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Therapeutic Interventions for Diabetes Mellitus-associated Complications
Dharmendra Pradhan1, Prafulla Kumar Sahu1, Sukumar Purohit1
1School of Pharmacy, Centurion University of Technology and Management, Odisha, India.
This review summarizes advancements in understanding and treating diabetes mellitus (DM), a global health crisis. It covers complications, natural product therapies, and novel treatments like stem cell therapy for better patient outcomes.
Area of Science:
- Endocrinology and Metabolism
- Pharmacology and Therapeutics
Background:
- Diabetes Mellitus (DM) affects over 537 million globally, posing significant morbidity and mortality risks.
- Understanding DM's complex pathophysiology and progression is crucial for effective management.
Purpose of the Study:
- To review the pathogenesis of hyperglycemia and its complications.
- To consolidate current and emerging optimal treatment strategies for DM.
Main Methods:
- Traditional literature review of the past two decades.
- Searched prominent databases (PubMed, Scopus, Google Scholar, Web of Science, ClinicalTrials.gov) using keywords like 'diabetes,' 'complications,' and 'novel therapies.'
Main Results:
- Discussed macrovascular (atherosclerosis, CVD, PAD, stroke) and microvascular (nephropathy, retinopathy, neuropathy) complications.
- Highlighted pharmacological, non-pharmacological, and natural product interventions targeting metabolic pathways and oxidative stress.
- Explored novel therapies including genetic, stem cell, and immunomodulatory approaches, alongside precision medicine.
Conclusions:
- An improved understanding of DM advancements is vital for clinicians.
- This knowledge enhances the identification of the most effective therapeutic interventions for patients.
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