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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.
Abstract:
Diabetes mellitus can damage the eyes, kidneys, nerves and heart. Microvascular and macrovascular disorders are the leading causes of morbidity and mortality in diabetic patients. Hyperglycemia can increase the indicators of lipid peroxidation and oxidative stress in which free radicals have the main role in the pathogenesis of these complications. Therefore, antioxidants which combat oxidative stress should be able to prevent and repair free radicals induced damages. Although free radicals contribute to kidney damage, atherosclerosis, diabetes, heart disease, nephrotoxicity and hepatotoxicity; however, clinical trials do not uniquely confirm a substantial impact on diabetic damage. It seems that antioxidants in vegetables, fruits and grains help preventing diabetes complications; however, there is little evidence that taking single antioxidants such as vitamin E or vitamin C protect these complications. The findings about combination antioxidants are also complicated and not entirely clear. In this review paper we tried to present the role of oxidative stress on micro-vascular complications of type 2 diabetes mellitus. Other objective of this paper is to review the new findings about the role of various antioxidants on prevention and treatment of diabetes mellitus as well as its complications including retinopathy, nephropathy and neuropathy.
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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