Evaluation of the phytotherapeutic properties of plants in the prevention and treatment of Gestational Diabetes Mellitus (GDM)
DOI:
https://doi.org/10.33448/rsd-v14i11.49903Keywords:
Diabetes Gestational, Phytotherapeutic Drugs, Quality of Life, Hyperglycemia.Abstract
Introduction: Gestational Diabetes Mellitus (GDM) is a condition characterized by glucose intolerance with onset or first diagnosis during pregnancy, and is associated with a significant increase in maternal and fetal morbidity and mortality. Given the rising prevalence of GDM and the ongoing search for complementary therapeutic approaches, phytotherapy has emerged as potential alternative in the management of this condition. This study aims to analyze the available scientific evidence on the use of medicinal plants for the adjuvant treatment and prevention of GDM. Methods: An integrative literature review with a qualitative and descriptive approach was conducted. Articles published between January 2010 and March 2025 were included, addressing studies involving humans, animal models, or relevant reviews. After analysis, 20 studies were selected. Results:The analyzed studies involved different types of interventions, including isolated bioactive compounds, plant extracts, and plant-based dietary strategies. Most of the research was conducted using experimental models (animals or in vitro), with only a few clinical trials involving pregnant women. Substances with positive effects on glycemia, insulin resistance, inflammation, and perinatal outcomes were identified, such as: ginger (Zingiber officinale), hibiscus (Hibiscus rosa-sinensis), and curcumin (Curcuma longa). Conclusion:Current literature suggests that certain medicinal plants and phytotherapeutic compounds show potential as adjuvants in the treatment and prevention of GDM, with positive effects on glycemic control and reduction of oxidative stress. However, due to the predominance of preclinical studies and the lack of standardization in interventions, rigorous clinical trials are needed to evaluate the safety and efficacy of these substances in the maternal-fetal context.
References
Afiune, L. A. F., Leal-Silva, T., Sinzato, Y. K., Moraes-Souza, R. Q., Soares, T. S., Campos, K. E., et al. (2017). Beneficial effects of Hibiscus rosa-sinensis L. flower aqueous extract in pregnant rats with diabetes. PLoS ONE, 12(6), e0179785. https://doi.org/10.1371/journal.pone.0179785.
Akbari, M., Mosazadeh, M., Lankarani, K., Tabrizi, R., Samimi, M., Karamali, M., et al. (2017). The effects of vitamin D supplementation on glucose metabolism and lipid profiles in patients with gestational diabetes: A systematic review and meta-analysis of randomized controlled trials. Hormone and Metabolic Research, 49(9), 647–653. https://doi.org/10.1055/s-0043-113861.
Bertoli, M. R., Donadel, G., Dalmagro, M., Oliveira, P. C., Boleta-Ceranto, D. C. F., & Zardeto, G. (2022). Diabetes mellitus gestacional: Sintomas, diagnóstico e tratamento. Brazilian Journal of Development, 8(2), 10052–10061. https://doi.org/10.34117/bjdv8n2-190.
Crossetti, MGO. Revisão integrativa de pesquisa na enfermagem o rigor cientifico que lhe é exigido. Rev Gaúcha Enferm., Porto Alegre (RS) 2012 jun;33(2):8-9.
El-Sayyad, H. I. H., El-Sherbiny, M. A., Sobh, M. A., Abou-El-Naga, A. M., Ibrahim, M. A. N., & Mousa, S. A. (2011). Protective effects of Morus alba leaves extract on ocular functions of pups from diabetic and hypercholesterolemic mother rats. International Journal of Biological Sciences, 7(6), 715–728. https://doi.org/10.7150/ijbs.7.715.
Filardi, T., Varì, R., Ferretti, E., Zicari, A., Morano, S., & Santangelo, C. (2020). Curcumin: Could this compound be useful in pregnancy and pregnancy-related complications? Nutrients, 12(10), 3179. https://doi.org/10.3390/nu12103179.
Durnwald, C. P. (2025, March 14). Gestational diabetes mellitus: Screening, diagnosis, and prevention. In UpToDate. Retrieved October 22, 2025, from https://www.uptodate.com/contents/gestational-diabetes-mellitus-screening-diagnosis-and-prevention
Hajimoosayi, F., Jahanian Sadatmahalleh, S., Kazemnejad, A., & Pirjani, R. (2020). Effect of ginger on the blood glucose level of women with gestational diabetes mellitus (GDM) with impaired glucose tolerance test (GTT): A randomized double-blind placebo-controlled trial. BMC Complementary Medicine and Therapies, 20(1), 116. https://doi.org/10.1186/s12906-020-02905-7.
Kautzky-Willer, A., Winhofer, Y., Kiss, H., Falcone, V., Berger, A., Lechleitner, M., Weitgasser, R., & Harreiter, J. (2023). Gestationsdiabetes (GDM) (Update 2023) [Gestational diabetes mellitus (Update 2023)] [Article in German]. Wiener Klinische Wochenschrift, 135(Suppl 1), 115–128. https://doi.org/10.1007/s00508-023-02181-9.
Lu, X., Wu, F., Jiang, M., Sun, X., & Tian, G. (2019). Curcumin ameliorates gestational diabetes in mice partly through activating AMPK. Pharmaceutical Biology, 57(1), 250–254. https://doi.org/10.1080/13880209.2019.1577465.
Maged, A. M., Torky, H., Fouad, M. A., GadAllah, S. H., Waked, N. M., Gayed, A. S., et al. (2016). Role of antioxidants in gestational diabetes mellitus and relation to fetal outcome: A randomized controlled trial. Journal of Maternal-Fetal & Neonatal Medicine, 29(24), 4049–4056. https://doi.org/10.3109/14767058.2016.1152258.
Oliveira, C. C. G. D., Melo, S. B. F. D., Paiva, I. P., & Wanderley, A. M. P. E. S. (2015). Diabetes gestacional revisitada: Aspectos bioquímicos e fisiopatológicos. Revista Humano Ser, 1(1), 60–73.
Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [free ebook]. Santa Maria. Editora da UFSM.
Pivari, F., Mingione, A., Brasacchio, C., & Soldati, L. (2019). Curcumin and type 2 diabetes mellitus: Prevention and treatment. Nutrients, 11(8), 1837. https://doi.org/10.3390/nu11081837.
Rosa, C. da, Câmara, S. G., & Béria, J. U. (2011). Representações e intenção de uso da fitoterapia na atenção básica à saúde. Ciência & Saúde Coletiva, 16, 311–318. https://doi.org/10.1590/S1413-81232011000100034.
Santangelo, C., Zicari, A., Mandosi, E., Scazzocchio, B., Mari, E., Morano, S., et al. (2016). Could gestational diabetes mellitus be managed through dietary bioactive compounds? Current knowledge and future perspectives. British Journal of Nutrition, 115(7), 1129–1144. https://doi.org/10.1017/S0007114516000301.
Savazzi, K., Cruz, L. L. D., Moraes-Souza, R. Q., Soares, T. S., Silva-Sousa, J. J., Sinzato, Y. K., et al. (2024). Phytochemical characterization and antidiabetic analysis of Bauhinia holophylla extract on the maternal-fetal outcomes of rats. Anais da Academia Brasileira de Ciências, 96, e20230604. https://doi.org/10.1590/0001-3765202420230604.
Schiavone, V., Romasco, T., Di Pietrantonio, N., Garzoli, S., Palmerini, C., Di Tomo, P., et al. (2023). Essential oils from Mediterranean plants inhibit in vitro monocyte adhesion to endothelial cells from umbilical cords of females with gestational diabetes mellitus. International Journal of Molecular Sciences, 24(8), 7225. https://doi.org/10.3390/ijms24087225.
Silva, C. P., Sampaio, G. R., Freitas, R. A. M. S., & Torres, E. A. F. S. (2018). Polyphenols from guaraná after in vitro digestion: Evaluation of bioaccessibility and inhibition of activity of carbohydrate-hydrolyzing enzymes. Food Chemistry, 267, 405–409. https://doi.org/10.1016/j.foodchem.2018.02.104.
Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of Business Research. 104, 333-9. Doi: https://doi.org/10.1016/j.jbusres.2019.07.039.
Souza, C. M., Iser, B. M., & Malta, D. C. (2023). Diabetes gestacional autorreferido: Uma análise da Pesquisa Nacional de Saúde. Cadernos de Saúde Coletiva, 31, e31030043. https://doi.org/10.1590/1414-462x202331030043.
Tran, N., Pham, B., & Le, L. (2020). Bioactive compounds in anti-diabetic plants: From herbal medicine to modern drug discovery. Biology, 9(9), 252. https://doi.org/10.3390/biology9090252.
Xu, Y. X. Z., Xi, S., & Qian, X. (2019). Evaluating traditional Chinese medicine and herbal products for the treatment of gestational diabetes mellitus. Journal of Diabetes Research, 2019, 9182595. https://doi.org/10.1155/2019/9182595.
Yuan, L. J., Qin, Y., Wang, L., Zeng, Y., Chang, H., Wang, J., et al. (2016). Capsaicin-containing chili improved postprandial hyperglycemia, hyperinsulinemia, and fasting lipid disorders in women with gestational diabetes mellitus and lowered the incidence of large-for-gestational-age newborns. Clinical Nutrition, 35(2), 388–393. https://doi.org/10.1016/j.clnu.2015.03.020.
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