'Oxidative stress'-A new target in the management of diabetes mellitus

Ashok K Das1, Sanjay Kalra2, Hitesh Punyani3

  • 1Professor of Eminence, Department of Medicine and Dean Academics, Mahatma Gandhi Medical College and Institute, and SBV University, Pondicherry, India.

Insights

Antioxidant supplements can help manage diabetes mellitus (DM) by combating oxidative stress. This review highlights their role in controlling blood glucose and reducing diabetic complications.

Area of Science:

  • Endocrinology
  • Metabolic Disorders
  • Oxidative Stress Research

Background:

  • Diabetes mellitus (DM) is a global health challenge linked to vascular damage and complications.
  • Oxidative stress, stemming from glucotoxicity and lipotoxicity, is central to DM pathogenesis and beta-cell dysfunction.
  • Hyperglycemia in DM exacerbates oxidative stress, impairing insulin secretion and creating a detrimental cycle.

Purpose of the Study:

  • To review the intricate relationship between oxidative stress and diabetes mellitus.
  • To explore the therapeutic potential of antioxidant supplements in managing DM.

Main Methods:

  • Literature review focusing on oxidative stress mechanisms in diabetes.
  • Analysis of studies investigating antioxidant efficacy in diabetic models and patients.

Main Results:

  • Diabetes is characterized by depleted biological antioxidants and an imbalanced glutathione redox state (GSSG/GSH ratio).
  • Oxidative stress significantly contributes to the vicious cycle of hyperglycemia and impaired insulin secretion.
  • Antioxidant interventions show promise in mitigating diabetic complications.

Conclusions:

  • Biological antioxidant defenses are insufficient in diabetes, necessitating external supplementation.
  • Antioxidant supplements are valuable for blood glucose control and reducing the severity of diabetic complications.
  • Targeting oxidative stress is a key strategy for improving diabetes management.

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