Elevated Blood Glucose Levels Research Articles

Synthesis of New Indole‐Based Thiazole Derivatives as Potential Antiglycation and Antiα‐Glucosidase Agents: In Vitro and In Silico Studies

AbstractDiabetes mellitus is a metabolic disease, characterized by the elevated levels of blood glucose, known as hyperglycemia. It is one of the serious health challenges, and is rapidly becoming a significant cause of morbidity, and mortality, worldwide. The persistent hyperglycemic state in diabetes mellitus leads to the formation of advanced glycation end products (AGEs), which is identified as a key factor involved in the progression of diabetes, and diabetes‐associated late complications. keeping in view the medicinal properties of indole, and thiazole, in the present study, novel indole‐based thiazoles (1–26) were synthesized, and evaluated for theirin vitro α‐glucosidase, and antiglycation activities. These indole‐based thiazoles were characterized from their spectral data. All these compounds showed moderate to excellent antiglycation activity (IC50between 642.2±0.013 to 46.93±0.003 μM) including compounds17,20,22–26which showed a significant antiglycation activity as the reference molecule, rutin (IC50=56±0.008 μM) used as standard. Further, these derivatives exhibited significantα‐glucosidase inhibition activity (P<0.001) with IC50in the range of 111.8±0.9001 and 666.5±1.0111 μM (standard drug acarbose: IC50=855.8±1.2001 μM). Binding interactions of these compounds withα‐glucosidase enzyme were studiedin silico, which showed strong correlation with the experimental data. Inhibition ofα‐glucosidase enzyme, and AGEs formation by these compounds suggest them as promising scaffolds for further studies.

<i>In vivo</i> study of the role of hydrogen peroxide in the development of ishemic stroke in a model of streptozotocin-induced type I diabetes in rats using genetically encoded biosensor HyPer7

Diabetes mellitus is a significant risk factor for the development of complications following ischemic stroke. However, the precise mechanisms through which elevated glycemic status impacts neuronal metabolism during ischemia remain unclear. One probable reason for the exacerbation of post-ischemic consequences under hyperglycemia is oxidative stress, the indicator of which may be H2O2. In this research, we used the genetically encoded fluorescent biosensor HyPer7 to exhibit the hydrogen peroxide dynamics in the matrix of neuronal mitochondria during ischemic stroke under hyperglycemic and normal glucose conditions. The research was conducted on SHR rats with normal and high blood glucose levels. Type I diabetes mellitus was induced by injecting streptozotocin, which is toxic to pancreatic β-cells. For the expression of the fluorescent biosensor HyPer7-mito in the neuronal mitochondria of the caudate nucleus region, a suspension of adeno-associated virus particles carrying the sensor gene under the neuronal promoter was administered under stereotactic control. After the rats were injected, optical fibers with a ceramic adapter were implanted directly into their brain striatum, enabling us to register the H2O2 indicator signal using a highly sensitive fluorescence excitation and detection system developed by the Institute of Photonics and Nonlinear Spectroscopy at Moscow State University. The biosensor signal recording was continuously performed in real-time from the moment the animal was anesthetized. While recording, anesthetized rats underwent middle cerebral artery occlusion, which supplies corpus striatum. Using HyPer7 in the ischemic stroke model described, we observed that the H2O2 concentration dynamics in the affected hemisphere of rats with normal and elevated blood glucose levels were similar during the acute phase of stroke and one day after occlusion. Oxidation of the biosensor was observed in both animal groups during both ischemia and reperfusion. However, HyPer7 exhibited the most marked response one day after the occlusion of the middle cerebral artery, indicating a significant rise in hydrogen peroxide concentration. Furthermore, the metabolic activity of brain tissue was evaluated through staining slices obtained 24 hours after occlusion with 2,3,5-triphenyltetrazolium chloride. Rats with diabetes exhibited 2.6 times larger brain damage, indicating that hyperglycemia exacerbates the consequences of ischemic stroke. Furthermore, there was a higher mortality rate in the hyperglycemic group following ischemic stroke. This indicates that the consequences of ischemic stroke were more severe under hyperglycemia, with 25% of the animals in the hyperglycemic group dying before the experiment ended, whereas none of the control group animals died. Our study found that an elevated glycemic status does not impact the creation of H2O2 during the acute phase of stroke or one day after occlusion. However, it significantly intensifies damage to brain tissue and raises mortality rates.

Laboratory Tests for the Early Detection of Adverse Drug Reaction

The Food and Drug Administration (FDA) of the United States has approved drugs for sale in the country only if they are both safe and effective, meaning that the advantages of the medication must outweigh any known hazards. But over-the-counter (OTC) and prescription medications also have negative effects. (FDA) reactions, sometimes referred to as side effects, are undesired side effects that may be connected to a medication. Side effects can range in severity from little issues like a runny nose to potentially fatal situations like heart attack and in some case may lead to death. Age, use of other drugs, vitamins, or diet supplement, amount of drug, and route of administration can affect on degree of side effect as in IM or IV adverse effect is faster and stronger to appear than in oral route. According to laboratory tests, many tests have been done to detect impact of drug on body. In drugs cause liver failure tests appear elevated in liver enzyme as alkaline phosphatase (ALP), alanine transaminase (ALT), aspartate aminotransferase (AST). In kidney failure laboratory test indicate elevated in lipase and amylase serum.in drugs high cholesterol level such beta blocker, prednisone, and anabolic steroid in lab test detect high cholesterol level above 200mg\dl. Drugs elevate blood glucose as statins, corticosteroid, and beta blocker indicated elevation of blood glucose level above the normal. Analytical methods can consider also laboratory method as have been done in labs, it help in identification and separation of drugs so identify the drug these analytical method as spectrophotometry, gas chromatography, high performance liquid chromatography (HPLC).

A novel evolutionary ensemble prediction model using harmony search and stacking for diabetes diagnosis

Diabetes is a dreaded disease that can be identified by elevated blood glucose levels in the blood, and undiagnosed diabetes can cause a host of related complications, such as retinopathy and nephropathy. In terms of type, the main categories are type 1 diabetes (T1DM), type 2 diabetes (T2DM) and gestational diabetes mellitus (GDM). Machine learning models and metaheuristic optimization algorithms can play an important role in the early detection, diagnosis and treatment of this disease. To this end, we propose AHDHS-Stacking, an ensemble learning framework for diabetes mellitus classification and diagnosis that is based on the harmony search (HS) algorithm and stacking and includes two stages of feature selection and optimization of base-learner combinations. To improve the model’s overall performance, the average performance of all base learners is used as the feature selection target, and an adaptive hyperparameter strategy is used to accelerate the iterative process. HS is then used to optimize to find the best combination of base learners, which improves model performance while reducing complexity. Following that, we conducted experiments on the Pima Indians Diabetes (PID) dataset and the Chinese and Western Medicine Diabetes (CWMD) dataset, achieving accuracy of 93.09%, precision of 93.22%, recall of 91.60% , F-measure of 92.25%, and MCC of 84.79% on PID dataset, which is better than all benchmark models and validated the model’s validity. CWMD dataset experimental results showed that AHDHS-Stacking screened for key features such as age, gender, urinary glucose, fasting glucose, BMI and cholesterol, and can be used as a practical and accurate method for early diabetes prediction.

Genetic predisposition of LEPR (rs1137101) gene polymorphism related to type 2 diabetes mellitus – a meta-analysis

Background: Type 2 diabetes mellitus (T2DM) is a multifaceted disease appropriate to elevated blood glucose levels resulting from decreased insulin and beta-cell activity. Using a case–control methodology, researchers have examined the relationship between polymorphisms in LEPR and T2DM in a population from south India. Materials and Methods: We conducted a genetic analysis of 311 participants, and results were accomplished using a case-control study, a meta-analysis of previous studies on LEPR was conducted, and type 2 diabetes genotype distribution across various geographical regions Malaysians, Chinese Han, Kuwait, Iran, Mongolia, and Han Chinese, Greece, Saudi, India (North India, Punjabi), (South India, Tamilnadu). The study involved 254 prospective investigations, and nine association studies were preferred according to preset criteria. Studies were assessed for quality using the Hardy-Weinberg equilibrium (HWE) and the Newcastle–Ottawa Scale (NOS). An analysis of the genetic models was conducted to determine their relationship, statistical analysis was utilized to calculate odds ratios (ORs) and matching 95% confidence intervals (CIs). Results: The LEPR-rs1137101 polymorphism in the case-control study was associated with a significant increase in the risk of type 2 diabetes. A meta-analysis revealed a connection between LEPR gene polymorphism (rs1137101) and type 2 diabetes risk. Investigators might gain a more profound thought on the significance of the identified genetic variation and its impact on the chance of developing type 2 diabetes by verifying and strengthening previously reported findings. The model of fixed effects was chosen due to the low heterogeneity, and significant associations were observed in the allelic (OR = 0.79, 95% CI [0.70–0.87]), homozygote (OR = 0.58, 95% CI [0.46–0.72]), dominant (OR = 0.66, 95% CI [0.56–0.79]), and recessive (OR = 0.83, 95% CI [0.71–0.96]) genetic models. A Begg’s funnel plot and Egger’s test indicated no publication bias. These findings suggest that the rs1137101 variant in the LEPR gene has been linked to a higher risk of T2DM. Conclusions: A larger sample size, however, is required for further research, and consideration of potential confounding factors is needed to validate these associations. Understanding the implications of LEPR gene polymorphisms in T2DM susceptibility may contribute to personalized treatment strategies for patients with T2DM.

Microplastics cause hepatotoxicity in diabetic mice by disrupting glucolipid metabolism via PP2A/AMPK/HNF4A and promoting fibrosis via the Wnt/β-catenin pathway.

In recent years, microplastics (MPs) have gained significant attention as a persistent environmental pollutant resulting from the decomposition of plastics, leading to their accumulation in the human body. The liver, particularly of individuals with type 2 diabetes mellitus (T2DM), is known to be more susceptible to the adverse effects of environmental pollutants. Therefore, to investigate the potential impact of MPs on the liver of diabetic mice and elucidate the underlying toxicological mechanisms, we exposed db/db mice to 0.5 μm MPs for 3 months. Our results revealed that MPs exposure resulted in several harmful effects, including decreased body weight, disruption of liver structure and function, elevated blood glucose levels, impaired glucose tolerance, and increased glycogen accumulation in the hepatic tissue of the mice. Furthermore, MPs exposure was found to promote hepatic gluconeogenesis by perturbing the PP2A/AMPK/HNF4A signaling pathway. In addition, MPs disrupt redox balance, leading to oxidative damage in the liver. This exposure also disrupted hepatic lipid metabolism, stimulating lipid synthesis while inhibiting catabolism, ultimately resulting in the development of fatty liver. Moreover, MPs were found to induce liver fibrosis by activating the Wnt/β-catenin signaling pathway. Furthermore, MPs influenced adaptive thermogenesis in brown fat by modulating the expression of uncoupling protein 1 (UCP1) and genes associated with mitochondrial oxidative respiration thermogenesis in brown fat. In conclusion, our study demonstrates that MPs induce oxidative damage in the liver, disturb glucose and lipid metabolism, promote hepatic fibrosis, and influence adaptive thermogenesis in brown fat in diabetic mice. These findings underscore the potential adverse effects of MPs on liver health in individuals with T2DM and highlight the importance of further research in this area.

Importance of Dyslipidaemia Treatment in Individuals with Type 2 Diabetes Mellitus—A Narrative Review

Type 2 diabetes mellitus (T2DM) is a common metabolic disease characterised by insulin resistance and elevated blood glucose levels, affecting millions of people worldwide. T2DM individuals with dyslipidaemia have an increased risk of cardiovascular disease (CVD). A complex interplay of risk factors such as hyperglycaemia, dyslipidaemia, hypertension, obesity, inflammation, and oxidative stress favour the development of atherosclerosis, a central mechanism in the pathogenesis of cardiovascular disease. Dyslipidaemia, a hallmark of T2DM, is characterised by elevated triglycerides, decreased high-density lipoprotein (HDL) cholesterol and the presence of small, dense low-density lipoprotein (LDL) particles, all of which promote atherosclerosis. In this article, we have attempted to present various treatment strategies that include pharmacological interventions such as statins, ezetimibe, PCSK9 inhibitors, fibrates, and omega-3 fatty acids. We have also tried to highlight the pivotal role of lifestyle modifications, including physical activity and dietary changes, in improving lipid profiles and overall cardiovascular health in T2DM individuals. We have also tried to present the latest clinical guidelines for the management of dyslipidaemia in T2DM individuals. In conclusion, the treatment of dyslipidaemia in T2DM individuals is of great importance as it lowers lipid particle levels, slows the progression of atherosclerosis, and ultimately reduces susceptibility to cardiovascular disease.

Nanocomposite Hydrogel‐Based Optical Fiber Probe for Continuous Glucose Sensing

Diabetes mellitus (DM) presents a substantial global health concern due to elevated blood glucose levels, necessitating an affordable, rapid, and reliable continuous glucose monitoring (CGM) solution. In this pursuit, a pioneering approach is introduced utilizing optical fiber (OF) sensors based on nanocomposite photonic hydrogel functionalized with phenylboronic acid (PBA) for precise CGM. The fabrication of OF sensors involves a streamlined process, involving one‐step polymerization of PBA‐based hydrogel onto a commercial fiber tip and the integration of gold nanoparticles (AuNPs) via a simple dipping process. These sensors offer robust performance within the physiological glucose range (0–20 mm), exhibiting a remarkable 25% increase in transmission intensity and a 4 nm blue shift in the surface plasmon resonance with increasing glucose concentration. Additionally, there is a noticeable elevation in reflection intensity, affirming the sensor's suitability for remote sensing applications. These results are further validated using a green laser, underlining the method's reliability. The sensors exhibit a swift 30 s response time, followed by a 5 min saturation period, for all measurements. Practicality is demonstrated through smartphone readouts, utilizing the phone's photodiode to measure optical power changes concerning various glucose concentrations. These OF sensors hold great promise for CGM integration, enhancing diabetic management.

P53: Brain, Diabetes and Cognition

Diabetes mellitus (DM) is a chronic metabolic disease, characterized mainly by elevated levels of blood glucose, associated with other important metabolic disturbances. Prevalence of DM is dramatically increasing worldwide, but especially in western countries, due to several factors as like diet, lifestyle and population aging.Recent studies demonstrate that some diabetic patients have an increased risk of developing cognitive decline and dementia compared with healthy individuals. Although this may reflect brain changes as a consequence of diabetes, the coexistence of diabetes and cognitive dysfunction suggest common risk factors and causative mechanisms.Cognitive dysfunction, including mild cognitive impairment and dementia, is increasingly recognized as an important comorbidity and complication of diabetes that affects patient’s health and diabetes management with several public health implications. The aim of our work is to give an overview of cognitive dysfunction in people with diabetes, describing its clinical features and their biochemical basis and future perspectives.

A quantile regression approach to identify risk factors for high blood glucose levels among Bangladeshi individuals.

Diabetes mellitus, characterized by high blood glucose, is an overwhelming public health concern globally, including in Bangladesh. The implication of this trend may pose a significant challenge to the health systems due to the lack of awareness and improper management of this chronic disease. To formulate strategies for public health planning, this study aims to explore the potential risk factors for elevated blood glucose levels among Bangladeshi individuals using advanced statistical methods and a nationally representative data set. This study utilized data from the 2017-18 Bangladesh Demographic and Health Survey and included 11,863 individuals. A nonparametric Kruskal-Wallis test assessed the significant association between fasting plasma glucose levelsand various risk factors. Additionally, a robust quantile regression model was applied to examine the net effects of each risk factor at different quantiles of the distribution. The prevalence of diabetes is 8.1% among individuals in the study population, with variations observed across different administrative divisions in the country. Respondents from the Dhaka division respondents had a higher likelihood (24.1%) of having elevated plasma glucose and the Rangpur division had a lower risk (10.3%) of developing diabetes disease. This study identified several potential risk factors associated with elevated blood glucose levels, including hypertensive disease, overweight and obese body mass index, higher economic status, reduced physical activities, and older age, significantly contributing to develop diabetes mellitus. This study recommends promoting healthy lifestyles, increased physical activity, effective hypertension management, obesity reduction, and nationwide screening programs to control diabetes and noncommunicable diseases in Bangladesh. These preventive measures are crucial for reducing the existing prevalence of diabetes and working towardachieving the Sustainable Development Goals by 2030.

Protective Effect of Hydroalcoholic Extract of Punica granatum Leaves on High Fructose Induced Insulin Resistance in Experimental Animals.

Insulin resistance (IR) is a condition characterized by reduced sensitivity of body tissues to insulin, leading to impaired regulation of downstream metabolic pathways and elevated blood glucose levels. Diets rich in fructose have been proven to cause insulin resistance in test rats, resulting in decreased insulin sensitivity, particularly in the liver, and compromised disposal of glucose from the body. In the search for effective treatments, Plant-derived formulations have gained popularity because to their ability for treating a variety of ailments. One such plant is Punica granatum Linn. from the Punicaceae family, which has long been used in the treatment of diabetes and its consequences. This study investigates the insulin-resistant activity of an extract from Punica granatum leaves. The study goal is to assess the possible protective role of Punica granatum against insulin resistance through various analyses, including serum glucose and insulin levels, lipid profile assessment, measurement of liver enzymes (ALP, SGOT, SGPT), and histopathological examination of liver sections. The study involves several key methods to evaluate the insulin-resistant activity of Punica granatum extract in high fructose diet induced insulin resistance animal model. The extract was administered orally to the experimental animals. These methods include the measurement of serum glucose and serum insulin levels, analysis of the lipid profile, quantification of liver enzymes such as ALP, SGOT, and SGPT, and a detailed histopathological examination of liver tissue sections. These analyses collectively provide insights into the impact of Punica granatum extract on insulin resistance and related metabolic parameters. Findings of this study provide insight on the possible benefits of Punica granatum extract on insulin resistance. Through the assessment of serum glucose and insulin levels, lipid profile analysis, and measurement of liver enzymes, the study elucidates the impact of the extract on key metabolic indicators. Additionally, the histopathological examination of liver sections provides visual insights into the structural changes that may occur as a result of the treatment. In conclusion, this study highlights the ability of Punica granatum extract as a candidate for addressing insulin resistance. The findings suggest that the extract may have a protective role against insulin resistance, as evidenced by improvements in serum glucose and insulin levels, lipid profile, liver enzyme levels, and histopathological characteristics. Further research and investigations are warranted to fully understand the mechanisms underlying these observed effects and to validate the potential of Punica granatum extract as a therapeutic option for managing insulin resistance and its associated complications.

Effect of Polygonati Rhizoma in improving pyroptosis injury of diabetic macroangiopathy via NLRP3/caspase-1/GSDMD pathway

This study aims to explore the influence of Polygonati Rhizoma on the pyroptosis in the rat model of diabetic macroangiopathy via the NOD-like receptor thermal protein domain associated protein 3(NLRP3)/cysteinyl aspartate specific proteinase-1(caspase-1)/gasdermin D(GSDMD) pathway. The rat model of diabetes was established by intraperitoneal injection of streptozotocin(STZ) combined with a high-fat, high-sugar diet. The blood glucose meter, fully automated biochemical analyzer, hematoxylin-eosin(HE) staining, enzyme-linked immunosorbent assay, immunofluorescence, immunohistochemistry, and Western blot were employed to measure blood glucose levels, lipid levels, vascular thickness, inflammatory cytokine levels, and expression levels of pyroptosis-related proteins. The mechanism of pharmacological interventions against the injury in the context of diabetes was thus explored. The results demonstrated the successful establishment of the model of diabetes. Compared with the control group, the model group showed elevated levels of fasting blood glucose, total cholesterol(TC), triglycerides(TG) and low-density lipoprotein cholesterol(LDL-c), lowered level of high-density lipoprotein cholesterol(HDL-c), thickened vascular intima, and elevated serum and aorta levels of tumor necrosis factor-α(TNF-α), interleukin-1β(IL-1β) and interleukin-18(IL-18). Moreover, the model group showed increased NLRP3 inflammasomes and up-regulated levels of caspase-1 and GSDMD in aortic vascular cells. Polygonati Rhizoma intervention reduced blood glucose and lipid levels, inhibited vascular thickening, lowered the levels of TNF-α, IL-1β, IL-18 in the serum and aorta, attenuated NLRP3 inflammasome expression, and down-regulated the expression levels of caspase-1 and GSDMD, compared with the model group. In summary, Polygonati Rhizoma can slow down the progression of diabetic macroangiopathy by inhibiting pyroptosis and alleviating local vascular inflammation.

Tingkat Kecemasan dengan Kadar Gula Darah Penderita Diabetes Mellitus Tipe II di Puskesmas Kerabitan I

The primary issue in type II diabetes mellitus is the body's inadequate reaction to insulin (insulin resistance), resulting in the inability of glucose to enter the cells. Preserving mental well-being, particularly by preventing anxiety, is a method that can be employed to address insulin resistance in individuals with diabetes. The objective of this study was to establish the correlation between anxiety levels and blood glucose levels in individuals diagnosed with Type II diabetes mellitus. The research employed a quantitative correlation methodology with a cross-sectional approach. The study consisted of a sample size of 40 respondents, and the sampling method employed was non-probability sampling using purposive sampling. The findings indicated that a significant proportion of participants, specifically 33 individuals (82.5%), reported experiencing mild anxiety and had elevated blood glucose levels. The Spearman's Rho correlation test yielded a statistically significant result (p-value = 0.017, <0.05). A correlation was observed between the anxiety levels and blood sugar levels of patients diagnosed with type II diabetes mellitus at UPTD Puskesmas Kerambitan I in 2021. It is important for individuals with diabetes to prioritize their psychological well-being, particularly by avoiding anxiety as it can negatively impact blood glucose levels.

HARMONY AND HEALTH: APPROACH TO IDENTIFYING RISK FACTORS AND COMPLICATIONS OF DIABETES MELLITUS

Diabetes mellitus, commonly referred to as diabetes, is a chronic condition characterized by lifelong affliction. This study employs the literature review methodology, wherein researchers undertake a systematic examination of a range of current publications encompassing diverse genres. The objective of this study is to explore diverse concepts and theories that can subsequently be formed to align with the research objectives. Diabetes mellitus (DM) is a chronic metabolic condition with several causes, characterized by elevated blood glucose levels and associated metabolic dysregulation of carbohydrates, lipids, and proteins due to insufficient insulin activity. Diabetic foot is recognized as a notable consequence of diabetes mellitus. The management of diabetic foot can be improved with the implementation of foot workouts. Typically, individuals diagnosed with diabetes mellitus have access to several treatment options, including insulin therapy, administration of diabetic medications, exploration of alternative treatments, consideration of surgical interventions, and adoption of a healthier lifestyle.

Pharmacist intervention in outpatients with hypertension, type 2 diabetes mellitus, ad impact on cardiovascular risk

About 80% of CVDs are linked to behavioral risk factors. The effects of physical inactivity and unhealthy diet may present in an individual as overweight and obesity, high blood pressure, elevated blood glucose levels, and elevated blood lipid levels. Aim: This study aims to assess the impact of pharmacist interventions focusing on the medical risk factors for primary prevention in outpatients with Hypertension, Diabetes and their impact on Cardiovascular risk. Material and Methods: The selected patients were grouped randomly into interventional and usual care groups. The different intervention steps and the protocol of the study were explained to the patients included in the interventional group whereas the normal care group will be directed to follow their normal treatment protocol. Results & Conclusion: In both interventional group (61.3%) and usual care group (57.7%) majority were females. The age group of the patients varied from 41 to 70. There were significantly results in the Interventional group in clinical outcomes, biomedical outcomes and adherence of medication compared with the Usual care group.

High Doses of Exogenous Glucagon Stimulate Insulin Secretion and Reduce Insulin Clearance in Healthy Humans.

Glucagon is generally defined as a counter-regulatory hormone with a primary role to raise blood glucose concentrations by increasing endogenous glucose production (EGP) in response to hypoglycemia. However, glucagon has long been known to stimulate insulin release, and recent preclinical findings support a paracrine action of glucagon directly on islet β-cells that augments secretion. In mice, the insulinotropic effect of glucagon is glucose dependent and not present during basal euglycemia. To test the hypothesis that the relative effects of glucagon on hepatic and islet function were also varied with blood glucose, a group of healthy subjects received glucagon (100 ng/kg) during fasting glycemia or experimental hyperglycemia (~150 mg/dl) on two separate days. During fasting euglycemia, administration of glucagon caused blood glucose to rise due to increased EGP, with a delayed increase of insulin secretion. When given during experimental hyperglycemia, glucagon caused a rapid, 3-fold increase in insulin secretion, as well as a more gradual increase in EGP. Under both conditions, insulin clearance was decreased in response to glucagon infusion. The insulinotropic action of glucagon, which is proportional to elevated levels of blood glucose, suggests distinct physiologic roles in the fasting and prandial states.

The effect of Dictyophora indusiata, oats and Polygonatum kingianum on the physicochemical properties and in vitro digestion of pizza crust

SummaryA high‐glycaemic index diet can lead to elevated blood glucose levels and chronic diseases. In this study, Dictyophora indusiata powder, oats powder and Polygonatum kingianum powder were substituted for some wheat flour to make pizza crust. The aim was to investigate the effects of the three powders on the chemical composition, physical quality, antioxidant properties, in vitro digestibility of starch and sensory characteristics of pizza crust. The addition of the three powders enhanced the nutritional value of the pizza crust, especially the dried Dictyophora indusiata flour and oats powder were rich in dietary fibre and protein, the three powders also increased the total phenolic content (214%) and antioxidant activity (ABTS+185%, DPPH30.5%) of the pizza crust and improved the shelf‐life of the pizza crust. In addition, the three powders increased the slowly digestible starch (25.9%) and decreased the reducing sugar levels and hydrogenation index, and expected glycaemic index of the pizza crust compared to the control group. The results suggest that the three powders could be used as functional ingredients to enhance the nutritional value and lower the glycaemic index of pizza crusts. This study provides new ideas for the development of nutritious and hypoglycaemic functional bakery products.

Diabetes Mellitus and Prevalence of Other Comorbid Conditions: A Systematic Review.

Diabetes mellitus (DM) is a chronic metabolic disorder characterized by elevated blood glucose levels, severity continues to rise worldwide. This systematic review seeks to examine the prevalence of diabetes and its associated comorbid conditions, aiming to provide insights into the multifaceted impact of diabetes on a broader scale. DM exhibits a positive correlation with advancing age, and it's strongly influenced by genetic predisposition. In recent years, there has been a discernible global increase in the prevalence of type 1 diabetes (T1D), as evidenced by extensive epidemiological studies. Individuals with DM frequently have a positive familial history, and the presence of DM in both parents or solely the mother significantly amplifies genetic susceptibility. Moreover, non-genetic factors, such as acute psychological stressors, obesity, pregnancy, and smoking play a pivotal role in the development of DM. Notably, urinary tract infections (UTIs) are a common comorbidity in patients with type 2 diabetes (T2D) and all patients with T1D. T2D is prevalent, particularly among females, and its incidence rises with age. UTIs are prevalent among individuals with diabetes, particularly females, with Escherichia coli (E. coli) isolates being the primary etiological agents responsible for UTI inflammation. Insulin resistance is a common feature in both prediabetes and prehypertension, serving as a precursor to these conditions. The increasing incidence of T2D in regions with high tuberculosis (TB) prevalence emphasizes the significance of understanding DM as a substantial TB risk factor. DM is associated with a threefold elevation in TB risk and a twofold increase in unfavorable outcomes during TB treatment. Notably, the global prevalence of DM has led to a larger population of TB patients with comorbid DM than TB patients coinfected with HIV. Diabetes and sepsis contribute significantly to worldwide morbidity and mortality, with diabetic individuals experiencing more post-sepsis complications and increased mortality. The coexistence of hypertension and T2D is a common comorbidity, with hypertension incidence being twice as high among individuals with diabetes compared to those without, often linked to insulin resistance and a heightened risk of diabetes onset.

Protective Effects of Different Selenium Green Tea Polysaccharides on the Development of Type 2 Diabetes in Mice.

Selenium polysaccharides have attracted significant interest due to their superior function to that of individual polysaccharides. However, limited research has compared the protective effects of different selenium polysaccharides from different selenization methods on diabetes. This work aims to compare the preventive effects of natural selenium-enriched green tea polysaccharides (NSe-TPS), synthetic selenized green tea polysaccharides (PCSe-TPS), and a mixture of sodium selenite and green tea polysaccharides (ordinary tea polysaccharides (Ord-TPS)+Se) on the development of diabetes. While establishing a diabetes model induced by a high-sugar, high-fat diet combined with streptozotocin, different selenium polysaccharides were administered daily by gavage for nine weeks. Our findings indicate that PCSe-TPS exhibited superior preventive effects on developing type 2 diabetes compared to NSe-TPS and Ord-TPS+Se. PCSe-TPS effectively regulated glucose metabolism and insulin resistance by activating the PI3K/Akt pathway, thereby preventing elevated blood glucose levels. Additionally, PCSe-TPS mitigated oxidative damage and inflammatory responses in liver tissues. Notably, PCSe-TPS intervention reversed the decline in bacterial species richness and the abundance of unclassified_Oscillospiraceae during the development of diabetes in mice. These results provide valuable insights into the protective effects of PCSe-TPS against diabetes development, highlighting its advantages over NSe-TPS and Ord-TPS+Se.

Integration of point-of-care screening for type 2 diabetes mellitus and hypertension into the COVID-19 vaccine programme in Johannesburg, South Africa

BackgroundSouth Africa grapples with a substantial burden of non-communicable diseases (NCDs), particularly type 2 diabetes (diabetes) and hypertension. However, these conditions are often underdiagnosed and poorly managed, further exacerbated by the strained primary healthcare (PHC) system and the disruptive impact of the COVID-19 pandemic. Integrating NCD screening with large-scale healthcare initiatives, such as COVID-19 vaccination campaigns, offers a potential solution, especially in low- and middle-income countries (LMICs). We investigated the feasibility and effectiveness of this integration.MethodsA prospective cohort study was conducted at four government health facilities in Johannesburg, South Africa. NCD screening was incorporated into the COVID-19 vaccination campaign. Participants underwent COVID-19 rapid tests, blood glucose checks, blood pressure assessments, and anthropometric measurements. Those with elevated blood glucose or blood pressure values received referrals for diagnostic confirmation at local PHC centers.ResultsAmong 1,376 participants screened, the overall diabetes prevalence was 4.1%, combining previously diagnosed cases and newly identified elevated blood glucose levels. Similarly, the hypertension prevalence was 19.4%, comprising pre-existing diagnoses and newly detected elevated blood pressure cases. Notably, 46.1% of participants displayed waist circumferences indicative of metabolic syndrome, more prevalent among females. Impressively, 7.8% of all participants screened were potentially newly diagnosed with diabetes or hypertension. Approximately 50% of individuals with elevated blood glucose or blood pressure successfully linked to follow-up care within four weeks.ConclusionOur study underscores the value of utilizing even brief healthcare interactions as opportunities for screening additional health conditions, thereby aiding the identification of previously undiagnosed cases. Integrating NCD screenings into routine healthcare visits holds promise, especially in resource-constrained settings. Nonetheless, concerted efforts to strengthen care linkage are crucial for holistic NCD management and control. These findings provide actionable insights for addressing the NCD challenge and improving healthcare delivery in LMICs.