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Progress in understanding the metabolic staging of diabetes over the past few
years has led to significant advances in regimen for treatment of this devastating
disease. The most challenging goal in the management of patients of diabetes
mellitus is to achieve blood glucose level as close to normal as possible. The study
included 3 plant foods (psillium, oats & barley), 3 antidiabetic medicinal formulations
and 8 Indian medicinal plants (
Ficus racemosa, Morus indica, Costus igneus,
Tinospora cardifolia, Eugenia jambolana, Aegle marmeloes, Gymnema sylvestrae,
Butea monosperma
) used in the management of diabetes were explored for the
possible mechanisms of action using
in vitro
and
ex vivo
model systems such as,
(i) Availability and diffusion of glucose (ii) Amylolysis kinetics (iii) �±-glucosidase,
sucrase and �±-amylase inhibitory activity (iv) Potentiation of glucose uptake by yeast
cells (v) free radical scavenging (DPPH). Three medicinal plants were subjected
for
in vivo
evaluation in rats. Among foods, psyllium showed excellent glucose
adsorption, glucose diffusion retardation amylosis followed by oats and barley.
Similarly, the Ayurvedic formulations also adsorbed glucose effectively, inhibited its
diffusion and also inhibited the enzymes. Although, all the medicinal plats exhibited
good glucose adsorption capacity, excellent retardation of glucose diffusion was
shown by
Morus
,
Costus
,
Ficus
and
Eugenia
. Similarly,
Morus
,
Ficus
and
Eugenia
showed strongest inhibitory activity on all the enzymes compared to others. 3 plants
enhanced glucose uptake in yeast cells, which was dependent on both the glucose
and sample concentration. Both
Morus
and
Ficus
exhibited >70% reduction in fasting
blood glucose and led to the modulation of carbohydrate metabolizing enzymes and
serum insulin to near normal levels. The observations strongly support the usage of
these plants/foods as an adjunct in diabetes management.
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