PMID- 36313061 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221102 IS - 2287-1098 (Print) IS - 2287-8602 (Electronic) IS - 2287-1098 (Linking) VI - 27 IP - 3 DP - 2022 Sep 30 TI - Effects of Fruit and Vegetable Polyphenols on the Glycemic Control and Metabolic Parameters in Type 2 Diabetes Mellitus: A Review. PG - 257-264 LID - 10.3746/pnf.2022.27.3.257 [doi] AB - The high prevalence of diabetes in recent decades has been associated with lifestyle changes and dietary habits correlated with economic development. Fruits and vegetables are a vital source of nutraceuticals and components of the healthy diet recommended in the medical nutrition therapy for type 2 diabetes mellitus (T2DM) to prevent hyperglycemia and related complications. They are low in calories and rich in dietary fiber, consist of many polyphenols, and are an essential component of a healthy lifestyle. Recently, researchers have developed a significant interest in understanding the effects of polyphenols (flavonoids and non-flavonoids) on blood glucose levels. In this review, the authors summarize the effects of polyphenols commonly found in the fruits and vegetables, such as resveratrol and anthocyanins, on the glycemic control and metabolic parameters, based on human clinical trials. Significant reductions in fasting blood glucose, glycated hemoglobin, and low-density lipoprotein cholesterol levels were reported after resveratrol, anthocyanin, and naringin were administered to patients with prediabetes and diabetes. Decreased insulin levels were observed after resveratrol intervention but not with the other types of polyphenols. These effects of polyphenolic compounds on the glycemic and metabolic parameters might be mediated by multiple pathophysiological mechanisms, such as activating regulator proteins to increase insulin signaling and eventually suppress insulin resistance. The benefits of certain polyphenols on T2DM remain ambiguous; therefore, further studies, especially clinical trials, are required to substantiate the available evidence. CI - Copyright (c) 2022 by The Korean Society of Food Science and Nutrition. All rights Reserved. FAU - Zin, Che Anis Jauharah Che Mohd AU - Zin CAJCM AUID- ORCID: 0000-0002-0604-3365 AD - Nutrition Program, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia. FAU - Mohamed, Wan Mohd Izani Wan AU - Mohamed WMIW AUID- ORCID: 0000-0001-9110-8380 AD - Department of Internal Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia. FAU - Khan, Nurzalina Abdul Karim AU - Khan NAK AUID- ORCID: 0000-0002-7806-6400 AD - School of Pharmaceutical Sciences, Universiti Sains Malaysia, Minden, Penang 11800, Malaysia. FAU - Ishak, Wan Rosli Wan AU - Ishak WRW AUID- ORCID: 0000-0001-7650-0499 AD - Nutrition Program, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia. LA - eng PT - Journal Article PT - Review PL - Korea (South) TA - Prev Nutr Food Sci JT - Preventive nutrition and food science JID - 101586663 PMC - PMC9585403 OTO - NOTNLM OT - diabetes mellitus OT - glucose OT - intervention OT - polyphenol OT - vegetable COIS- AUTHOR DISCLOSURE STATEMENT The authors declare no conflict of interest. EDAT- 2022/11/01 06:00 MHDA- 2022/11/01 06:01 PMCR- 2022/09/30 CRDT- 2022/10/31 04:50 PHST- 2022/10/31 04:50 [entrez] PHST- 2022/11/01 06:00 [pubmed] PHST- 2022/11/01 06:01 [medline] PHST- 2022/09/30 00:00 [pmc-release] AID - pnfs-27-3-257 [pii] AID - 10.3746/pnf.2022.27.3.257 [doi] PST - ppublish SO - Prev Nutr Food Sci. 2022 Sep 30;27(3):257-264. doi: 10.3746/pnf.2022.27.3.257.