The Journal of Phytopharmacology, 2018;7(2):152-161 DOI:10.31254/phyto.2018.7209

Review Article

Role of phytotherapy in diabetic neuropathy and neurodegeneration: from pathogenesis to treatment

Nilay D. Solanki¹ , Shailesh K Bhavsar² , Dharmang T. Pandya¹

Nilay D. Solanki,Shailesh K Bhavsar,Dharmang T. Pandya

1. Assistant Professor, Ramanbhai Patel College of Pharmacy, CHARUSAT, TA-Petlad, Dist. Anand, Changa – 388421, India
2. Professor & Head, Department of Pharmacology and Toxicology, College of Veterinary Science & Animal Husbandry, Navsari Agricultural University, Navsari-396 450, India

*Author to whom correspondence should be addressed.

Received: 16th January, 2018 / Accepted: 3rd March, 2018

Abstract

Diabetes mellitus is a metabolic disorder associated with structural and functional alterations of various organ systems. The tissue injury is attributed primarily to chronic hyperglycemia. Diabetic complications are associated with microvascular and macrovascular damage to the major organs of the body, here in this topic role of herbals for complications of Nervous system in diabetes is discussed as a new therapeutic horizon. Peripheral neuropathy along with the small and large blood vessel disease can explain most of the diabetesrelated organ failure, over the last two decades that the deleterious effects of chronic hyperglycemia extend beyond neuropathy and angiopathy. Examples of such diabetic complications include opacification of the lens and central nervous system [CNS] dysfunction. In contrast to the high prevalence rate of renal failure in diabetic patients, except for retinal disease, the chronic diabetic complications of the CNS are subtle and often unrecognized. Whereas the CNS effects of acute alterations in blood glucose level are well known, the effect of chronic hyperglycemia on brain metabolism and cognitive function is not widely appreciated. All the conventional therapies for the diabetic neuropathy with neurodegeneration do have disadvantage from the point of view of efficacy and side effects. Since last few decades Herbals getting more attraction towards neuroprotection in CNS complications of diabetes, further more studies are going on herbals for neuroprotection in diabetes. In the treatment of diabetic neuropathy [DN] herbals and phytoconstituents were proved better option, because excellent efficacy and cost effectiveness compared to conventional treatment.