Literature Review of Herbal Remedies Used for Diabetes Mellitus: Efficacy, Safety, and Regulatory Considerations
DOI:
https://doi.org/10.35516/jjps.v18i3.3252Keywords:
Herbal Medicine, Type 2 Diabetes, Cost-effectiveness, Glycemic Control, User profiles, Economic ImpactAbstract
The Problem: The rising prevalence of Type 2 Diabetes presents a significant global health burden and economic strain, driving interest in herbal medicine as a potentially cost-effective alternative or supplement to conventional treatments.
Experimental Approach: This literature review included peer-reviewed studies published between 2018 and 2024. A comprehensive search of databases such as PubMed, Scopus, and Google Scholar was conducted using terms related to diabetes, herbal medicine, and cost-effectiveness. The included studies originated from various countries, including India, China, the United States, the United Kingdom, Saudi Arabia, and several African nations. Studies targeting adult participants with diabetes and assessing the effectiveness, cost, or user experiences of herbal remedies were included. In contrast, studies involving children, non-peer-reviewed articles, and those not directly related to herbal medicine were excluded. Data extraction was performed independently by two researchers using a standardized form to collect information on study characteristics, sample size, herbal remedies, glycemic control outcomes, and side effects.
Major Findings: A total of 45 studies were included, comprising randomized controlled trials (RCTs) and observational studies. The findings indicated that specific herbal remedies can significantly enhance glycemic control, with an average reduction in HbA1c ranging from 0.5% to 1.5%. Additionally, the economic impact of these remedies showed potential cost advantages compared to conventional treatments, although their safety profiles revealed some associated side effects.
Conclusions: This review highlights the potential benefits of herbal remedies in managing Type 2 Diabetes but underscores the need for further research. Future studies should specifically address optimal dosages, interactions with conventional medications, cost-effectiveness, and long-term safety and efficacy, particularly through RCTs with larger sample sizes and extended follow-up periods.
References
Satyam M, Pooja T, Rubi Y, Pratixa SP. An Extensive Analysis of Diseases Associated with Diabetes: Review Article. JOPIR. 2024;2(3):174–87. Available from: https://jopir.in/index.php/journals/article/view/181 DOI: https://doi.org/10.69613/ng1j7s13
Magliano D, Boyko EJ. IDF diabetes atlas. 10th edition. Brussels: International Diabetes Federation; 2021.
Sugandh F, Chandio M, Raveena F, Kumar L, Karishma F, Khuwaja S, et al. Advances in the Management of Diabetes Mellitus: A Focus on Personalized Medicine. Cureus. 2023; Available from: https://www.cureus.com/articles/177570-advances-in-the-management-of-diabetes-mellitus-a-focus-on-personalized-medicine DOI: https://doi.org/10.7759/cureus.43697
Parsekar SS, Gudi N, Walke SC, Shaw PD, Hombali A, Nayak AV, et al. Complementary and alternative system of medicine for type 2 diabetes mellitus and its complications: A scoping review. F1000Res. 2024;11:526. Available from: https://f1000research.com/articles/11-526/v3 DOI: https://doi.org/10.12688/f1000research.118147.3
Yedjou CG, Grigsby J, Mbemi A, Nelson D, Mildort B, Latinwo L, et al. The Management of Diabetes Mellitus Using Medicinal Plants and Vitamins. Int J Mol Sci. 2023;24(10):9085. Available from: https://www.mdpi.com/1422-0067/24/10/9085 DOI: https://doi.org/10.3390/ijms24109085
García-Aguilar A, Guillén C. Targeting pancreatic beta cell death in type 2 diabetes by polyphenols. Front Endocrinol. 2022;13:1052317. Available from: https://www.frontiersin.org/articles/10.3389/fendo.2022.1052317/full DOI: https://doi.org/10.3389/fendo.2022.1052317
Goto T, Takahashi N, Hirai S, Kawada T. Various Terpenoids Derived from Herbal and Dietary Plants Function as PPAR Modulators and Regulate Carbohydrate and Lipid Metabolism. PPAR Research. 2010;2010:1–9. Available from: http://www.hindawi.com/journals/ppar/2010/483958/ DOI: https://doi.org/10.1155/2010/483958
Utami AR, Maksum IP, Deawati Y. Berberine and Its Study as an Antidiabetic Compound. Biology. 2023;12(7):973. Available from: https://www.mdpi.com/2079-7737/12/7/973 DOI: https://doi.org/10.3390/biology12070973
Senevirathne BS, Jayasinghe MA, Pavalakumar D, Siriwardhana CG. Ceylon cinnamon: a versatile ingredient for futuristic diabetes management. J Future Foods. 2022;2(2):125–42. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2772566922000234 DOI: https://doi.org/10.1016/j.jfutfo.2022.03.010
Kim SK, Jung J, Jung JH, Yoon N, Kang SS, Roh GS, et al. Hypoglycemic efficacy and safety of Momordica charantia (bitter melon) in patients with type 2 diabetes mellitus. Complement Ther Med. 2020;52:102524. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0965229920302491 DOI: https://doi.org/10.1016/j.ctim.2020.102524
Chen W, Balan P, Popovich DG. Review of Ginseng Anti-Diabetic Studies. Molecules. 2019;24(24):4501. Available from: https://www.mdpi.com/1420-3049/24/24/4501 DOI: https://doi.org/10.3390/molecules24244501
Dong H, Ma J, Li T, Xiao Y, Zheng N, Liu J, et al. Global deregulation of ginseng products may be a safety hazard to warfarin takers: solid evidence of ginseng-warfarin interaction. Sci Rep. 2017;7(1):5813. Available from: https://www.nature.com/articles/s41598-017-05825-9 DOI: https://doi.org/10.1038/s41598-017-05825-9
Gupta RC, Chang D, Nammi S, Bensoussan A, Bilinski K, Roufogalis BD. Interactions between antidiabetic drugs and herbs: an overview of mechanisms of action and clinical implications. Diabetol Metab Syndr. 2017;9(1):59. Available from: http://dmsjournal.biomedcentral.com/articles/10.1186/s13098-017-0254-9 DOI: https://doi.org/10.1186/s13098-017-0254-9
Richter E, Geetha T, Burnett D, Broderick TL, Babu JR. The Effects of Momordica charantia on Type 2 Diabetes Mellitus and Alzheimer’s Disease. Int J Mol Sci. 2023;24(5):4643. Available from: https://www.mdpi.com/1422-0067/24/5/4643 DOI: https://doi.org/10.3390/ijms24054643
Hagos M, Chandravanshi BS. Levels of essential and toxic metals in fenugreek seeds (Trigonella Foenum-Graecum L.) cultivated in different parts of Ethiopia. Braz J Food Technol. 2016;19(0). Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-67232016000100424&lng=en&tlng=en DOI: https://doi.org/10.1590/1981-6723.5915
Klein-Junior LC, De Souza MR, Viaene J, Bresolin TMB, De Gasper AL, Henriques AT, et al. Quality Control of Herbal Medicines: From Traditional Techniques to State-of-the-art Approaches. Planta Med. 2021;87(12/13):964–88. Available from: http://www.thieme-connect.de/DOI/DOI?10.1055/a-1529-8339 DOI: https://doi.org/10.1055/a-1529-8339
Mirzaeian R, Sadoughi F, Tahmasebian S, Mojahedi M. The role of herbal medicines in health care quality and the related challenges. J Herbmed Pharmacol. 2021;10(2):156–65. Available from: http://herbmedpharmacol.com/Article/jhp-36780 DOI: https://doi.org/10.34172/jhp.2021.17
Mukherjee PK. Safety-Related Quality Issues for the Development of Herbal Drugs. In: Quality Control and Evaluation of Herbal Drugs. Elsevier; 2019;655–83. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780128133743000181 DOI: https://doi.org/10.1016/B978-0-12-813374-3.00018-1
Singh A. Herbal-based Nutraceuticals in Management of Lifestyle Diseases: Experience from Indian Population. Future Integr Med. 2024;3(2):106–15. Available from: https://www.xiahepublishing.com/2835-6357/FIM-2023-00055 DOI: https://doi.org/10.14218/FIM.2023.00055
Alzahrani AS, Price MJ, Greenfield SM, Paudyal V. Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis. Eur J Clin Pharmacol. 2021;77(9):1259–74. Available from: https://link.springer.com/10.1007/s00228-021-03097-x DOI: https://doi.org/10.1007/s00228-021-03097-x
Ahmad H, Kashif S, Afreen A, Safdar M, Ahmed Z. Comparative effect of Fenugreek and Cinnamon on management of newly diagnosed cases of Type-2 Diabetes Mellitus. Food Sci Technol. 2022;42:e47720. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-20612022000100410&tlng=en DOI: https://doi.org/10.1590/fst.47720
Kandhare A, Phadke U, Mane A, Thakurdesai P, Bhaskaran S. Add-on therapy of herbal formulation rich in standardized fenugreek seed extract in type 2 diabetes mellitus patients with insulin therapy: An efficacy and safety study. Asian Pac J Trop Biomed. 2018;8(9):446. Available from: https://journals.lww.com/10.4103/2221-1691.242288 DOI: https://doi.org/10.4103/2221-1691.242288
Maideen NMP. Antidiabetic Activity of Nigella Sativa (Black Seeds) and Its Active Constituent (Thymoquinone): A Review of Human and Experimental Animal Studies. Chonnam Med J. 2021;57(3):169. Available from: https://cmj.ac.kr/DOIx.php?id=10.4068/cmj.2021.57.3.169 DOI: https://doi.org/10.4068/cmj.2021.57.3.169
Prasopthum A, Insawek T, Pouyfung P. Herbal medicine use in Thai patients with type 2 diabetes mellitus and its association with glycemic control: A cross-sectional evaluation. Heliyon. 2022;8(10):e10790. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2405844022020783 DOI: https://doi.org/10.1016/j.heliyon.2022.e10790
Chan SW, Tomlinson B, Chan P, Lam CWK. The beneficial effects of Ganoderma lucidum on cardiovascular and metabolic disease risk. Pharm Biol. 2021;59(1):1159–69. Available from: https://www.tandfonline.com/doi/full/10.1080/13880209.2021.1969413 DOI: https://doi.org/10.1080/13880209.2021.1969413
Adam SH, Mohd Nasri N, Kashim MIAM, Abd Latib EH, Ahmad Juhari MAA, Mokhtar MH. Potential health benefits of Nigella sativa on diabetes mellitus and its complications: A review from laboratory studies to clinical trials. Front Nutr. 2022;9:1057825. Available from: https://www.frontiersin.org/articles/10.3389/fnut.2022.1057825/full DOI: https://doi.org/10.3389/fnut.2022.1057825
Siegel KR, Ali MK, Zhou X, Ng BP, Jawanda S, Proia K, et al. Cost-effectiveness of Interventions to Manage Diabetes: Has the Evidence Changed Since 2008? Diabetes Care. 2020;43(7):1557–92. Available from: https://diabetesjournals.org/care/article/43/7/1557/35595/Cost-effectiveness-of-Interventions-to-Manage DOI: https://doi.org/10.2337/dci20-0017
Willcox ML, Elugbaju C, Al-Anbaki M, Lown M, Graz B. Effectiveness of Medicinal Plants for Glycaemic Control in Type 2 Diabetes: An Overview of Meta-Analyses of Clinical Trials. Front Pharmacol. 2021;12:777561. Available from: https://www.frontiersin.org/articles/10.3389/fphar.2021.777561/full DOI: https://doi.org/10.3389/fphar.2021.777561
Haider R. The Role of Herbal Medicine in Traditional Healing. Auctores Publishing LLC, editor. CRCT. 2023;8(3):01–5. Available from: https://www.auctoresonline.org/article/the-role-of-herbal-medicine-in-traditional-healing DOI: https://doi.org/10.31579/2693-4779/153
Vasques AC, Cavaco P, Duarte T, Duarte Branco V, Miranda Baleiras M, Pinto M, et al. The Use of Herbal Medicines Among Cancer Patients. Cureus. 2024; Available from: https://www.cureus.com/articles/222829-the-use-of-herbal-medicines-among-cancer-patients DOI: https://doi.org/10.7759/cureus.53455
Ali HH, Alharbi SF, Iskandar RA, Mira GB, Yanogue AS, Alboualy EA. Perception and Use of Herbal Medicine in General Practice Patients: A Cross-Sectional Study in Saudi Arabia. Cureus. 2024; Available from: https://www.cureus.com/articles/241605-perception-and-use-of-herbal-medicine-in-general-practice-patients-a-cross-sectional-study-in-saudi-arabia DOI: https://doi.org/10.7759/cureus.56806
Tsele-Tebakang T, Morris-Eyton H, Pretorius E. Concurrent use of herbal and prescribed medicine by patients in primary health care clinics, South Africa. Afr J Prim Health Care Fam Med. 2023;15(1). Available from: http://www.phcfm.org/index.php/PHCFM/article/view/3829 DOI: https://doi.org/10.4102/phcfm.v15i1.3829
Tassew WC, Assefa GW, Zeleke AM, Ferede YA. Prevalence and associated factors of herbal medicine use among patients living with chronic disease in Ethiopia: A systematic review and meta-analysis. Metabolism Open. 2024;21:100280. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2589936824000124 DOI: https://doi.org/10.1016/j.metop.2024.100280
Im HB, Hwang JH, Choi D, Choi SJ, Han D. Patient–physician communication on herbal medicine use during pregnancy: a systematic review and meta-analysis. BMJ Glob Health. 2024;9(3):e013412. Available from: https://gh.bmj.com/lookup/doi/10.1136/bmjgh-2023-013412 DOI: https://doi.org/10.1136/bmjgh-2023-013412
Jha M, Rani D, Chahal K. Regulatory Affairs in Herbal Products. In: Kumar Jain S, Kumar Sahu R, Soni P, Soni V, Shankar Shukla S, editors. Plant-derived Hepatoprotective Drugs. BENTHAM SCIENCE PUBLISHERS; 2023; 115–33. Available from: https://www.eurekaselect.com/node/220754
Salau AK, M. S. S, Bakare-Odunola MT. Navigating the Challenges of Integrating African Herbal Medicines: A Path to Universal Acceptance: Herbal Medicines. Fount J Nat Appl Sci. 2024;13(1). Available from: https://fountainjournals.com/index.php/FUJNAS/article/view/474 DOI: https://doi.org/10.53704/fujnas.v13i1.474
Krsnik S, Erjavec K. Factors Influencing Use of Medicinal Herbs. J Patient Exp. 2024;11:23743735241241181. Available from: DOI: https://doi.org/10.1177/23743735241241181
https://journals.sagepub.com/doi/10.1177/23743735241241181
Logiel A, Jørs E, Akugizibwe P, Ahnfeldt-Mollerup P. Prevalence and socio-economic factors affecting the use of traditional medicine among adults of Katikekile Subcounty, Moroto District, Uganda. Afr H Sci. 2021;21(3):1410–7. Available from: https://www.ajol.info/index.php/ahs/article/view/215234 DOI: https://doi.org/10.4314/ahs.v21i3.52
Butt MD, Ong SC, Rafiq A, Kalam MN, Sajjad A, Abdullah M, et al. A systematic review of the economic burden of diabetes mellitus: contrasting perspectives from high and low middle-income countries. J Pharm Policy Pract. 2024;17(1):2322107. Available from: https://www.tandfonline.com/doi/full/10.1080/20523211.2024.2322107 DOI: https://doi.org/10.1080/20523211.2024.2322107
Chetty L, Govender N, Reddy P. Traditional Medicine Use among Type 2 Diabetes Patients in KZN. Selvaraj C, editor. Adv Public Health. 2022;2022:1–12. Available from: https://www.hindawi.com/journals/aph/2022/7334080/ DOI: https://doi.org/10.1155/2022/7334080
Lafi Z, Aboalhaija N, Afifi F. Ethnopharmacological importance of local flora in the traditional medicine of Jordan: (A mini review). Jordan J Pharm Sci. 2022;15(1):132–44. Available from: https://jjournals.ju.edu.jo/index.php/jjps/article/view/300 DOI: https://doi.org/10.35516/jjps.v15i1.300
Herman PM, Craig BM, Caspi O. Is complementary and alternative medicine (CAM) cost-effective? a systematic review. BMC Complement Altern Med. 2005;5(1):11. Available from: DOI: https://doi.org/10.1186/1472-6882-5-11
http://bmccomplementalternmed.biomedcentral.com/articles/10.1186/1472-6882-5-11
Nangandu Hikaambo C, Namutambo Y, Kampamba M, Mufwambi W, Kabuka R, Chulu M, et al. Prevalence and Patterns of Herbal Medicine Use among Type 2 Diabetes Mellitus Patients at the University Teaching Hospitals in Lusaka. J Biomed Res Environ Sci. 2022;3(1):074–81. Available from: DOI: https://doi.org/10.37871/jbres1402
https://www.jelsciences.com/articles/jbres1402.pdf
Semesta CD, Putri RN, Hadisaputri YE. Effect of Combination Herbal Plants Extracts on Diabetes Mellitus. Indonesian J Biomed Pharm Sci. 2023;3(3):222. Available from: DOI: https://doi.org/10.24198/ijbp.v3i3.47737
https://jurnal.unpad.ac.id/ijbp/article/view/47737
Vishwakarma PK, Moharana A, Behra SR, Choudhury P, Jayronia S, Tripathi SM. Diabetes Management: Herbal Remedies and Emerging Therapies. Curr Nutr Food Sci. 2024;05:e100524229823. Available from: https://www.eurekaselect.com/229823/article DOI: https://doi.org/10.2174/0126659786283493240415155919
Giri S, Sahoo J, Roy A, Kamalanathan S, Naik D. Treatment on Nature’s lap: Use of herbal products in the management of hyperglycemia. World J Diabetes. 2023;14(4):412–23. Available from: https://www.wjgnet.com/1948-9358/full/v14/i4/412.htm DOI: https://doi.org/10.4239/wjd.v14.i4.412
Sen DB, Balaraman R, Sen AK, Zanwar AS, Greeshma KP, Maheshwari RA. Anti-Diabetic Activity of Herbal Remedies. J Nat Rem. 2023;373–81. Available from: https://www.informaticsjournals.com/index.php/jnr/article/view/32182 DOI: https://doi.org/10.18311/jnr/2023/32182
Lin Y, Jiang R, Wang Y, Zhao Y, Zheng Y, Zhao B. Exploring the Economic Evaluation of Pharmacological Treatment of Hypertension Based on Markov Modeling. Medicines and Related Fields. 2024; Available from: http://www.isciencegroup.com/articleinfo/10530063 DOI: https://doi.org/10.57237/j.mrf.2024.02.002
Canenguez Benitez JS, Hernandez TE, Sundararajan R, Sarwar S, Arriaga AJ, Khan AT, et al. Advantages and Disadvantages of Using St. John’s Wort as a Treatment for Depression. Cureus. 2022; Available from: https://www.cureus.com/articles/94821-advantages-and-disadvantages-of-using-st-johns-wort-as-a-treatment-for-depression DOI: https://doi.org/10.7759/cureus.29468
Dalamagka M. Acupuncture for low back pain and migraine. World J Adv Res Rev. 2024;22(2):1269–74. Available from: https://wjarr.com/node/12431 DOI: https://doi.org/10.30574/wjarr.2024.22.2.1540
Rai N, Thakur A, Shreepati V, Chavan S. Methods and Tools for Toxicity Assessment of Herbal Remedies: Review Article. JOPIR. 2024;2(4):024–33. Available from: https://jopir.in/index.php/journals/article/view/197 DOI: https://doi.org/10.69613/2w9xeg16
Shim JM. The influence of social context on the treatment outcomes of complementary and alternative medicine: the case of acupuncture and herbal medicine in Japan and the U.S. Global Health. 2015;11(1):17. Available from: http://www.globalizationandhealth.com/content/11/1/17 DOI: https://doi.org/10.1186/s12992-015-0103-2
Guerrero-Encinas I, Gonzáles-Gonzáles JN, Morales-Figueroa GG, Ayala-Zavala JF, López-Mata MA, Ledesma-Osuna AI, et al. Perception and use of herbal medicine in Hermosillo, Sonora (Northwest Mexico). BIOTECNIA. 2024;26:367–78. Available from: https://biotecnia.unison.mx/index.php/biotecnia/article/view/2284 DOI: https://doi.org/10.18633/biotecnia.v26.2284
Burns J. Common herbs for stress: The science and strategy of a botanical medicine approach to self-care. J Interprof Educ Pract. 2023;30:100592. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2405452622000994 DOI: https://doi.org/10.1016/j.xjep.2022.100592
Shafiya S, Mustikawati IF, Septianawati P, Immanuel G. Herbal for Anxiety in Psychology Case: Bibliometric Analysis. J Health Sci. 2024;5(4):256–63. Available from: https://jurnal.healthsains.co.id/index.php/jhs/article/view/1256 DOI: https://doi.org/10.46799/jhs.v5i4.1256
Mohammed A, Amsalu B, Hailu M, Sintayehu Y, Weldeamanuel T, Belay Y, et al. Indigenous herbal medicine use and its associated factors among pregnant women attending antenatal care at public health facilities in Dire Dawa, Ethiopia: a cross-sectional study. BMJ Open. 2024;14(6):e079719. Available from: https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2023-079719 DOI: https://doi.org/10.1136/bmjopen-2023-079719
Yao R, Gao J, Heinrich M, Yu S, Xue T, Zhang B, et al. Medicinal plants used by minority ethnic groups in China: Taxonomic diversity and conservation needs. J Ethnopharmacol. 2024;334:118573. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0378874124008729 DOI: https://doi.org/10.1016/j.jep.2024.118573
Alzahrani AS, Greenfield SM, Shrestha S, Paudyal V. Views of healthcare professionals on complementary and alternative medicine use by patients with diabetes: a qualitative study. BMC Complement Med Ther. 2024;24(1):81. Available from: https://bmccomplementalternmed.biomedcentral.com/articles/10.1186/s12906-024-04385-6 DOI: https://doi.org/10.1186/s12906-024-04385-6
Adel Mehraban MS, Mosallanejad A, Mohammadi M, Tabatabaei Malazy O, Larijani B. Navigating ethical dilemmas in complementary and alternative medicine: a narrative review. Jmehm. 2024; Available from: https://publish.kne-publishing.com/index.php/jmehm/article/view/15391 DOI: https://doi.org/10.18502/jmehm.v17i3.15391
Lisni I, Lestari K, Andalusia LR. Polypharmacy in Type 2 Diabetes Patients of the PROLANIS Program in Indonesia: Identification of Potential Drug-Drug Interaction. Jordan J Pharm Sci. 2025 Mar 25;18(1):245–57. DOI: https://doi.org/10.35516/jjps.v18i1.2783
Teschke R, Zhang L, Long H, Schwarzenboeck A, Schmidt-Taenzer W, Genthner A, et al. Traditional Chinese Medicine and herbal hepatotoxicity: a tabular compilation of reported cases. Ann Hepatol. 2015;14(1):7–19. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1665268119307963 DOI: https://doi.org/10.1016/S1665-2681(19)30796-3
Satyanarayana S, Eswar Kumar K, Rajasekhar J, Thomas L, Rajanna S, Rajanna B. Influence of aqueous extract of fenugreek-seed powder on the pharmacodynamics and pharmacokinetics of gliclazide in rats/rabbits. Therapy. 2007;4(4):457–63. Available from: https://www.futuremedicine.com/doi/10.2217/14750708.4.4.457 DOI: https://doi.org/10.2217/14750708.4.4.457
Christians U, Schmitz V, Haschke M. Functional interactions between P-glycoprotein and CYP3A in drug metabolism. Expert Opin Drug Metab Toxicol. 2005;1(4):641–54. Available from: http://www.tandfonline.com/doi/full/10.1517/17425255.1.4.641 DOI: https://doi.org/10.1517/17425255.1.4.641
Coon JT, Ernst E. Panax ginseng: A Systematic Review of Adverse Effects and Drug Interactions. Drug Safety. 2002;25(5):323–44. Available from: http://link.springer.com/10.2165/00002018-200225050-00003 DOI: https://doi.org/10.2165/00002018-200225050-00003
Adegbolagun OM, Ibukun OD, Ogunremi Y. Comparative efficacy and safety investigation of eight antidiabetic herbal products distributed within South- Western Nigeria. J Pharm Bio. 2023;20(1):1–13. Available from: https://www.ajol.info/index.php/jpb/article/view/241882 DOI: https://doi.org/10.4314/jpb.v20i1.1
Choudhury H, Pandey M, Hua CK, Mun CS, Jing JK, Kong L, et al. An update on natural compounds in the remedy of diabetes mellitus: A systematic review. J Tradit Complement Med. 2018;8(3):361–76. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2225411017301049 DOI: https://doi.org/10.1016/j.jtcme.2017.08.012
American Diabetes Association. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes—2021. Diabetes Care. 2021;44(Supplement_1):S15–33. Available from: https://diabetesjournals.org/care/article/44/Supplement_1/S15/30859/2-Classification-and-Diagnosis-of-Diabetes DOI: https://doi.org/10.2337/dc21-S002
Posadzki P, Watson L, Ernst E. Contamination and adulteration of herbal medicinal products (HMPs): an overview of systematic reviews. Eur J Clin Pharmacol. 2013;69(3):295–307. Available from: http://link.springer.com/10.1007/s00228-012-1353-z DOI: https://doi.org/10.1007/s00228-012-1353-z
Sriraman S, Sreejith D, Andrew E, Okello I, Willcox M. Use of herbal medicines for the management of type 2 diabetes: A systematic review of qualitative studies. Complement Ther Clin Pract. 2023;53:101808. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1744388123000890 DOI: https://doi.org/10.1016/j.ctcp.2023.101808
Domnic IS, Mohanabhaskaran P, Zaheer I, Meerasa SS, Prabhakar R. Evaluation of Potential Toxicity Associated with Antidiabetic Herbs in Saudi Arabia. Pharmacogn J. 2024;16(3):576–81. Available from: https://phcogj.com/article/2296 DOI: https://doi.org/10.5530/pj.2024.16.90
Agrawal M, Rao K, Singhal M, Bhatt S. The Role of Herbs in the Treatment of Diabetes. In: Chaurasia PK, Bharati SL, Singh S, editors. The Chemistry inside Spices & Herbs: Research and Development. BENTHAM SCIENCE PUBLISHERS; 2024. p. 189–203. Available from: https://www.eurekaselect.com/node/231658 DOI: https://doi.org/10.2174/9789815196801124030010
Yang S, Xiang X, Chai J, Tan Y, Xu W, Kong D, et al. Analysis of clinical study registration characteristics of traditional medicine for the treatment of type 2 diabetes mellitus based on the International Clinical Trials Registry Platform. Guidelines and Standards of Chinese Medicine. 2024;2(3):91–105. Available from: https://journals.lww.com/10.1097/gscm.0000000000000025 DOI: https://doi.org/10.1097/gscm.0000000000000025
Busia K. Herbal Medicine Dosage Standardisation. J Herb Med. 2024;46:100889. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2210803324000460 DOI: https://doi.org/10.1016/j.hermed.2024.100889
Kumar Jain S, Khabiya R, Dwivedi A, Soni P, Soni V. Approaches and Challenges in Developing Quality Control Parameters for Herbal Drugs. In: Chakraborty R, Sen S, editors. New Avenues in Drug Discovery and Bioactive Natural Products. BENTHAM SCIENCE PUBLISHERS; 2023. p. 54–82. Available from: https://www.eurekaselect.com/node/219306 DOI: https://doi.org/10.2174/9789815136326123020005
Singh N, Vayer P, Tanwar S, Poyet JL, Tsaioun K, Villoutreix BO. Drug discovery and development: introduction to the general public and patient groups. Front Drug Discov. 2023;3:1201419. Available from: https://www.frontiersin.org/articles/10.3389/fddsv.2023.1201419/full DOI: https://doi.org/10.3389/fddsv.2023.1201419
Rasheed H, Ahmed S, Sharma A. Changing Trends Towards Herbal Supplements: An Insight into Safety and Herb-drug Interaction. Curr Pharm Biotechnol. 2024;25(3):285–300. Available from: https://www.eurekaselect.com/218843/article DOI: https://doi.org/10.2174/1389201024666230718114606
Sonji GM, Sonji NM, Boukhary R, Hodeib F, Majzoub MS, Assi M. Caregiver Views and Practices Regarding Children’s Antibiotic Suspensions in Lebanon. Jordan J Pharm Sci. 2025;18(1):90–103. DOI: https://doi.org/10.35516/jjps.v18i1.2495
Yosef B, Kaddar N, Boubou A. Evaluation of the Effect of Dapagliflozin on CRP Levels in Type 2 Diabetes Patients. Jordan J Pharm Sci. 2023;313–21. Available from: https://jjournals.ju.edu.jo/index.php/jjps/article/view/1331 DOI: https://doi.org/10.35516/jjps.v16i2.1331
Sonji NM, Sonji GM. Fostering Healthier Choices: Empowering Pharmacy Students to Bridge the Food Label Gap in Lebanon. Jordan J Pharm Sci. 2024 Sep 24;17(3):582–93. DOI: https://doi.org/10.35516/jjps.v17i3.2290
Salleh NH, Zulkipli IN, Mohd Yasin H, Ja’afar F, Ahmad N, Wan Ahmad WAN, et al. Systematic Review of Medicinal Plants Used for Treatment of Diabetes in Human Clinical Trials: An ASEAN Perspective. Zarrelli A, editor. Evid Based Complement Altern Med. 2021;2021:1–10. Available from: https://www.hindawi.com/journals/ecam/2021/5570939/ DOI: https://doi.org/10.1155/2021/5570939
Zhang L, Yang L, Shergis J, Zhang L, Zhang AL, Guo X, et al. Chinese herbal medicine for diabetic kidney disease: a systematic review and meta-analysis of randomised placebo-controlled trials. BMJ Open. 2019;9(4):e025653. Available from: https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-025653 DOI: https://doi.org/10.1136/bmjopen-2018-025653
82. Haider Khan H, Khan FU, Ahmad T, Guo H, Shi B. Evaluation of Health-Related Quality of Life in Patients with Type 2 Diabetes Mellitus through EQ-5D-3L: in public sector hospitals of Quetta, Pakistan. Jordan J Pharm Sci. 2025 Jun 25;18(2):410–22. DOI: https://doi.org/10.35516/jjps.v18i2.2614
Sahane MB, Basarkar GD. A Review of Herbal Regulations and Approval Process in India and Europe. Int J Drug Reg Affairs. 2023;11(4):25–33. Available from: https://ijdra.com/index.php/journal/article/view/629 DOI: https://doi.org/10.22270/ijdra.v11i4.629
Indrayanto G. Regulation and standardization of herbal drugs: Current status, limitation, challenge’s and future prospective. In: Profiles of Drug Substances, Excipients and Related Methodology. Elsevier; 2024;153–99. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1871512523000158 DOI: https://doi.org/10.1016/bs.podrm.2023.11.003
Michael Alurame Eruaga, Esther Oleiye Itua, James Tabat Bature. The role of regulatory authorities in the regulation and control of herbal medicines: A case study of NAFDAC. Int J Sci Res Arch. 2024;11(2):207–11. Available from: https://ijsra.net/content/role-regulatory-authorities-regulation-and-control-herbal-medicines-case-study-nafdac DOI: https://doi.org/10.30574/ijsra.2024.11.2.0390
Beebe S. Herbal Medicine Regulation, Adverse Events, and Herb‐Drug Interactions. In: Memon MA, Xie H, editors. Integrative Veterinary Medicine. 1st ed. Wiley; 2023;79–84. Available from: https://onlinelibrary.wiley.com/doi/10.1002/9781119823551.ch10 DOI: https://doi.org/10.1002/9781119823551.ch10
Yao D, Hu H, Harnett JE, Ung COL. Integrating traditional Chinese medicines into professional community pharmacy practice in China – Key stakeholder perspectives. Eur J Integr Med. 2020;34:101063. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1876382019310947 DOI: https://doi.org/10.1016/j.eujim.2020.101063
Park J, Yi E, Yi J. The Provision and Utilization of Traditional Korean Medicine in South Korea: Implications on Integration of Traditional Medicine in a Developed Country. Healthcare. 2021;9(10):1379. Available from: https://www.mdpi.com/2227-9032/9/10/1379 DOI: https://doi.org/10.3390/healthcare9101379
Costa-Font J, Sato A. Cultural persistence and the ‘herbal medicine paradox’: Evidence from European data. J Health Psychol. 2024;13591053241237031. Available from: https://journals.sagepub.com/doi/10.1177/13591053241237031 DOI: https://doi.org/10.1177/13591053241237031
Qamar A. Antidiabetic activity, polyphenols-based characterization and molecular interaction of extract of un-ripe pods of Vinca rosea cv. Pink. Jordan J Pharm Sci. 2022;15(2):158–72. Available from: https://jjournals.ju.edu.jo/index.php/jjps/article/view/303 DOI: https://doi.org/10.35516/jjps.v15i2.303
Purwono S, Nisa U, Astana PRW, Wijayaningsih RA, Wicaksono AJ, Wahyuningsih MSH, et al. Factors Affecting the Perception of Indonesian Medical Doctors on Herbal Medicine Prescription in Healthcare Facilities: Qualitative and Quantitative Studies. Journal of Herbal Medicine. 2023;42:100747. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2210803323001252 DOI: https://doi.org/10.1016/j.hermed.2023.100747
Rapoliene L, Matuleviciute V. Future Prospective of Herbal Medicines for Lifestyle Diseases. In: Dhara AK, Mandal SC, editors. Role of Herbal Medicines. Singapore: Springer Nature Singapore; 2023;615–35. Available from: https://link.springer.com/10.1007/978-981-99-7703-1_31 DOI: https://doi.org/10.1007/978-981-99-7703-1_31
Lindberg K, Martvall A, Bastos Lima MG, Franca CSS. Herbal medicine promotion for a restorative bioeconomy in tropical forests: A reality check on the Brazilian Amazon. For Policy Econ. 2023;155:103058. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1389934123001533 DOI: https://doi.org/10.1016/j.forpol.2023.103058
Raja M, Cramer H, Lee MS, Wieland LS, Ng JY. Addressing the Challenges of Traditional, Complementary, and Integrative Medicine Research: An International Perspective and Proposed Strategies Moving Forward. Perspect Integr Med. 2024;3(2):86–97. Available from: DOI: https://doi.org/10.56986/pim.2024.06.004
http://integrmed.org/journal/view.php?doi=10.56986/pim.2024.06.004







