Skip to main content

Dietary Polyphenols in the Prevention and Treatment of Diabetes Mellitus

  • Chapter
  • First Online:
Nutritional Antioxidant Therapies: Treatments and Perspectives

Abstract

Type 2 diabetes mellitus (T2DM) is an auto-inflammatory disease that is associated with oxidative stress and insulin resistance. The increased production of reactive oxygen species (ROS) or a reduced capacity of the ROS scavenging antioxidants can lead to abnormal changes in intracellular signalling and result in chronic inflammation and insulin resistance. Mediators of oxidative stress and inflammation activate various transcriptional and metabolic pathways that lead to T2DM pathogenesis and its associated complications. Prevention of ROS-induced oxidative stress and inflammation can be an important therapeutic strategy to prevent the onset of T2DM and diabetic complications. A healthy diet is a major lifestyle factor that can greatly influence the incidence and development of T2DM. Polyphenols, the most abundant antioxidants in the diet, have attained considerable interest due to their potential pharmacotherapeutic properties and are believed to promote health and reduce the risk of non-communicable diseases including T2DM. The main focus of this chapter is to provide an overview regarding the dietary polyphenols and their antioxidant properties and possible roles in the prevention and treatment of T2DM and its associated complications.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Akash MSH, Rehman K, Li N, Gao JQ, Sun H, Chen S. Sustained delivery of IL-1Ra from pluronic F127-based thermosensitive gel prolongs its therapeutic potentials. Pharm Res. 2012a;29:3475–85.

    Article  CAS  PubMed  Google Scholar 

  • Akash MSH, Shen Q, Rehman K, Chen S. Interleukin-1 receptor antagonist: a new therapy for type 2 diabetes mellitus. J Pharm Sci. 2012b;101:1647–58.

    Article  CAS  PubMed  Google Scholar 

  • Akash MSH, Rehman K, Sun H, Chen S. Interleukin-1 receptor antagonist improves normoglycemia and insulin sensitivity in diabetic Goto-Kakizaki-rats. Eur J Pharmacol. 2013a;701:87–95.

    Article  CAS  PubMed  Google Scholar 

  • Akash MSH, Rehman K, Chen S. An overview of valuable scientific models for diabetes mellitus. Curr Diabetes Rev. 2013b;9:286–93.

    Article  PubMed  Google Scholar 

  • Akash MSH, Rehman K, Sun H, Chen S. Sustained delivery of IL-1Ra from PF127-gel reduces hyperglycemia in diabetic GK-rats. PLoS One. 2013c;8:e55925.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Akash MSH, Rehman K, Chen S. Role of inflammatory mechanisms in pathogenesis of type 2 diabetes mellitus. J Cell Biochem. 2013d;114:525–31.

    Article  CAS  PubMed  Google Scholar 

  • Akash MSH, Rehman K, Chen S. Effects of coffee on type 2 diabetes mellitus. Nutrition. 2014a;30:755–63.

    Article  CAS  PubMed  Google Scholar 

  • Akash MSH, Rehman K, Chen S. Spice plant Allium cepa: dietary supplement for treatment of type 2 diabetes mellitus. Nutrition. 2014b;30:1128–37.

    Article  CAS  PubMed  Google Scholar 

  • Akilen R, Tsiami A, Devendra D, Robinson N. Glycated haemoglobin and blood pressure-lowering effect of cinnamon in multi-ethnic type 2 diabetic patients in the UK: a randomized, placebo-controlled, double-blind clinical trial. Diabet Med. 2010;27:1159–67.

    Article  CAS  PubMed  Google Scholar 

  • Ali Asgar M. Anti-diabetic potential of phenolic compounds: a review. Int J Food Properties. 2013;16:91–103.

    Article  CAS  Google Scholar 

  • Arts IC, Hollman PC. Polyphenols and disease risk in epidemiologic studies. Am J Clin Nutr. 2005;81:317s–25s.

    Article  CAS  PubMed  Google Scholar 

  • Babby A, Suhasini S, Chandirasegaran G. Antihyperglycemic effect of tannic acid in streptozotocin induced diabetic rats. Int J Curr Res. 2014;6:5396–8.

    CAS  Google Scholar 

  • Bahadoran Z, Golzarand M, Mirmiran P, Shiva N, Azizi F. Dietary total antioxidant capacity and the occurrence of metabolic syndrome and its components after a 3-year follow-up in adults: Tehran lipid and glucose study. Nutr Metab (Lond). 2012;201(9):70.

    Article  CAS  Google Scholar 

  • Bahadoran Z, Mirmiran P, Azizi F. Dietary polyphenols as potential nutraceuticals in management of diabetes: a review. J Diabetes Metab Disord. 2013;12:43.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Bajaj S, Khan A. Antioxidants and diabetes. Indian J Endocrinol Metab. 2012;16:S267–71.

    PubMed  PubMed Central  Google Scholar 

  • Balasundram N, Sundram K, Samman S. Phenolic compounds in plants and agri-industrial by-products: antioxidant activity, occurrence, and potential uses. Food Chem. 2006;99:191–203.

    Article  CAS  Google Scholar 

  • Baynes JW. Role of oxidative stress in development of complications in diabetes. Diabetes. 1991;40:405–12.

    Article  CAS  PubMed  Google Scholar 

  • Birben E, Sahiner UM, Sackesen C, Erzurum S, Kalayci O. Oxidative stress and antioxidant defense. World Allergy Organ J. 2012;5:9–19.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • de Bock M, Derraik JG, Brennan CM, Biggs JB, Morgan PE, Hodgkinson SC, et al. Olive (Olea europaea L.) leaf polyphenols improve insulin sensitivity in middle-aged overweight men: a randomized, placebo-controlled, crossover trial. PLoS One. 2013;8:e57622.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Cai EP, Lin JK. Epigallocatechin gallate (EGCG) and rutin suppress the glucotoxicity through activating IRS2 and AMPK signaling in rat pancreatic beta cells. J Agric Food Chem. 2009;57:9817–27.

    Article  CAS  PubMed  Google Scholar 

  • Carter P, Gray LJ, Troughton J, Khunti K, Davies MJ. Fruit and vegetable intake and incidence of type 2 diabetes mellitus: systematic review and meta-analysis. BMJ. 2010;c4341:c4229.

    Article  Google Scholar 

  • Carvalho C, Katz PS, Dutta S, Katakam PV, Moreira PI, Busija DW. Increased susceptibility to amyloid-β toxicity in rat brain microvascular endothelial cells under hyperglycemic conditions. J Alzheimers Dis. 2014;38:75–83.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Chi TC, Chen WP, Chi TL, Kuo TF, Lee SS, Cheng JT, Su MJ. Phosphatidylinositol-3-kinase is involved in the antihyperglycemic effect induced by resveratrol in streptozotocin-induced diabetic rats. Life Sci. 2007;80:1713–20.

    Article  CAS  PubMed  Google Scholar 

  • Collins QF, Liu H-Y, Pi J, Liu Z, Quon MJ, Cao W. Epigallocatechin-3-gallate (EGCG), a green tea polyphenol, suppresses hepatic gluconeogenesis through 5′-AMP-activated protein kinase. J Biol Chem. 2007;282:30143–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cooper AJ, Forouhi NG, Ye Z, Buijsse B, Arriola L, Balkau B, Barricarte A, et al. Fruit and vegetable intake and type 2 diabetes: EPIC-InterAct prospective study and meta-analysis. Eur J Clin Nutr. 2012;66:1082–92.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Coughlan MT, Mibus AL, Forbes JM. Oxidative stress and advanced glycation in diabetic nephropathy. Ann N Y Acad Sci. 2008;1126:190–3.

    Article  CAS  PubMed  Google Scholar 

  • Crawford P. Effectiveness of cinnamon for lowering hemoglobin A1C in patients with type 2 diabetes: a randomized, controlled trial. J Am Board Fam Med. 2009;22:507–12.

    Article  PubMed  Google Scholar 

  • Crespy V, Williamson G. A review of the health effects of green tea catechins in in vivo animal models. J Nutr. 2004;134:3431s–40s.

    Article  CAS  PubMed  Google Scholar 

  • Cui XP, Li BY, Gao HQ, Wei N, Wang WL, Lu M. Effects of grape seed proanthocyanidin extracts on peripheral nerves in streptozocin-induced diabetic rats. J Nutr Sci Vitaminol (Tokyo). 2008;54:321–8.

    Article  CAS  Google Scholar 

  • Czech MP, Lawrence JC Jr, Lynn WS. Evidence for the involvement of sulfhydryl oxidation in the regulation of fat cell hexose transport by insulin. Proc Natl Acad Sci. 1974;71:4173–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Das S, Alagappan VK, Bagchi D, Sharma HS, Maulik N, Das DK. Coordinated induction of iNOS–VEGF–KDR–eNOS after resveratrol consumption: a potential mechanism for resveratrol preconditioning of the heart. Vasc Pharmacol. 2005;42:281–9.

    Article  CAS  Google Scholar 

  • Davison K, Coates AM, Buckley JD, Howe PR. Effect of cocoa flavanols and exercise on cardiometabolic risk factors in overweight and obese subjects. Int J Obes. 2008;32:1289–96.

    Article  CAS  Google Scholar 

  • Dembinska-Kiec A, Mykkanen O, Kiec-Wilk B, Mykkanen H. Antioxidant phytochemicals against type 2 diabetes. Br J Nutr. 2008;99(E Suppl 1):ES109–17.

    PubMed  Google Scholar 

  • Donath MY, Shoelson SE. Type 2 diabetes as an inflammatory disease. Nat Rev Immunol. 2011;11:98–107.

    Google Scholar 

  • Eckel RH, Grundy SM, Zimmet PZ. The metabolic syndrome. Lancet. 2005;365:1415–28.

    Article  CAS  PubMed  Google Scholar 

  • Estruch R. Anti-inflammatory effects of the Mediterranean diet: the experience of the PREDIMED study. Proc Nutr Soc. 2010;69:333–40.

    Article  CAS  PubMed  Google Scholar 

  • Fang R, Veitch NC, Kite GC, Porter EA, Simmonds MS. Enhanced profiling of flavonol glycosides in the fruits of sea buckthorn (Hippophae rhamnoides). J Agric Food Chem. 2013;61:3868–75.

    Article  CAS  PubMed  Google Scholar 

  • Fu Z, Zhang W, Zhen W, Lum H, Nadler J, Bassaganya-Riera J, Jia Z, et al. Genistein induces pancreatic beta-cell proliferation through activation of multiple signaling pathways and prevents insulin-deficient diabetes in mice. Endocrinology. 2010;151:3026–37.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gawrieh S, Opara EC, Koch TR. Oxidative stress in nonalcoholic fatty liver disease: pathogenesis and antioxidant therapies. J Investig Med. 2004;52:506–14.

    CAS  PubMed  Google Scholar 

  • Ghosh D, Konishi T. Anthocyanins and anthocyanin-rich extracts: role in diabetes and eye function. Asia Pac J Clin Nutr. 2007;16:200–8.

    CAS  PubMed  Google Scholar 

  • Graf BA, Milbury PE, Blumberg JB. Flavonols, flavones, flavanones, and human health: epidemiological evidence. J Med Food. 2005;8:281–90.

    Article  CAS  PubMed  Google Scholar 

  • Green CJ, Macrae K, Fogarty S, Hardie DG, Sakamoto K, Hundal HS. Counter-modulation of fatty acid-induced pro-inflammatory nuclear factor kappaB signalling in rat skeletal muscle cells by AMP-activated protein kinase. Biochem J. 2011;435:463–674.

    Article  CAS  PubMed  Google Scholar 

  • Guilherme A, Virbasius JV, Puri V, Czech MP. Adipocyte dysfunctions linking obesity to insulin resistance and type 2 diabetes. Nat Rev Mol Cell Biol. 2008;9:367–77.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Han X, Shen T, Lou H. Dietary polyphenols and their biological significance. Int J Mol Sci. 2007;8:950.

    Article  CAS  PubMed Central  Google Scholar 

  • Hanhineva K, Torronen R, Bondia-Pons I, Pekkinen J, Kolehmainen M, Mykkanen H, Poutanen K. Impact of dietary polyphenols on carbohydrate metabolism. Int J Mol Sci. 2010;11:1365–402.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hernandez-Fonseca JP, Rincon J, Pedreanez A, Viera N, Arcaya JL, Carrizo E, Mosquera J. Structural and ultrastructural analysis of cerebral cortex, cerebellum, and hypothalamus from diabetic rats. Exp Diabetes Res. 2009;2009:329632.

    Article  PubMed  PubMed Central  Google Scholar 

  • Higaki Y, Mikami T, Fujii N, Hirshman MF, Koyama K, Seino T, Tanaka K, et al. Oxidative stress stimulates skeletal muscle glucose uptake through a phosphatidylinositol-3-kinase-dependent pathway. Am J Physiol Endocrinol Metab. 2008;294:E889–97.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hooper L, Kay C, Abdelhamid A, Kroon PA, Cohn JS, Rimm EB, Cassidy A. Effects of chocolate, cocoa, and flavan-3-ols on cardiovascular health: a systematic review and meta-analysis of randomized trials. Am J Clin Nutr. 2012;95:740–51.

    Article  CAS  PubMed  Google Scholar 

  • Jung UJ, Lee MK, Jeong KS, Choi MS. The hypoglycemic effects of hesperidin and naringin are partly mediated by hepatic glucose-regulating enzymes in C57BL/KsJ-db/db mice. J Nutr. 2004;134:2499–503.

    Article  CAS  PubMed  Google Scholar 

  • Jung EH, Kim SR, Hwang IK, Ha TY. Hypoglycemic effects of a phenolic acid fraction of rice bran and ferulic acid in C57BL/KsJ-db/db mice. J Agric Food Chem. 2007;55:9800–4.

    Article  CAS  PubMed  Google Scholar 

  • Kahleova H, Pelikanova T. Vegetarian diets in the prevention and treatment of type 2 diabetes. J Am Coll Nutr. 2015;34:448–58.

    Article  CAS  PubMed  Google Scholar 

  • Kalofoutis C, Piperi C, Kalofoutis A, Harris F, Phoenix D, Singh J. Type II diabetes mellitus and cardiovascular risk factors: Current therapeutic approaches. Exp Clin Cardiol. 2007;12:17–28.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Kashihara N, Haruna Y, Kondeti VK, Kanwar YS. Oxidative stress in diabetic nephropathy. Curr Med Chem. 2010;17:4256–69.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Khanbabaee K, van Ree T. Tannins: classification and definition. Nat Prod Rep. 2001;18:641–9.

    Article  CAS  PubMed  Google Scholar 

  • Kim H, Hiraishi A, Tsuchiya K, Sakamoto K. (−) Epigallocatechin gallate suppresses the differentiation of 3T3-L1 preadipocytes through transcription factors FoxO1 and SREBP1c. Cytotechnology. 2010;62:245–55.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kimokoti RW, Millen BE. Nutrition for the prevention of chronic diseases. Med Clin North Am. 2016;100:1185–98.

    Article  PubMed  Google Scholar 

  • Kobori M, Masumoto S, Akimoto Y, Takahashi Y. Dietary quercetin alleviates diabetic symptoms and reduces streptozotocin-induced disturbance of hepatic gene expression in mice. Mol Nutr Food Res. 2009;53:859–68.

    Article  CAS  PubMed  Google Scholar 

  • Kumari M, Jain S. 2Screening of potential sources of tannin and its therapeutic application. Int J Nutr Food Sci. 2015;4:26–9.

    Article  CAS  Google Scholar 

  • Kunyanga CN, Imungi JK, Okoth M, Momanyi C, Biesalski HK, Vadivel V. Antioxidant and antidiabetic properties of condensed tannins in acetonic extract of selected raw and processed indigenous food ingredients from Kenya. J Food Sci. 2011;76:C560–7.

    Article  CAS  PubMed  Google Scholar 

  • Lann D, Gallagher E, Leroith D. Insulin resistance and the metabolic syndrome. Minerva Med. 2008;99:253–62.

    CAS  PubMed  Google Scholar 

  • Lapornik B, Prošek M, Golc Wondra A. Comparison of extracts prepared from plant by-products using different solvents and extraction time. J Food Eng. 2005;71:214–22.

    Article  Google Scholar 

  • Lasa A, Miranda J, Bullo M, Casas R, Salas-Salvado J, Larretxi I, Estruch R, et al. Comparative effect of two Mediterranean diets versus a low-fat diet on glycaemic control in individuals with type 2 diabetes. Eur J Clin Nutr. 2014;68:767–72.

    Article  CAS  PubMed  Google Scholar 

  • Lee S, Park Y, Bae K, Bok S, Kwon Y, Lee E, Choi M. Cholesterol-lowering activity of naringenin via inhibition of 3-hydroxy-3-methylglutaryl coenzyme A reductase and acyl coenzyme A: cholesterol acyltransferase in rats. Ann Nutr Metab. 1998;43:173–80.

    Article  Google Scholar 

  • Li BY, Cheng M, Gao HQ, Ma YB, Xu L, Li XH, Li XL, et al. Back-regulation of six oxidative stress proteins with grape seed proanthocyanidin extracts in rat diabetic nephropathy. J Cell Biochem. 2008;104:668–79.

    Article  CAS  PubMed  Google Scholar 

  • Liu X, Kim JK, Li Y, Li J, Liu F, Chen X. Tannic acid stimulates glucose transport and inhibits adipocyte differentiation in 3T3-L1 cells. J Nutr. 2005;135:165–71.

    Article  CAS  PubMed  Google Scholar 

  • Lo Piparo E, Scheib H, Frei N, Williamson G, Grigorov M, Chou CJ. Flavonoids for controlling starch digestion: structural requirements for inhibiting human alpha-amylase. J Med Chem. 2008;51:3555–61.

    Article  CAS  PubMed  Google Scholar 

  • Lu T, Sheng H, Wu J, Cheng Y, Zhu J, Chen Y. Cinnamon extract improves fasting blood glucose and glycosylated hemoglobin level in Chinese patients with type 2 diabetes. Nutr Res. 2012;32:408–12.

    Article  CAS  PubMed  Google Scholar 

  • Mahluji S, Attari VE, Mobasseri M, Payahoo L, Ostadrahimi A, Golzari SE. Effects of ginger (Zingiber officinale) on plasma glucose level, HbA1c and insulin sensitivity in type 2 diabetic patients. Int J Food Sci Nutr. 2013;64:682–6.

    Article  CAS  PubMed  Google Scholar 

  • Mahmoud AM, Ashour MB, Abdel-Moneim A, Ahmed OM. Hesperidin and naringin attenuate hyperglycemia-mediated oxidative stress and proinflammatory cytokine production in high fat fed/streptozotocin-induced type 2 diabetic rats. J Diabetes Complicat. 2012;26:483–90.

    Article  PubMed  Google Scholar 

  • Manach C, Scalbert A, Morand C, Remesy C, Jimenez L. Polyphenols: food sources and bioavailability. Am J Clin Nutr. 2004;79:727–47.

    Article  CAS  PubMed  Google Scholar 

  • Manach C, Williamson G, Morand C, Scalbert A, Remesy C. Bioavailability and bioefficacy of polyphenols in humans. I. Review of 97 bioavailability studies. Am J Clin Nutr. 2005;81:230s–42s.

    Article  CAS  PubMed  Google Scholar 

  • Marín L, Miguélez EM, Villar CJ, Lombó F. Bioavailability of dietary polyphenols and gut microbiota metabolism: antimicrobial properties. Biomed Res Int. 2015;2015:905215.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Marvalin C, Azerad R. Microbial glucuronidation of polyphenols. J Mol Catal B Enzym. 2011;73:43–52.

    Article  CAS  Google Scholar 

  • May JM, de Haen C. The insulin-like effect of hydrogen peroxide on pathways of lipid synthesis in rat adipocytes. J Biol Chem. 1979;254:9017–21.

    CAS  PubMed  Google Scholar 

  • McKeown NM, Meigs JB, Liu S, Wilson PW, Jacques PF. Whole-grain intake is favorably associated with metabolic risk factors for type 2 diabetes and cardiovascular disease in the Framingham Offspring Study. Am J Clin Nutr. 2002;76:390–8.

    Article  CAS  PubMed  Google Scholar 

  • Mirmiran P, Noori N, Zavareh MB, Azizi F. Fruit and vegetable consumption and risk factors for cardiovascular disease. Metabolism. 2009;58:460–8.

    Article  CAS  PubMed  Google Scholar 

  • Mirmiran P, Bahadoran Z, Golzarand M, Shiva N, Azizi F. Association between dietary phytochemical index and 3-year changes in weight, waist circumference and body adiposity index in adults: Tehran lipid and glucose study. Nutr Metab (Lond). 2012;9:108.

    Article  CAS  Google Scholar 

  • Misonou H, Morishima-Kawashima M, Ihara Y. Oxidative stress induces intracellular accumulation of amyloid beta-protein (Abeta) in human neuroblastoma cells. Biochemistry. 2000;39:6951–9.

    Article  CAS  PubMed  Google Scholar 

  • Miura Y, Chiba T, Tomita I, Koizumi H, Miura S, Umegaki K, Hara Y, et al. Tea catechins prevent the development of atherosclerosis in apoprotein E-deficient mice. J Nutr. 2001;131:27–32.

    Article  CAS  PubMed  Google Scholar 

  • Monforte M, Trovato A, Kirjavainen S, Forestieri A, Galati E, Lo CR. Biological effects of hesperidin, a citrus flavonoid. (note II): hypolipidemic activity on experimental hypercholesterolemia in rat. Farmaco. 1995;50:595–9.

    CAS  PubMed  Google Scholar 

  • Montonen J, Knekt P, Jarvinen R, Reunanen A. Dietary antioxidant intake and risk of type 2 diabetes. Diabetes Care. 2004;27:362–6.

    Article  CAS  PubMed  Google Scholar 

  • Mozaffari-Khosravi H, Talaei B, Jalali BA, Najarzadeh A, Mozayan MR. The effect of ginger powder supplementation on insulin resistance and glycemic indices in patients with type 2 diabetes: a randomized, double-blind, placebo-controlled trial. Complement Ther Med. 2014;22:9–16.

    Article  PubMed  Google Scholar 

  • Muniyappa R, Hall G, Kolodziej TL, Karne RJ, Crandon SK, Quon MJ. Cocoa consumption for 2 week enhances insulin-mediated vasodilatation without improving blood pressure or insulin resistance in essential hypertension. Am J Clin Nutr. 2008;88:1685–96.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nakamura Y, Matsumoto H, Todoki K. Endothelium-dependent vasorelaxation induced by black currant concentrate in rat thoracic aorta. Jpn J Pharmacol. 2002;89:29–35.

    Article  CAS  PubMed  Google Scholar 

  • Nakazato K, Song H, Waga T. Effects of dietary apple polyphenol on adipose tissues weights in Wistar rats. Exp Anim. 2006;55:383–9.

    Article  CAS  PubMed  Google Scholar 

  • Neumann KF, Rojo L, Navarrete LP, Farías G, Reyes P, Maccioni RB. Insulin resistance and Alzheimer’s disease: molecular links & clinical implications. Curr Alzheimer Res. 2008;5:438–47.

    Article  CAS  PubMed  Google Scholar 

  • Obiro WC, Zhang T, Jiang B. The nutraceutical role of the Phaseolus vulgaris alpha-amylase inhibitor. Br J Nutr. 2008;100:1–12.

    Article  CAS  PubMed  Google Scholar 

  • Ortsater H, Grankvist N, Wolfram S, Kuehn N, Sjoholm A. Diet supplementation with green tea extract epigallocatechin gallate prevents progression to glucose intolerance in db/db mice. Nutr Metab (Lond). 2012;9:11.

    Article  CAS  Google Scholar 

  • Osada K, Suzuki T, Kawakami Y, Senda M, Kasai A, Sami M, Ohta Y, et al. Dose-dependent hypocholesterolemic actions of dietary apple polyphenol in rats fed cholesterol. Lipids. 2006;41:133–9.

    Article  CAS  PubMed  Google Scholar 

  • Otero M, Lago R, Lago F, Casanueva FF, Dieguez C, Gomez-Reino JJ, Gualillo O. Leptin, from fat to inflammation: old questions and new insights. FEBS Lett. 2005;579:295–301.

    Article  CAS  PubMed  Google Scholar 

  • Pandey KB, Rizvi SI. Plant polyphenols as dietary antioxidants in human health and disease. Oxidative Med Cell Longev. 2009;2:270–8.

    Article  Google Scholar 

  • Park CE, Kim M, Lee JH, Min B, Bae H, Choe W, Kim S, et al. Resveratrol stimulates glucose transport in C2C12 myotubes by activating AMP-activated protein kinase. Exp Mol Med. 2007;39:222.

    Article  CAS  PubMed  Google Scholar 

  • Perlmuter LC, Hakami MK, Hodgson-Harrington C, Ginsberg J, Katz J, Singer DE, Nathan DM. Decreased cognitive function in aging non-insulin-dependent diabetic patients. Am J Med. 1984;77:1043–8.

    Article  CAS  PubMed  Google Scholar 

  • Portillo-Sanchez P, Bril F, Maximos M, Lomonaco R, Biernacki D, Orsak B, Subbarayan S, et al. High prevalence of nonalcoholic fatty liver disease in patients with type 2 diabetes mellitus and normal plasma aminotransferase levels. J Clin Endocrinol Metab. 2015;100:2231–8.

    Article  CAS  PubMed  Google Scholar 

  • Prasad C, Imrhan V, Juma S, Maziarz M, Prasad A, Tiernan C, Vijayagopal P. Bioactive plant metabolites in the management of non-communicable metabolic diseases: looking at opportunities beyond the horizon. Meta. 2015;5:733–65.

    CAS  Google Scholar 

  • Pugliese AG, Tomas-Barberan FA, Truchado P, Genovese MI. Flavonoids, proanthocyanidins, vitamin C, and antioxidant activity of Theobroma grandiflorum (Cupuassu) pulp and seeds. J Agric Food Chem. 2013;61:2720–8.

    Article  CAS  PubMed  Google Scholar 

  • Qin B, Panickar KS, Anderson RA. Cinnamon: potential role in the prevention of insulin resistance, metabolic syndrome, and type 2 diabetes. J Diabetes Sci Technol. 2010;4:685–93.

    Article  PubMed  PubMed Central  Google Scholar 

  • Richardson JTE. Cognitive function in diabetes-mellitus. Neurosci Biobehav Rev. 1990;14:385–8.

    Article  CAS  PubMed  Google Scholar 

  • Ríos-Hoyo A, Cortés MJ, Ríos-Ontiveros H, Meaney E, Ceballos G, Gutiérrez-Salmeán G. Obesity, metabolic syndrome, and dietary therapeutical approaches with a special focus on nutraceuticals (polyphenols): a mini-review. Int J Vitam Nutr Res. 2014;84:113–23.

    Article  PubMed  CAS  Google Scholar 

  • Robbins RJ. Phenolic acids in foods: an overview of analytical methodology. J Agric Food Chem. 2003;51:2866–87.

    Article  CAS  PubMed  Google Scholar 

  • Roberts CK, Sindhu KK. Oxidative stress and metabolic syndrome. Life Sci. 2009;84:705–12.

    Article  CAS  PubMed  Google Scholar 

  • Rostami A, Khalili M, Haghighat N, Eghtesadi S, Shidfar F, Heidari I, Ebrahimpour-Koujan S. High-cocoa polyphenol-rich chocolate improves blood pressure in patients with diabetes and hypertension. ARYA Atheroscler. 2015;11:21–9.

    PubMed  PubMed Central  Google Scholar 

  • Roussel AM, Hininger I, Benaraba R, Ziegenfuss TN, Anderson RA. Antioxidant effects of a cinnamon extract in people with impaired fasting glucose that are overweight or obese. J Am Coll Nutr. 2009;28:16–21.

    Article  CAS  PubMed  Google Scholar 

  • Scalbert A, Johnson IT, Saltmarsh M. Polyphenols: antioxidants and beyond. Am J Clin Nutr. 2005;81:215s–7s.

    Article  CAS  PubMed  Google Scholar 

  • Schaffer S, Podstawa M, Visioli F, Bogani P, Muller WE, Eckert GP. Hydroxytyrosol-rich olive mill wastewater extract protects brain cells in vitro and ex vivo. J Agric Food Chem. 2007;55:5043–9.

    Article  CAS  PubMed  Google Scholar 

  • Selma MV, Espín JC, Tomás-Barberán FA. Interaction between phenolics and gut microbiota: role in human health. J Agric Food Chem. 2009;57:6485–501.

    Article  CAS  PubMed  Google Scholar 

  • Sevov M, Elfineh L, Cavelier LB. Resveratrol regulates the expression of LXR-alpha in human macrophages. Biochem Biophys Res Comm. 2006;348(3):1047–54.

    Google Scholar 

  • Shobana S, Sreerama Y, Malleshi N. Composition and enzyme inhibitory properties of finger millet (Eleusine coracana L.) seed coat phenolics: Mode of inhibition of α-glucosidase and pancreatic amylase. Food Chem. 2009;115:1268–73.

    Article  CAS  Google Scholar 

  • Sikand G, Kris-Etherton P, Boulos NM. Impact of functional foods on prevention of cardiovascular disease and diabetes. Curr Cardiol Rep. 2015;17:39.

    Article  PubMed  Google Scholar 

  • Sluijs I, Cadier E, Beulens JW, van der ADL, Spijkerman AM, van der Schouw YT. Dietary intake of carotenoids and risk of type 2 diabetes. Nutr Metab Cardiovasc Dis. 2015;25:376–81.

    Article  CAS  PubMed  Google Scholar 

  • Smith DG, Cappai R, Barnham KJ. The redox chemistry of the Alzheimer’s disease amyloid beta peptide. Biochim Biophys Acta. 2007;1768:1976–90.

    Article  CAS  PubMed  Google Scholar 

  • Susztak K, Raff AC, Schiffer M, Böttinger EP. Glucose-induced reactive oxygen species cause apoptosis of podocytes and podocyte depletion at the onset of diabetic nephropathy. Diabetes. 2006;55:225–33.

    Article  CAS  PubMed  Google Scholar 

  • Szkudelski T, Szkudelska K. Antidiabetic effects of resveratrol. Ann N Y Acad Sci. 2011;1215:34–9.

    Article  CAS  PubMed  Google Scholar 

  • Taheri R, Connolly BA, Brand MH, Bolling BW. Underutilized chokeberry (Aronia melanocarpa, Aronia arbutifolia, Aronia prunifolia) accessions are rich sources of anthocyanins, flavonoids, hydroxycinnamic acids, and proanthocyanidins. J Agric Food Chem. 2013;61:8581–8.

    Article  CAS  PubMed  Google Scholar 

  • Takikawa M, Inoue S, Horio F, Tsuda T. Dietary anthocyanin-rich bilberry extract ameliorates hyperglycemia and insulin sensitivity via activation of AMP-activated protein kinase in diabetic mice. J Nutr. 2010;140:527–33.

    Article  CAS  PubMed  Google Scholar 

  • Thenmozhi AJ, Manivasagam T, Essa MM. Role of plant polyphenols in Alzheimer’s disease. Adv Neurobiol. 2016;12:153–71.

    Article  PubMed  Google Scholar 

  • Thomas JE, Foody JM. The pathophysiology of cardiovascular disease in diabetes mellitus and the future of therapy. J Cardiometab Syndr. 2007;2:108–13.

    Article  PubMed  Google Scholar 

  • Tomás-Barberán F, Ferreres F, Gil M. Antioxidant phenolic metabolites from fruit and vegetables and changes during postharvest storage and processing studies. Nat Prod Chem. 2000;23:739–95.

    Google Scholar 

  • Torronen R, Sarkkinen E, Tapola N, Hautaniemi E, Kilpi K, Niskanen L. Berries modify the postprandial plasma glucose response to sucrose in healthy subjects. Br J Nutr. 2010;103:1094–7.

    PubMed  Google Scholar 

  • Torronen R, Kolehmainen M, Sarkkinen E, Poutanen K, Mykkanen H, Niskanen L. Berries reduce postprandial insulin responses to wheat and rye breads in healthy women. J Nutr. 2013;143:430–6.

    Article  CAS  PubMed  Google Scholar 

  • Tsuda T, Horio F, Uchida K, Aoki H, Osawa T. Dietary cyanidin 3-O-beta-D-glucoside-rich purple corn color prevents obesity and ameliorates hyperglycemia in mice. J Nutr. 2003;133:2125–30.

    Article  CAS  PubMed  Google Scholar 

  • Tsuda T, Ueno Y, Yoshikawa T, Kojo H, Osawa T. Microarray profiling of gene expression in human adipocytes in response to anthocyanins. Biochem Pharmacol. 2006;71:1184–97.

    Article  CAS  PubMed  Google Scholar 

  • Tuck KL, Freeman MP, Hayball PJ, Stretch GL, Stupans I. The in vivo fate of hydroxytyrosol and tyrosol, antioxidant phenolic constituents of olive oil, after intravenous and oral dosing of labeled compounds to rats. J Nutr. 2001;131:1993–6.

    Article  CAS  PubMed  Google Scholar 

  • Ullah MF, Khan MW. Food as medicine: potential therapeutic tendencies of plant derived polyphenolic compounds. Asian Pac J Cancer Prev. 2008;9:187–95.

    PubMed  Google Scholar 

  • Umegaki H. Neurodegeneration in diabetes mellitus. Adv Exp Med Biol. 2012;724:258–65.

    Article  CAS  PubMed  Google Scholar 

  • Velayutham R, Sankaradoss N, Ahamed KF. Protective effect of tannins from Ficus racemosa in hypercholesterolemia and diabetes induced vascular tissue damage in rats. Asian Pac J Trop Med. 2012;5:367–73.

    Article  PubMed  CAS  Google Scholar 

  • Vignini A, Giulietti A, Nanetti L, Raffaelli F, Giusti L, Mazzanti L, Provinciali L. Alzheimer’s disease and diabetes: new insights and unifying therapies. Curr Diabetes Rev. 2013;9:218–27.

    Article  PubMed  Google Scholar 

  • Vinayagam R, Jayachandran M, Xu B. Antidiabetic effects of simple phenolic acids: a comprehensive review. Phytother Res. 2016;30:184–99.

    Article  CAS  PubMed  Google Scholar 

  • Wainstein J, Ganz T, Boaz M, Bar Dayan Y, Dolev E, Kerem Z, Madar Z. Olive leaf extract as a hypoglycemic agent in both human diabetic subjects and in rats. J Med Food. 2012;15:605–10.

    Article  PubMed  Google Scholar 

  • Wakil SJ, Abu-Elheiga LA. Fatty acid metabolism: target for metabolic syndrome. J Lipid Res. 2009;50(Supplement):S138–43.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Waltner-Law ME, Wang XL, Law BK, Hall RK, Nawano M, Granner DK. Epigallocatechin gallate, a constituent of green tea, represses hepatic glucose production. J Biol Chem. 2002;277:34933–40.

    Article  CAS  PubMed  Google Scholar 

  • Wang JG, Anderson RA, Graham GM III, Chu MC, Sauer MV, Guarnaccia MM, Lobo RA. The effect of cinnamon extract on insulin resistance parameters in polycystic ovary syndrome: a pilot study. Fertil Steril. 2007;88:240–3.

    Article  PubMed  Google Scholar 

  • Williamson G. The use of flavonoid aglycones in in vitro systems to test biological activities: based on bioavailability data, is this a valid approach? Phytochem Rev. 2002;1:215–22.

    Article  CAS  Google Scholar 

  • Wilson T, Luebke JL, Morcomb EF, Carrell EJ, Leveranz MC, Kobs L, Schmidt TP, et al. Glycemic responses to sweetened dried and raw cranberries in humans with type 2 diabetes. J Food Sci. 2010;75:H218–23.

    Article  CAS  PubMed  Google Scholar 

  • Xiao JB, Hogger P. Dietary polyphenols and type 2 diabetes: current insights and future perspectives. Curr Med Chem. 2015;22:23–38.

    Article  CAS  PubMed  Google Scholar 

  • Yamabe N, Yokozawa T, Oya T, Kim M. Therapeutic potential of (−)-epigallocatechin 3-O-gallate on renal damage in diabetic nephropathy model rats. J Pharmacol Exp Ther. 2006;319:228–36.

    Article  CAS  PubMed  Google Scholar 

  • Yang ZY, Yang Z, Zhu L, Qiu C. Human behaviors determine health: strategic thoughts on the prevention of chronic non-communicable diseases in China. Int J Behav Med. 2011;18:295–301.

    Article  PubMed  Google Scholar 

  • Ye EQ, Chacko SA, Chou EL, Kugizaki M, Liu S. Greater whole-grain intake is associated with lower risk of type 2 diabetes, cardiovascular disease, and weight gain. J Nutr. 2012;142:1304–13.

    Article  CAS  PubMed  Google Scholar 

  • Zadernowski R, Czaplicki S, Naczk M. Phenolic acid profiles of mangosteen fruits (Garcinia mangostana). Food Chem. 2009;112:685–9.

    Article  CAS  Google Scholar 

  • Zhang Y, Liu D. Flavonol kaempferol improves chronic hyperglycemia-impaired pancreatic beta-cell viability and insulin secretory function. Eur J Pharmacol. 2011;670:325–32.

    Article  CAS  PubMed  Google Scholar 

  • Zhang B, Kang M, Xie Q, Xu B, Sun C, Chen K, Wu Y. Anthocyanins from Chinese bayberry extract protect β cells from oxidative stress-mediated injury via HO-1 upregulation. J Agric Food Chem. 2010;59:537–45.

    Article  PubMed  CAS  Google Scholar 

  • Zhang Z, Ding Y, Dai X, Wang J, Li Y. Epigallocatechin-3-gallate protects pro-inflammatory cytokine induced injuries in insulin-producing cells through the mitochondrial pathway. Eur J Pharmacol. 2011;670:311–6.

    Article  CAS  PubMed  Google Scholar 

  • Zhao WQ, Townsend M. Insulin resistance and amyloidogenesis as common molecular foundation for type 2 diabetes and Alzheimer's disease. Biochim Biophys Acta. 2009;1792:482–96.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Muhammad Sajid Hamid Akash .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Rehman, K., Al-Gubory, K.H., Laher, I., Akash, M.S.H. (2017). Dietary Polyphenols in the Prevention and Treatment of Diabetes Mellitus. In: Al-Gubory, K., Laher, I. (eds) Nutritional Antioxidant Therapies: Treatments and Perspectives. Springer, Cham. https://doi.org/10.1007/978-3-319-67625-8_15

Download citation

Publish with us

Policies and ethics