Aloke Chinyere, Egwu Chinedu Ogbonnia, Aja Patrick Maduabuchi, Obasi Nwogo Ajuka, Chukwu Jennifer, Akumadu Blessing Oluebube, Ogbu Patience Nkemjika, Achilonu Ikechukwu
Protein Structure-Function and Research Unit, School of Molecular and Cell Biology, Faculty of Science, University of the Witwatersrand, Braamfontein, Johannesburg 2050, South Africa.
Department of Medical Biochemistry, Alex Ekwueme Federal University Ndufu-Alike, Abakaliki PMB 1010, Nigeria.
Biomedicines. 2022 Sep 29;10(10):2436. doi: 10.3390/biomedicines10102436.
Diabetes mellitus (DM) underscores a rising epidemic orchestrating critical socio-economic burden on countries globally. Different treatment options for the management of DM are evolving rapidly because the usual methods of treatment have not completely tackled the primary causes of the disease and are laden with critical adverse effects. Thus, this narrative review explores different treatment regimens in DM management and the associated challenges. A literature search for published articles on recent advances in DM management was completed with search engines including Web of Science, Pubmed/Medline, Scopus, using keywords such as DM, management of DM, and gene therapy. Our findings indicate that substantial progress has been made in DM management with promising results using different treatment regimens, including nanotechnology, gene therapy, stem cell, medical nutrition therapy, and lifestyle modification. However, a lot of challenges have been encountered using these techniques, including their optimization to ensure optimal glycemic, lipid, and blood pressure modulation to minimize complications, improvement of patients' compliance to lifestyle and pharmacologic interventions, safety, ethical issues, as well as an effective delivery system among others. In conclusion, lifestyle management alongside pharmacological approaches and the optimization of these techniques is critical for an effective and safe clinical treatment plan.
糖尿病(DM)突显了一种日益严重的流行病,给全球各国带来了重大的社会经济负担。由于常规治疗方法尚未完全解决该疾病的主要病因且伴有严重不良反应,DM管理的不同治疗选择正在迅速发展。因此,本叙述性综述探讨了DM管理中的不同治疗方案及相关挑战。使用包括Web of Science、Pubmed/Medline、Scopus在内的搜索引擎,以DM、DM管理和基因治疗等关键词完成了对已发表的DM管理最新进展文章的文献检索。我们的研究结果表明,DM管理已取得实质性进展,使用包括纳米技术、基因治疗、干细胞、医学营养治疗和生活方式改变在内的不同治疗方案取得了令人鼓舞的结果。然而,使用这些技术时遇到了许多挑战,包括对其进行优化以确保最佳的血糖、血脂和血压调节以尽量减少并发症,提高患者对生活方式和药物干预的依从性,安全性、伦理问题以及有效的给药系统等。总之,生活方式管理与药物治疗方法以及这些技术的优化对于制定有效且安全的临床治疗方案至关重要。