Molecules · 2018 · 68 citations · 30 references
MedicineEndocrinologyPharmacologyDiabetologyMetabolic RegulationNutritional BiochemistryDiabetes ControlDiabetes ManagementDiabetes MellitusDietary ManagementGlycemic ControlInsulin ResistanceAntidiabetic ActivityCaloric IntakeDiabetes Mellitus PathophysiologyDiabetic ComplicationsDietary Management Of DiabetesGlucose Homeostasis DisruptionGlucose Homeostasis DisturbanceMetabolic Response To Diet
Prolonged exposure to high energy diets has been implicated in the development of pre-diabetes, a long-lasting condition that precedes type 2 diabetes mellitus (T2DM). A combination of pharmacological and dietary interventions is used to prevent the progression of pre-diabetes to T2DM. However, poor patient compliance leads to negligence of the dietary intervention and thus reduced drug efficiency. Oleanolic acid (OA) has been reported to possess anti-diabetic effects in type 1 diabetic rats. However, the effects of this compound on pre-diabetes have not yet been established. Consequently, this study sought to evaluate the effects OA on a diet-induced pre-diabetes rat model. Pre-diabetic male Sprague Dawley rats were treated with OA in both the presence and absence of dietary intervention for a period of 12 weeks. The administration of OA with and without dietary intervention resulted in significantly improved glucose homeostasis through reduced caloric intake, body weights, plasma ghrelin concentration and glycated haemoglobin by comparison to the pre-diabetic control. These results suggest that OA may be used to manage pre-diabetes as it was able to restore glucose homeostasis and prevented the progression to overt type 2 diabetes.
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Helen M. Colhoun, D. J. Betteridge, Paul N. Durrington et al. · The Lancet · 2004 · 3.8K citations
Nutrition Therapy Recommendations for the Management of Adults With Diabetes
Alison B. Evert, Jackie L. Boucher, Marjorie Cypress et al. · Diabetes Care · 2013 · 1.1K citations · Full text