Diabetes mellitus is one of the leading causes of mortality and disability worldwide
(Sun et al., 2022). In this study, the effects of hydromethanolic extracts of two polyherbal formulations (PHF I and PHF II) on blood insulin levels were evaluated in streptozotocin (STZ)-induced diabetic Wistar rats over a 30-day period. STZ induced diabetes by selectively destroying insulin-producing beta cells in the pancreas, leading to a significant reduction in insulin levels in the diabetic control group. These findings are consistent with the observations of
Sayeed et al., (2015), who reported similar insulin level declines following STZ administration.
Effect of polyherbal formulations on blood insulin levels
Table 3 presents the effects of hydromethanolic extracts of two polyherbal formulations, PHF-I and PHF-II, on blood insulin levels in streptozotocin (STZ)-induced diabetic Wistar rats over a 30-day period. As expected, the diabetic control group exhibited significantly reduced insulin levels due to STZ-mediated pancreatic beta-cell destruction.
Administration of PHF-I and PHF-II resulted in notable improvements in insulin levels, particularly at the higher dosage of 400 mg/kg. By day 30, insulin concentrations in rats treated with 400 mg/kg of PHF-I (11.57±1.04 mU/L) were comparable to those of the standard drug control (11.9±1.13 mU/L), while PHF-II at 400 mg/kg yielded insulin levels of 9.8±0.91 mU/L. Lower dosages (200 mg/kg) also showed improvements, albeit less pronounced, suggesting a dose-dependent response. These findings align with previous research, such as
(Mishra et al., 2010), who reported similar insulin-enhancing effects following administration of hydroethanolic extract (1:1) of
Jatropha curcas leaves at doses of 250 mg/kg and 500 mg/kg in alloxan-induced diabetic rats over 21 days. Additionally, observations by
(Olayiwola et al., 2004) further support the efficacy of herbal interventions in diabetes management.
These findings are consistent with earlier studies, such as
Mishra et al. (2010), who reported insulin-enhancing effects of hydroethanolic extracts of
Jatropha curcas leaves in alloxan-induced diabetic rats. Similarly,
Olayiwola et al. (2004) highlighted the efficacy of herbal interventions in improving insulin levels and glycemic control.
Arulmozhi et al. (2010) further demonstrated that polyherbal formulations could restore insulin secretion and enhance metabolic regulation in diabetic models.
Recent investigations continue to support the therapeutic potential of multi-herb combinations.
Bhaskarrao et al., (2022) showed that polyherbal formulations significantly elevated insulin levels in STZ-induced diabetic rats, while
Akhtar et al., (2023) reported that
Cichorium intybus extract improved insulin secretion and glycemic control. Additionally,
Gupta and Kori (2023) observed that novel polyherbal blends enhanced insulin activity and pancreatic function in diabetic Wistar rats. These outcomes collectively reinforce the hypothesis that synergistic interactions among bioactive phytochemicals in PHF-I and PHF-II contribute to their insulinotropic effect.
Effect of polyherbal formulations on blood glucose levels
The present study evaluated the antihyperglycemic effects of hydromethanolic extracts of two polyherbal formulations (PHF-I and PHF-II) in streptozotocin (STZ)-induced diabetic Wistar rats over a 30-day period. Both formulations demonstrated a dose-dependent reduction in blood glucose levels, with higher doses (400 mg/kg) exhibiting more pronounced effects. By day 30, PHF-I at 400 mg/kg significantly decreased blood glucose levels from 353.01 mg/dL to 222.54 mg/dL, while PHF-II at the same dosage reduced glucose levels from 384.34 mg/dL to 270.81 mg/dL. These findings suggest substantial antihyperglycemic properties, with PHF-I showing slightly greater efficacy than PHF-II.
Table 4 presents the effects of PHF-I and PHF-II on blood glucose levels (mg/dL) over the 30-day study period. As expected, the diabetic control group exhibited persistent hyperglycemia. Both PHF-I and PHF-II displayed dose-dependent glucose-lowering effects, with the higher dosage (400 mg/kg) yielding significant reductions. While both formulations improved glucose regulation, PHF-I demonstrated greater antihyperglycemic potency compared to PHF-II in STZ-induced diabetic rats.
These results highlight the potential of hydromethanolic extracts of PHF-I and PHF-II as effective interventions for improving glycaemic control in diabetes. Their efficacy appears to be dose-dependent, with higher doses providing more substantial reductions in blood glucose levels.
Effect of polyherbal formulations on glycosylated haemoglobin (HbA1c) levels
Table 5 summarizes the impact of PHF-I and PHF-II on glycosylated haemoglobin (HbA1c) levels in various rat groups, measured at four intervals: day 0 (baseline), day 10, day 20 and day 30. The control group maintained stable HbA1c levels throughout the study, demonstrating normal glycaemic regulation. In contrast, the diabetic control group exhibited a significant increase in HbA1c, progressing from 88.45 mg/dL on day 0 to 111.33 mg/dL on day 30, indicating declining glycaemic control due to diabetes.
Treatment with PHF-I and PHF-II resulted in comparatively stable HbA1c levels, suggesting their potential role in maintaining blood sugar balance. Despite gradual increases at doses of 200 mg/kg and 400 mg/kg, the formulations kept HbA1c levels lower than those observed in the diabetic control group, demonstrating their antihyperglycemic effects. Higher doses (400 mg/kg) showed greater efficacy, reinforcing a dose-dependent response. Similarly, the standard drug control exhibited a gradual increase in HbA1c levels; however, the values remained consistently lower than those of the diabetic control group, confirming its effectiveness in managing glycaemic regulation.
The glucose-lowering effects of both formulations are comparable to those observed with standard antidiabetic drugs, as demonstrated by the standard drug control group, which achieved a blood glucose level of 190.25±8.60 mg/dL by day 30. This dose-dependent response is consistent with findings reported by
(Petchi et al., 2014), who documented similar antihyperglycemic effects of polyherbal formulations in diabetic models.
The observed reduction in blood glucose levels can be attributed to the synergistic action of various bioactive compounds present in the polyherbal formulations. Our findings align with those of (
Pari and Saravanan, 2004), who highlighted the potential of combined herbal extracts in enhancing antidiabetic effects through multiple mechanisms, including improved insulin sensitivity, increased glucose uptake and modulation of carbohydrate metabolism.
The study examined the effect of hydromethanolic extracts of two polyherbal formulations (PHF I and PHF II) on glycosylated haemoglobin (HbA1c) levels in streptozotocin (STZ)-induced diabetic Wistar rats over 30 days. The HbA1c-lowering effects observed in the PHF I and PHF II treatment groups reflect their potential to confer sustained glycaemic control in diabetic rats. By day 30, both formulations effectively attenuated the STZ-induced rise in glycosylated haemoglobin, demonstrating values that approached those of the standard drug-treated group. These findings indicate a dose-dependent modulation of chronic hyperglycaemia, analogous to the glucose-lowering patterns observed. This trend aligns with the results of
Singh and Ilango (2024), who reported a similar reduction in HbA1c with antidiabetic polyherbal interventions. The improved glycation profile may be attributed to the integrated action of phytoconstituents that enhance insulin activity, limit oxidative stress and suppress glucose-mediated protein glycation pathways=mechanisms echoed in the observations of
Kumar and Bhowmik (2010).
The results of this study indicate that administration of polyherbal formulations to diabetic rats led to a significant reduction in glucose levels. This effect is likely mediated by the phytochemicals contained within the formulations, which exhibit antidiabetic properties and contribute to improved glycaemic control.
Histopathological analysis
Histopathological examination of the liver, kidney and pancreas sections from the diabetic control group revealed significant pathological alterations associated with diabetes-induced organ damage (Fig 1-3).
Liver sections exhibited pronounced fatty changes accompanied by hepatocellular necrosis, indicating severe hepatic injury and metabolic disruption. Additionally, congestion and hyperplasia of Kupffer cells were observed, alongside substantial infiltration of inflammatory cells, highlighting the extensive inflammatory response and hepatic stress induced by diabetes (Fig 1).
In kidney sections, focal necrosis was evident in the tubular epithelial lining, reflecting extensive renal damage. These degenerative changes are characteristic of diabetic nephropathy and indicate impaired renal function (Fig 2).
Pancreatic analysis revealed considerable degeneration and necrosis of the Islets of Langerhans, underscoring the disruption of insulin production and the profound impact of diabetes on pancreatic health. Microscopic features of pancreatic islet degeneration are depicted in Fig 3.
Treatment with the polyherbal formulations (Groups V, VI, VII and VIII) and the Glibenclamide-treated group (Group IX) demonstrated notable improvements in tissue morphology. In these treatment groups, partial regeneration of damaged hepatocytes was observed, accompanied by a reduction in hepatic inflammatory changes. This suggests a therapeutic effect of PHF-I and PHF-II, particularly at the higher dosage of 400 mg/kg, which exhibited a dose-dependent regenerative impact. Additionally, treatment resulted in mitigated pathological alterations in the kidneys and pancreas. Improvements included a decrease in focal necrosis within the tubular epithelial lining and partial restoration of the normal architecture of the Islets of Langerhans, highlighting a potential protective effect of the formulations on pancreatic integrity.
The partial regeneration of damaged hepatocytes and the reduction in inflammatory changes observed in groups treated with PHF-I, PHF-II and Glibenclamide suggest a promising therapeutic potential of these interventions. These findings indicate that both the polyherbal formulations and Glibenclamide not only mitigate diabetes-induced tissue damage but also facilitate repair and regeneration.
The higher dosage of 400 mg/kg exhibited particularly significant effects, reinforcing a dose-dependent response. Similar regenerative and protective effects of bioactive compounds in diabetic models have been reported by various workers
(Abdollahi et al., 2011; Honjo et al., 1986).