Shakya VK. Antidiabetic activity of Coccinia indica in streptozotocin induced diabetic rats. Asian Journal of chemistry. 2008 Nov 20; 20(8): 6479.

Irondi EA, Oboh G, Akindahunsi AA. Antidiabetic effects of Mangifera indica Kernel Flour-supplemented diet in streptozotocin-induced type 2 diabetes in rats. Food science & nutrition. 2016 Nov; 4(6):828-39.

Al-Abassi NN, Ibrahem AM. Study Antidiabetic Effect of Momordica Charantia (bitter gourd) seeds on Alloxan Induced Diabetic Rats. The Iraqi Journal of Veterinary Medicine. 2010; 34(1):165-70.

Hegazy GA, Alnoury AM, Gad HG. The role of Acacia Arabica extract as an antidiabetic, antihyperlipidemic, and antioxidant in streptozotocin-induced diabetic rats. Saudi medical journal. 2013 Jul 1; 34(7):727-33.

Satyanarayana K, Sravanthi K, Shaker IA, Ponnulakshmi R. Molecular approach to identify antidiabetic potential of Azadirachta indica. Journal of Ayurveda and integrative medicine. 2015 Jul; 6(3):165.

Eidi A, Eidi M, Esmaeili E. Antidiabetic effect of garlic (Allium sativum L.) in normal and streptozotocin-induced diabetic rats. Phytomedicine. 2006 Nov 24; 13(9-10):624-9.

Modak M, Dixit P, Londhe J, Ghaskadbi S, Devasagayam TP. Indian herbs and herbal drugs used for the treatment of diabetes. Journal of clinical biochemistry and nutrition. 2007; 40(3):163-73.

WHO. 2013. Regulatory situation of herbal medicines: a worldwide review. World Health Organization, v Geneva, Switzerland

Jarald E, Joshi SB, Jain DC: Diabetes and herbal medicines. Iran J Pharmacol Ther, 2008; 7(1): 97–9.

Rahman, A.R., Zaman, K. Medicinal Plants with hypoglycaemic activity. J Ethnopharmacol 26: 1-55(1989)

Modak, M., Dixit, P., Londhe, J. Devasagayam. Indian herbs and herbal drugs used for the treatment of diabetes. J Clin Biochem Nutr 40: 163-73 (2007)

Latha S, Vijayakumar R, Senthilkumar B.R, Srikumar R, Bupesh G. Synergetic hypoglycemic and hypolipidemic effect of herbal formulation of flax seed, fenugreek and jamun seeds in streptozotocin- nicotinamide induced diabetic rats. IJPT, June-2016, Vol. 8, Issue No.2, 12671-12684.

Latha S, Vijayakumar R, Senthil Kumar B.R, Srikumar R. In vivo anti oxidative effect of polyherbal formulation of Flax seed, fenugreek and jamun seed on streptozotocinnicotinamide Induced diabetic rats. Int J Pharm Bio Science, 2016 Oct; 7(4): (B) 607 – 611.

Ramachandran A, Snehalatha C, Vijay V, King H. Impactof poverty on the prevalence of diabetes and its complications in urban southern India. Diabet Med 2002; 19: 130-5.

Mohan V, Gokulakrishnan K, Deepa R, Shanthirani CS, Datta M. Association of physical inactivity with components of metabolic syndrome and coronary artery disease – The Chennai Urban Population Study . DiabetMed2005; 22: 1206-11.

Zargar AH, Wani AI, Masoodi SR, Laway BA, Bashir MI. Mortality in diabetes mellitus - data from a developing region of the world. Diabetes Res Clin Pract 1999; 43: 67-74.

Rema M, Premkumar S, Anitha B, Deepa R, Pradeepa R,Mohan V. Prevalence of diabetic retinopathy in urban India:the Chennai Urban Rural Epidemiology Study (CURES) eyestudy, I. Invest Ophthalmol Vis Sci 2005; 46 : 2328-33.

Premalatha G, Shanthirani S, Deepa R, Markovitz J, MohanV. Prevalence and risk factors of peripheral vascular diseasein a selected South Indian population: the Chennai Urban Population Study. Diabetes Care 2000; 23 : 1295-300.228INDIAN

Mohan V, Shanthirani CS, Deepa M, Deepa R, Unnikrishnan RI, Datta M. Mortality rates due to diabetes in a selected urban South Indian population - the Chennai Urban Population Study (CUPS). J Assoc Physicians India 2006;54: 113-7.37

Misra A, Pandey RM, Devi JR, Sharma R, Vikram NK, Khanna N. High prevalence of diabetes, obesity and dyslipidaemia in urban slum population in northern India. Int J Obes Relat Metab Disord 2001; 25: 1722-9.

Piero MN. 2006. Hypoglycemic effects of some Kenyan plants traditionally used in management of diabetes mellitus in eastern province, Msc thesis, Kenyatta University.

Inzucchi SE. 2002. Oral antihyperglycemic therapy for type 2 diabetes: scientific review. JAMA, 287(3):360-372.

Curtis LT. 2007. New technologies and therapies in the management of diabetes. American journal of managed care, 13(2 suppl): S47-S54

Piero MN, Njagi JM, Kibiti CM, Ngeranwa JJN, Njagi ANM, Njue WM and Gathumbi PK. 2012. Herbal management of diabetes mellitus: a rapidly expanding research avenue Int J Curr Pharm Res, 4 (2):1-4.

Njagi JM. 2006. Hypoglycemic effects of some Kenyan plants used traditionally in the management of diabetes mellitus in Gachoka division, Mbeere district, Msc thesis, Kenyatta University, Kenya, 2006.

Piero MN, Njagi JM, Kibiti CM, Ngeranwa JJN, Njagi ENM and Miriti PM. 2012. The Role of Vitamins and Mineral Elements in Management of Type 2 Diabetes Mellitus: A Review South As. J. Biol.Sci., 2(Supp.1):107 – 115.

Defronzo RA. 2010. Current issues in the treatment of type 2 diabetes. Overview of newer agents: where treatment is going. Am J Med 123(3 Suppl):S38-48. doi: 10.1016




DOI: https://doi.org/10.37591/rrjomst.v10i3.2733

Refbacks

  • There are currently no refbacks.


Copyright (c) 2021 Research & Reviews: Journal of Medical Science and Technology