A Narrative Review of Human Clinical Trials on the Impact of Phenolic-Rich Plant Extracts on Prediabetes and Its Subgroups

Phenolic-rich plant extracts have been demonstrated to improve glycemic control in individuals with prediabetes. However, there is increasing evidence that people with prediabetes are not a homogeneous group but exhibit different glycemic profiles leading to the existence of prediabetes subgroups. P...

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Autores principales: Wen Xin Janice Lim, Cheryl S. Gammon, Pamela von Hurst, Lynne Chepulis, Rachel A. Page
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:9034910e4eae41b88bafc44d166d466a2021-11-25T18:33:35ZA Narrative Review of Human Clinical Trials on the Impact of Phenolic-Rich Plant Extracts on Prediabetes and Its Subgroups10.3390/nu131137332072-6643https://doaj.org/article/9034910e4eae41b88bafc44d166d466a2021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3733https://doaj.org/toc/2072-6643Phenolic-rich plant extracts have been demonstrated to improve glycemic control in individuals with prediabetes. However, there is increasing evidence that people with prediabetes are not a homogeneous group but exhibit different glycemic profiles leading to the existence of prediabetes subgroups. Prediabetes subgroups have been identified as: isolated impaired fasting glucose (IFG), isolated impaired glucose tolerance (IGT), and combined impaired fasting glucose and glucose intolerance (IFG/IGT). The present review investigates human clinical trials examining the hypoglycemic potential of phenolic-rich plant extracts in prediabetes and prediabetes subgroups. <i>Artemisia princeps</i> Pampanini, soy (<i>Glycine max</i> (L.) Merrill) leaf and <i>Citrus junos</i> Tanaka peel have been demonstrated to improve fasting glycemia and thus may be more useful for individuals with IFG with increasing hepatic insulin resistance. In contrast, white mulberry (<i>Morus alba</i> Linn.) leaf, persimmon (<i>Diospyros kaki</i>) leaf and <i>Acacia. Mearnsii</i> bark were shown to improve postprandial glycemia and hence may be preferably beneficial for individuals with IGT with increasing muscle insulin resistance. <i>Elaeis guineensis</i> leaf was observed to improve both fasting and postprandial glycemic measures depending on the dose. Current evidence remains scarce regarding the impact of the plant extracts on glycemic control in prediabetes subgroups and therefore warrants further study.Wen Xin Janice LimCheryl S. GammonPamela von HurstLynne ChepulisRachel A. PageMDPI AGarticlefunctional foodpolyphenolimpaired glycemic controlimpaired glucose toleranceimpaired fasting glucoseNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3733, p 3733 (2021)
institution DOAJ
collection DOAJ
language EN
topic functional food
polyphenol
impaired glycemic control
impaired glucose tolerance
impaired fasting glucose
Nutrition. Foods and food supply
TX341-641
spellingShingle functional food
polyphenol
impaired glycemic control
impaired glucose tolerance
impaired fasting glucose
Nutrition. Foods and food supply
TX341-641
Wen Xin Janice Lim
Cheryl S. Gammon
Pamela von Hurst
Lynne Chepulis
Rachel A. Page
A Narrative Review of Human Clinical Trials on the Impact of Phenolic-Rich Plant Extracts on Prediabetes and Its Subgroups
description Phenolic-rich plant extracts have been demonstrated to improve glycemic control in individuals with prediabetes. However, there is increasing evidence that people with prediabetes are not a homogeneous group but exhibit different glycemic profiles leading to the existence of prediabetes subgroups. Prediabetes subgroups have been identified as: isolated impaired fasting glucose (IFG), isolated impaired glucose tolerance (IGT), and combined impaired fasting glucose and glucose intolerance (IFG/IGT). The present review investigates human clinical trials examining the hypoglycemic potential of phenolic-rich plant extracts in prediabetes and prediabetes subgroups. <i>Artemisia princeps</i> Pampanini, soy (<i>Glycine max</i> (L.) Merrill) leaf and <i>Citrus junos</i> Tanaka peel have been demonstrated to improve fasting glycemia and thus may be more useful for individuals with IFG with increasing hepatic insulin resistance. In contrast, white mulberry (<i>Morus alba</i> Linn.) leaf, persimmon (<i>Diospyros kaki</i>) leaf and <i>Acacia. Mearnsii</i> bark were shown to improve postprandial glycemia and hence may be preferably beneficial for individuals with IGT with increasing muscle insulin resistance. <i>Elaeis guineensis</i> leaf was observed to improve both fasting and postprandial glycemic measures depending on the dose. Current evidence remains scarce regarding the impact of the plant extracts on glycemic control in prediabetes subgroups and therefore warrants further study.
format article
author Wen Xin Janice Lim
Cheryl S. Gammon
Pamela von Hurst
Lynne Chepulis
Rachel A. Page
author_facet Wen Xin Janice Lim
Cheryl S. Gammon
Pamela von Hurst
Lynne Chepulis
Rachel A. Page
author_sort Wen Xin Janice Lim
title A Narrative Review of Human Clinical Trials on the Impact of Phenolic-Rich Plant Extracts on Prediabetes and Its Subgroups
title_short A Narrative Review of Human Clinical Trials on the Impact of Phenolic-Rich Plant Extracts on Prediabetes and Its Subgroups
title_full A Narrative Review of Human Clinical Trials on the Impact of Phenolic-Rich Plant Extracts on Prediabetes and Its Subgroups
title_fullStr A Narrative Review of Human Clinical Trials on the Impact of Phenolic-Rich Plant Extracts on Prediabetes and Its Subgroups
title_full_unstemmed A Narrative Review of Human Clinical Trials on the Impact of Phenolic-Rich Plant Extracts on Prediabetes and Its Subgroups
title_sort narrative review of human clinical trials on the impact of phenolic-rich plant extracts on prediabetes and its subgroups
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/9034910e4eae41b88bafc44d166d466a
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