Diabetes mellitus: The pathophysiology as a canvas for management elucidation and strategies

Diabetes mellitus (DM) is a progressive metabolic disease characterised by high blood glucose due to autoimmune destruction of the β-islet of Langerhans or gradual development of insulin resistance and β-cell degeneration. Numerous risk factors, from genetic to environmental, are associated with thi...

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Main Authors: Franklyn Nonso Iheagwam, Olawumi Toyin Iheagwam
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Medicine in Novel Technology and Devices
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590093525000025
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author Franklyn Nonso Iheagwam
Olawumi Toyin Iheagwam
author_facet Franklyn Nonso Iheagwam
Olawumi Toyin Iheagwam
author_sort Franklyn Nonso Iheagwam
collection DOAJ
description Diabetes mellitus (DM) is a progressive metabolic disease characterised by high blood glucose due to autoimmune destruction of the β-islet of Langerhans or gradual development of insulin resistance and β-cell degeneration. Numerous risk factors, from genetic to environmental, are associated with this disease. Based on the global observed cases and etiopathogenesis, DM falls into three broad categories: type 1, 2, and gestational diabetes mellitus. A comprehensive search was used to identify relevant publications using targeted keywords associated with DM, pathophysiology, medication, characterised compounds, and others across prominent databases like PubMed, Scopus, and Web of Science. This review examines how DM pathophysiology influences the type of diagnosis, screening, treatment, and management regimen that is implemented. The link between DM and some mechanistic factors and activated glucose metabolic changes is discussed. Insights on the medications targeting various DM pathophysiology mechanisms, antidiabetic mechanisms of characterised compounds from natural products and computer-aided identification of antidiabetics from natural sources are reviewed. These findings could lay the groundwork for inventive therapeutic strategies and leads from natural products based on the proper elucidation of antidiabetic mechanisms, thereby improving management and the impact of DM.
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spelling doaj-art-c29dc463b1db4f28bfddf139274b18ae2025-02-07T04:48:11ZengElsevierMedicine in Novel Technology and Devices2590-09352025-03-0125100351Diabetes mellitus: The pathophysiology as a canvas for management elucidation and strategiesFranklyn Nonso Iheagwam0Olawumi Toyin Iheagwam1Department of Biochemistry and Molecular Genetics, Anschutz Medical Campus, University of Colorado, Aurora, Canada; Corresponding author.Genie Associates, Denver, CO, USADiabetes mellitus (DM) is a progressive metabolic disease characterised by high blood glucose due to autoimmune destruction of the β-islet of Langerhans or gradual development of insulin resistance and β-cell degeneration. Numerous risk factors, from genetic to environmental, are associated with this disease. Based on the global observed cases and etiopathogenesis, DM falls into three broad categories: type 1, 2, and gestational diabetes mellitus. A comprehensive search was used to identify relevant publications using targeted keywords associated with DM, pathophysiology, medication, characterised compounds, and others across prominent databases like PubMed, Scopus, and Web of Science. This review examines how DM pathophysiology influences the type of diagnosis, screening, treatment, and management regimen that is implemented. The link between DM and some mechanistic factors and activated glucose metabolic changes is discussed. Insights on the medications targeting various DM pathophysiology mechanisms, antidiabetic mechanisms of characterised compounds from natural products and computer-aided identification of antidiabetics from natural sources are reviewed. These findings could lay the groundwork for inventive therapeutic strategies and leads from natural products based on the proper elucidation of antidiabetic mechanisms, thereby improving management and the impact of DM.http://www.sciencedirect.com/science/article/pii/S2590093525000025Diabetes mellitusPathophysiology mechanismsMechanistic factorsMetabolic changesAntidiabetic mechanisms
spellingShingle Franklyn Nonso Iheagwam
Olawumi Toyin Iheagwam
Diabetes mellitus: The pathophysiology as a canvas for management elucidation and strategies
Medicine in Novel Technology and Devices
Diabetes mellitus
Pathophysiology mechanisms
Mechanistic factors
Metabolic changes
Antidiabetic mechanisms
title Diabetes mellitus: The pathophysiology as a canvas for management elucidation and strategies
title_full Diabetes mellitus: The pathophysiology as a canvas for management elucidation and strategies
title_fullStr Diabetes mellitus: The pathophysiology as a canvas for management elucidation and strategies
title_full_unstemmed Diabetes mellitus: The pathophysiology as a canvas for management elucidation and strategies
title_short Diabetes mellitus: The pathophysiology as a canvas for management elucidation and strategies
title_sort diabetes mellitus the pathophysiology as a canvas for management elucidation and strategies
topic Diabetes mellitus
Pathophysiology mechanisms
Mechanistic factors
Metabolic changes
Antidiabetic mechanisms
url http://www.sciencedirect.com/science/article/pii/S2590093525000025
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