The research and development on the antioxidants in prevention of diabetic complications

Mohammad Rahimi-Madiseh1, Afsaneh Malekpour-Tehrani2, Mahmoud Bahmani3

  • 1Medical Plants Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Insights

Oxidative stress contributes to type 2 diabetes complications. While antioxidants show promise, clinical evidence for single or combined antioxidant supplements preventing diabetic damage remains unclear.

Area of Science:

  • Endocrinology
  • Metabolic Disorders
  • Oxidative Stress Research

Background:

  • Diabetes mellitus complications, including microvascular and macrovascular disorders, are leading causes of morbidity and mortality.
  • Hyperglycemia exacerbates oxidative stress and lipid peroxidation, implicating free radicals in diabetic pathogenesis.
  • Oxidative stress is implicated in various conditions like kidney damage, atherosclerosis, and cardiovascular disease.

Purpose of the Study:

  • To review the role of oxidative stress in microvascular complications of type 2 diabetes mellitus.
  • To examine current findings on antioxidants in preventing and treating diabetes and its complications (retinopathy, nephropathy, neuropathy).

Main Methods:

  • Literature review focusing on oxidative stress mechanisms in diabetic complications.
  • Analysis of studies investigating the efficacy of single and combination antioxidants.

Main Results:

  • Clinical trials have not definitively confirmed the substantial impact of free radicals or antioxidant supplementation on diabetic damage.
  • Antioxidants found in natural food sources (fruits, vegetables, grains) may aid in preventing diabetes complications.
  • Evidence for the protective effects of single antioxidants (e.g., vitamin E, vitamin C) is limited.
  • Findings on combination antioxidants are complex and not fully elucidated.

Conclusions:

  • Oxidative stress plays a significant role in the microvascular complications of type 2 diabetes mellitus.
  • Further research is needed to clarify the role and efficacy of various antioxidants in managing diabetes and its associated complications.

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