PMID- 33838293 OWN - NLM STAT- MEDLINE DCOM- 20220120 LR - 20220120 IS - 1096-1186 (Electronic) IS - 1043-6618 (Linking) VI - 168 DP - 2021 Jun TI - Role of dietary modifications in the management of type 2 diabetic complications. PG - 105602 LID - S1043-6618(21)00186-9 [pii] LID - 10.1016/j.phrs.2021.105602 [doi] AB - Diabetes is a chronic metabolic disorder with a high rate of morbidity and mortality. Insufficient insulin secretion and insulin action are two major causes for the development of diabetes, which is characterized by a persistent increase in blood glucose level. Diet and sedentary life style play pivotal role in development of vascular complications in type 2 diabetes. Dietary modification is associated with a reprogramming of nutrient intake, which are proven to be effective for the management of diabetes and associated complications. Dietary modifications modulate various molecular key players linked with the functions of nutrient signalling, regulation of autophagy, and energy metabolism. It activates silent mating type information regulation 2 homolog1 (SIRT1) and AMP-activated protein kinase (AMPK). AMPK mainly acts as an energy sensor and inhibits autophagy repressor Mammalian target of rapamycin (mTOR) under nutritional deprivation. Under calorie restriction (CR), SIRT1 gets activated directly or indirectly and plays a central role in autophagy via the regulation of protein acetylation. Dietary modification is also effective in controlling inflammation and apoptosis by decreasing the level of pro-inflammatory cytokines like nuclear factor kappa- beta (NF-kbeta), tissue growth factor-beta (TGF-beta), tissue necrosis factor-alpha (TNF-alpha) and interleukin-6 (IL-6). It also improves glucose homeostasis and insulin secretion through beta cell regeneration. This indicates calorie intake plays a crucial role in the pathogenesis of type 2 diabetes-associated complications. The present review, emphasizes the role of dietary modifications in diabetes and associated complications. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Oza, Manisha J AU - Oza MJ AD - SVKM's Dr. Bhanuben Nanavati College of Pharmacy, Vile Parle (W), Mumbai 400056, India. FAU - Laddha, Ankit P AU - Laddha AP AD - Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM's NMIMS, V.L. Mehta Road, Vile Parle (W), Mumbai 400056, India. FAU - Gaikwad, Anil Bhanudas AU - Gaikwad AB AD - Laboratory of Molecular Pharmacology, Department of Pharmacy, Birla Institute of Technology and Science Pilani, Pilani Campus, Rajasthan 333031, India. FAU - Mulay, Shrikant R AU - Mulay SR AD - Division of Pharmacology, CSIR-Central Drug Research Institute, Lucknow 226031, India. FAU - Kulkarni, Yogesh A AU - Kulkarni YA AD - Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM's NMIMS, V.L. Mehta Road, Vile Parle (W), Mumbai 400056, India. Electronic address: yogeshkulkarni101@yahoo.com. LA - eng PT - Journal Article PT - Review DEP - 20210408 PL - Netherlands TA - Pharmacol Res JT - Pharmacological research JID - 8907422 SB - IM MH - Animals MH - Caloric Restriction MH - Diabetes Complications/*diet therapy MH - Diabetes Mellitus, Type 2/complications/*diet therapy MH - Diabetic Cardiomyopathies/diet therapy MH - Diabetic Nephropathies/diet therapy MH - Diabetic Neuropathies/diet therapy MH - Diabetic Retinopathy/diet therapy MH - Humans OTO - NOTNLM OT - Calorie restriction OT - Diabetic cardiomyopathy OT - Diabetic nephropathy OT - Diabetic neuropathy OT - Dietary modification EDAT- 2021/04/11 06:00 MHDA- 2022/01/21 06:00 CRDT- 2021/04/10 20:09 PHST- 2021/02/24 00:00 [received] PHST- 2021/03/31 00:00 [revised] PHST- 2021/04/02 00:00 [accepted] PHST- 2021/04/11 06:00 [pubmed] PHST- 2022/01/21 06:00 [medline] PHST- 2021/04/10 20:09 [entrez] AID - S1043-6618(21)00186-9 [pii] AID - 10.1016/j.phrs.2021.105602 [doi] PST - ppublish SO - Pharmacol Res. 2021 Jun;168:105602. doi: 10.1016/j.phrs.2021.105602. Epub 2021 Apr 8.