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Keywords: Polyherbal therapy, diabetes mellitus, alloxan, Gongronema latifolium, Allium cepa, blood glucose, positive
synergy, hypoglycemic effect.
Introduction:
Diabetes mellitus, is a heterogeneous group of disorders, glucosidase inhibitors (interfere with gut glucose
characterized by high blood glucose level. Insulin- absorption) and Insulin (Suppresses glucose production
dependent diabetes mellitus (type I) results from an and augments glucose utilization).
absolute deficiency of insulin due to autoimmunological
destruction of the insulin-producing pancreatic β-cells(1). In These therapeutic approaches have limited efficacy and
non-insulin-dependent diabetes mellitus (type II), muscle tolerability; and most have tendency to cause weight gain.
and fat cells are resistant to the actions of insulin and the Also, several of these cause hypoglycaemia and very few
compensatory mechanisms activated in the β-cells to address underlying defects such as obesity and insulin
secrete more insulin are not sufficient to maintain blood resistance. Sulphonylurea use causes secondary failure or
glucose levels within a normal physiological range(2) . refractoriness. Therefore, there is need for newer
These forms of diabetes are characterized by chronic therapeutic approaches. Medicinal plants play important
hyperglyceamia and development of diabetic roles in the management of type II diabetes especially in
microvascular complications such as blindness, end stage resource-limited countries. In Nigeria, herbal medicines
renal diseases and a variety of debilitating neuropathies. including polyherbal therapy is widely practiced. The
Also hyperglyceamia and insulin resistance seems to have combination of various types of agents from different plant
important roles in the pathogenesis of macrovascular sources could have synergistic, potentiative, antagonistic
complications especially in accelerating atherosclerotic pharmacological and therapeutic effects with minimum
macrovascular disease affecting the arteries that supply side effects(7)
the heart, brain and lower extremities(3, 4)
Type II diabetes accounts for 90-95% of all diabetes(5) and Gongronema latifolium leaf, widely used in the South
aggressive control of hyperglycaemia in patients with type Eastern part of Nigeria possesses hypoglycemic(8),
II diabetes can attenuate the development of vascular hypotensive and hypolipidemic(9), antioxidant(10) and
complications(6) antiinflammatory(11) activities. Also, Allium cepa posseses
antioxidant(12), hypoglycermic(13) and hypolipidaemic
The aim of therapy in type II diabetes has always been to properties(14). In the rural communities of the South East of
reduce hyperglyceamia using several approches: Nigeria, the combined aqueous leaf decoction of
Sulphonylureas (increase insuline release from pancreatic Gongronema latifolium and Allium cepa in different
islets); Metformin (reduces hepatic glucose proportions are popular among traditional healers in the
production);Thiazolidines (enhance insuline actions); α- management of type II diabetes mellitus. Despite the
Table 2: Effect of 200mg/kg of plant extracts on blood glucose level of alloxan induced diabetic rats for 6 hours.
Group 0h 1h 2h 3h 4h 5h 6h
1:1 434.8±133.20 292.8±92.82* 207.4±66.31* 161.0±51.25* 136.2±35.82* 124.0±39.47* 119.0±37.67*
(100) (67.71±9.50) (49.66±11.48) (39.84±12.59) (35.17±14.03) (32.11±14.27) (31.0±14.18)
1:2 215.4±43.47 192.4±45.71 181.66±45.84 176.4±48.14 178.8±47.57 170.6±45.82 171.4±45.01
(100) (88.79±3.15) (83.60±4.41) (81.04±6.13) (82.24±5.59) (78.34±4.79) (78.77±4.22)
2:1 242.6±77.26 205.2±56.23 172.8±56.13 165.6±70.26 154.2±63.32 148.8±64.76 143.2±68.70
(100) (86.41±10.80) (74.98±19.33) (74.24±27.81) (67.91±23.22) (65.21±23.23) (62.68±24.92)
Glibenclamide 158.80±9.04 101.00±18.62* 79.20±16.99* 71.20±15.73* 65.20±13.66* 66.80±13.26* 61.80±11.86*
(100) (63.34±9.84) (50.16±11.26) (47.02±11.75) (41.13±7.67) (42.41±7.69) (38.87±7.04)
Control 164.60±13.73 142.60±14.37 136.20±14.99 135.20±14.40 131.40±19.31 125.20±14.39 124.00±11.66
(100) (86.52±1.82) (82.60±2.87) (82.01±2.58) (79.56±6.71) (75.91±3.01) (75.36±4.17)
Mean + SEM. * p<0.05
Table 3: Effect of 400mg/kg of plant extracts on blood glucose level of alloxan induced diabetic rats for 6 hours.
Group 0h 1h 2h 3h 4h 5h 6h
1:1 379.8±148.33 263.8±91.09* 197.2±86.99* 136.0±64.88* 106.8±32.02* 96.00±20.98* 84.40±16.60*
(100) (71.38±8.99) (54.09±17.19) (39.64±17.13) (33.10±17.48) (32.95±23.39) (29.01±19.90)
1:2 248.0±97.88 214.8±106.3 209.8±108.37 206.4±105.58 203.6±105.55 204.6±106.94 203.6±107.80
(100) (84.0±12.91) (81.57±14.96) (80.10±12.53) (78.80±12.72) (79.22±13.97) (78.70±14.79)
2:1 170.6±19.64 117.2±20.57 109.8±19.57 108.2±19.34* 100.6±20.34* 99.40±21.49 92.40±20.32*
(100) (68.56±7.97) (64.16±7.03) (63.20±6.82) (58.64±7.37) (57.93±8.46) (53.79±7.76)
Table 4: Effect of 100mg/kg of plant extracts on blood glucose level of alloxan induced diabetic rats for 28 days
Group 0wk 1wk 2wk 3wk 4wk
1:1 364.00±151.13 185.2± 85.33 179.4 ±72.34* 151±60.54* 137.4±56.27
(100) (49.92± 2.42) (49.28±3.22) (41.74±4.00) (37.76±1.51)
1:2 357.00±20.20 288.6±152.22 276.8±159.28 213.4±109.66 216±116.27
(100) (82.9±5.49) (76.68±3.65) (62.68±8.44) (61.88±5.06)
2:1 460.40±120.95 273.2±71.10 279.2±79.42 126±27.14* 95.8±23.38*
(100) (59.39±2.88) (62.39±14.35) (28.23±4.69) (20.95±2.17)
Glibenclamide 283.80±117.98 187.40±102.21 213.6±92.19 191±99.12 63.4±17.37*
(100) (62.25±13.75) (75.65±10.76) (65.03±7.60) (24.71±8.80)
Control 262.80±133.39 169.00±96.61 197.80±110.17 181.8±93.3 131.8±70.73
(100) (66.99±16.54) (74.00±6.39) (69.64±5.67) (54.99±16.43)
Mean + SEM. * p<0.05
Table 5: Effect of 200mg/kg of plant extracts on blood glucose level of alloxan induced diabetic rats for 28 days
Group 0wk 1wk 2wk 3wk 4wk
Corresponding Author:-
Ajaghaku DL.,
Department of Pharmacology/Toxicology, Nnamdi Azikiwe University,
Agulu Campus, Anambra state, Nigeria.