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Diabetes mellitus (DM) is a global health problem owing to its high prevalence and increased morbidity and mortality. The prevalence of DM and impaired glucose tolerance in Uganda is approximately 4.1% and 6.6%, respectively. Medicinal plants are commonly used for the management of DM, especially in developing countries, such as Uganda. According to several ethnobotanical surveys conducted in Uganda, various medicinal plants are used in DM management. Meanwhile, ethnopharmacological studies have confirmed the anti-diabetic efficacy of various plants and plant-derived formulations from Uganda. However, these information remain highly fragmented without a single repository for plants used in the management and treatment of DM in Uganda, hindering further investigations. Therefore, this study aimed to comprehensively explore plants used for DM treatment in Uganda and retrieve relevant ethnopharmacological and ethnomedicinal information that can be used for DM therapy development. English peer-reviewed articles and books were searched in scientific databases, especially PubMed, Scopus, Google Scholar, Science Direct, SciFinder, and Medline, to retrieve information on medicinal plants used for DM treatment and management in Uganda. The databases were searched to obtain published literature on the anti-diabetic activities and safety of plants among the identified plants. The family name, plant parts used, anti-diabetic activities, dosage, and mechanisms of action of plant extracts were captured. In total, 46 species belonging to 26 families are used to treat DM in Uganda. Most species belonged to the Fabaceae (20%), Asteraceae (13%), and Solanaceae (7%) families. Anti-diabetic activities of 27 (59%) species have been scientifically investigated, whereas the rest have not been evaluated. This review indicated that various medicinal plants are used in the traditional treatment and management of DM across different regions in Uganda. Scientific investigations have revealed the anti-diabetic potential and safety of several of these plants. However, there is a need to validate the anti-diabetic potential of other unstudied plants. Additionally, isolating and characterizing active principles and elucidating the anti-diabetic mechanism of these plants and performing preclinical and clinical studies in the future could aid in the formulation of an effective and safe treatment for DM.
Diabetes mellitus (DM) is a global health problem owing to its high prevalence and increased morbidity and mortality. The prevalence of DM and impaired glucose tolerance in Uganda is approximately 4.1% and 6.6%, respectively. Medicinal plants are commonly used for the management of DM, especially in developing countries, such as Uganda. According to several ethnobotanical surveys conducted in Uganda, various medicinal plants are used in DM management. Meanwhile, ethnopharmacological studies have confirmed the anti-diabetic efficacy of various plants and plant-derived formulations from Uganda. However, these information remain highly fragmented without a single repository for plants used in the management and treatment of DM in Uganda, hindering further investigations. Therefore, this study aimed to comprehensively explore plants used for DM treatment in Uganda and retrieve relevant ethnopharmacological and ethnomedicinal information that can be used for DM therapy development. English peer-reviewed articles and books were searched in scientific databases, especially PubMed, Scopus, Google Scholar, Science Direct, SciFinder, and Medline, to retrieve information on medicinal plants used for DM treatment and management in Uganda. The databases were searched to obtain published literature on the anti-diabetic activities and safety of plants among the identified plants. The family name, plant parts used, anti-diabetic activities, dosage, and mechanisms of action of plant extracts were captured. In total, 46 species belonging to 26 families are used to treat DM in Uganda. Most species belonged to the Fabaceae (20%), Asteraceae (13%), and Solanaceae (7%) families. Anti-diabetic activities of 27 (59%) species have been scientifically investigated, whereas the rest have not been evaluated. This review indicated that various medicinal plants are used in the traditional treatment and management of DM across different regions in Uganda. Scientific investigations have revealed the anti-diabetic potential and safety of several of these plants. However, there is a need to validate the anti-diabetic potential of other unstudied plants. Additionally, isolating and characterizing active principles and elucidating the anti-diabetic mechanism of these plants and performing preclinical and clinical studies in the future could aid in the formulation of an effective and safe treatment for DM.
Ethnopharmacological relevance For decades, patients in East Africa have used herbal medicine as an alternative and affordable therapeutic option for the treatment of diseases such as Diabetes Mellitus (DM). As a result, the primary objective of this research was to thoroughly investigate the plants employed for treating DM in Uganda, Tanzania, Kenya, and the Democratic Republic of Congo and gather pertinent ethnopharmacological and ethnomedicinal knowledge that could be applied in the development of therapies for DM. Aim of the study The study is aimed at critically reviewing the phytochemistry, pharmacology, and toxicology of medicinal plants used for treating diabetes in East African countries, including Uganda, Tanzania, Kenya, and the Democratic Republic of Congo. Method A search for relevant articles was conducted on PubMed, ISI Web of Science, Open Theses, Google Scholar, Science Direct, and Scopus, and the identified articles were evaluated for quality, relevance, and taxonomical accuracy before undergoing review. Results The study identified 140 plant species used by local communities for the management of DM in East Africa, with decoction and infusion being the most common preparation methods. The leaves, root, and stem bark were the most frequently used parts. The in vitro and in vivo studies demonstrated the antidiabetic effect of medicinal plants such as Kigelia Africana, Hagenia abyssinica (Rosaceae), Physalis peruviana among other plants used for herbal treatment elicited via stimulation of insulin release, and gluconeogenesis. Phytochemicals present were mainly flavonoids, alkaloids, saponins, tannins, and glycosides. Conclusion The local communities in Uganda, Tanzania, Kenya and the Democratic Republic of Congo use herbal medicine for managing DM, but only a fraction of these species have scientific evidence. This necessitates additional research to establish the effectiveness, safety and potentially develop novel therapeutics for the management of DM.
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