Ginger (Zingiber officinale R.) as a Potent Medicinal Plant for the Prevention and Treatment of Diabetes Mellitus: A Review

doi.org/10.26538/tjnpr/v6i4.2

Authors

  • Rahmad S. Siregar Faculty of Agriculture, Universitas Andalas, Padang, West Sumatra, Indonesia
  • Rika A. Hadiguna Faculty of Engineering, Universitas Andalas, Padang, West Sumatra, Indonesia
  • Insanul Kamil Faculty of Engineering, Universitas Andalas, Padang, West Sumatra, Indonesia
  • Novizar Nazir Faculty of Agricultural Technology, Universitas Andalas, Padang, West Sumatra, Indonesia
  • Nofialdi Nofialdi Faculty of Agriculture, Universitas Andalas, Padang, West Sumatra, Indonesia

Keywords:

Diabetes, Ginger, Gingerol, Herbal, Pharmacology, Zingiber officinale

Abstract

Diabetes mellitus (DM) is the world’s fastest-growing disease, and Indonesia ranks sixth. The raw materials used in pharmaceutical  drug-assisted healing are expensive. As a result, alternative drugs that are low in cost and produced sustainably are required. The aim of this article was to examine the bioactive content of secondary metabolites from ginger (Zingiber officinale R.) that are involved in the prevention and treatment of DM, the mechanism of the bioactive content in the healing process, and its potential as an ingredient in herbal products. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocol (PRISMA-P) was used to carry out the review process. Identification, selection, validation, and review of articles were the steps taken. According to the outcome of the literature survey, the chemical composition of ginger includes both volatile and non-volatile compounds. The volatile compounds include monoterpene and sesquiterpene derivatives, while the nonvolatile compounds are gingerols, shogaols, and paradols. Ginger has anti-diabetic, antioxidant, anti-obesity, and hypolipidemic properties, as well as anti-inflammatory, neuroprotective, antiglycation, and androgenic properties. Furthermore, studies have shown that ginger has effects on carbohydrate metabolism, organ morphology, and metabolic profile. In North Sumatra Province, Indonesia, the production value of ginger is the highest among other  biopharmaceutical plants. The findings of this review show that chemical compounds found in ginger, such as 6-gingerol and 6-shogaol, play a role in the prevention of DM, while galanolactone, diterpenoid, and gingerol aid in the treatment of Ginger has promising prospects as a treatment for and prevention of diabetes. 

 

 

Author Biography

Rahmad S. Siregar, Faculty of Agriculture, Universitas Andalas, Padang, West Sumatra, Indonesia

Faculty of Agriculture, Universitas Muhammadiyah Sumatera Utara, Medan, North Sumatra, Indonesia

References

International Diabetic Foundation. Diabetes atlas. (6th ed). Brussels; Belgia: 2013; 160p.

World Health Organisation, International Diabetic Foundation. Diabetes Action Now. (1st ed). Geneva: Switzerland; 2004; 20p.

Ministery HI. Stay productive, prevent and treat diabetes mellitus. (1st Ed). Jakarta: Indonesia. 2020; 6p.

Health R. D. A. I. M. H. North sumatra province basic health research 2018. (1st Ed). Jakarta: Indonesia; 2019;487p.

Dariush M. Dietary and policy priorities for cardiovascular disease, diabetes, and obesity. Circul. 2016; 133(2):187-225.

Farzad S, Asadollah R, Tayebeh R, Nafiseh K, Sharieh H, Shahrzad S. The effect of ginger (Zingiber officinale) on glycemic markers in patients with type 2 diabetes. J Compl Integr Med. 2015; 12(2):165-170.

Tahereh A, Naheed A, Majid V, Faranak S, Agha FH, Mahmoud D. The effect of ginger consumption on glycemic status , lipid profile and some inflammatory markers in patients with type 2 diabetes mellitus. Int J Food Sci Nutr. 2014; 65(4):515-535.

Ilkhanizadeh B, Shirpoor A, Ansari MHK, Nemati S, Rasmi Y. Protective effects of ginger (Zingiber officinale) extract against diabetes-induced heart abnormality in rats. Diab Metab. 2016; 40(1):46–53.

Paria A, Reza G, Awat F, Javad H, Maryam B, Mitra H, Hossein KB. Effect of cinnamon, cardamom, saffron and ginger consumption on blood pressure and a marker of endothelial function in patients with type 2 diabetes mellitus: A randomized controlled clinical trial. Blood Press. 2016; 25(3):133-140.

Ana FMP, Juliana CF, Hosana GR, Vinicius AO, Simone AT, Kaio FV, Rui C, Niels OSC, Marcelo NM, Marcelo LL, Marinilce FS. Oral administration of antioxidants improves skin wound healing in diabetic mice. Wound Repair Regen. 2016; 24(6):981-993.

Andrian PW. The Influence of Administration Red Ginger Extracts (Zingiber officinale) towards fasting and postprandial glucose levels on diabetic rat. Med J Univ Lampung. 2015; 4(7):97-102.

Idola PSS, Erik IL, Mega DR. The effect of ginger (Zingiber officinale) on blood glucose in diabetes mellitus patients. Sci J Healt Sci. 2019; 7(3):76-83.

Abu B, Siti NQ, Candra HS, Mono PG, Yuanita S, Lilis F. Factors the incidence of hypoglycemia in diabetes mellitus patients : a pilot study in the emergency room. Enfermeria Clin. 2020; 30(1):46-49.

Colleen MC and Tracey LML. Defining clinically important hypoglycemia in patients with postbariatric hypoglycemia.Surg Obes Relat Dis. 2021; 17(11):1-8.

Bartolo PD and Eckel RH. Living with Insulin : The story of insulin from people with diabetes. Diabetes Res Clin Pract. 2021; 176(5):1-9.

Travis JS, Morgan LM, Tredger JA, Marks V. Effects of sugar-beet fibre on blood glucose, serum lipids and apolipoproteins in non-insulin-dependent diabetes mellitus.in Dietary. Fibre Food Pharm Indus. 2005; 1(1):368-372.

Sara G and Amalia G. The role of the liver in the modulation of glucose and insulin in non alcoholic fatty liver disease and type 2 diabetes. Curr Opin Pharmacol.2020; 55(6):165-174.

Seif AA, Thereza K, Giovanni BM, Delia G, Dominik Z, Justin D, Amal AM, Daniela MC, Thomas S, Troels L, Amina AJ, Un YG, Hannah MD, Simon T, Fatma AY, Faryal AK, Padmamohan K, Michael W, Ziad M, Ali AM, Muhammad A, Christian W, Eskild P. Tools to implement

the World Health Organization End TB Strategy: Addressing common challenges in high and low endemic countries. Int J Infect Dis. 2020; 92(3):60-68.

Sharma T, Kaur H, Weinstock RS. Visual symptoms during hypoglycemia: a case series. AACE Clin Case Rep. 2015;1(1):1-4.

Hilary JH and Itiel ED. The effect of contextual information on decision-making in forensic toxicology. Forensic Sci Int Synerg. 2020; 2(1):339-348.

Zahed K, Sasangohar F, Mehta R, Erraguntla M, Lawley M, Qaraqe K. Investigating the efficacy of using hand tremors for early detection of hypoglycemic events : a scoping literature review. Proc Hum Factors Ergon Soc. 2018; 1(1):1211-1215.

Imad H, Johan Z, Eva K. Hypoglycemia and risk of seizures : A retrospective cross-sectional study. Seizure Eur J Epilep. 2015; 25(2):147-149.

Alfonso L. Syncope and hypoglycemia. Clin Med. 2011;2(2):129-132.

Jiahui Z, Xiaoning H, Lin Z, Ke W, Hong C, Jing W. Association of severe hypoglycemia with all-cause mortality and complication risks among patients with type 2 diabetes mellitus in China. Diabetes Res Clin Pract. 2020;170(12):1-21.

Fei Y, Wen JZ, Paba E, Qing A, Kai N, Xiang MJ, Yong L, Kequan Z. Beneficial effects of a combination of clostridium cochlearium and lactobacillus acidophilus on body weight gain, insulin sensitivity, and gut microbiota in high-fat diet a induced obese mice. Nutr. 2022; 93(1):1-11.

Zheng W, Ruxandra AN, Henk G, Astrid EPC, Anne MVO, Lotte D, Vincent W, Tessa JR, Ben WJM, Uwe JFT, Annemieke H. Preconception insulin resistance and neonatal birth weight in women with obesity: role of bile acids. Reprod Biomed. 2021; 43(5):931-939.

Lucia M and Michael R. Insulin resistance and insulin sensitizing agents. Metab Clin Exp. 2021; 125(12):1-15.

Mashwani ZUR, Khan M, Ahmad M. Experimental study potential for pakistani traditional medicinal plants to combat diabetes. J Trad Chin Med. 2014; 34(4):488-490.

Seetalooa AD, Aumeeruddy MZ, Kannan RRR, Mahomoodally MF. Potential of traditionally consumed medicinal herbs, spices, and food plants to inhibit key digestive enzymes geared towards diabetes mellitus management — a systematic review. South Afr J Bot. 2019;120(6):3-24.

Souad S, Rachida H, Moustapha A. An ethnobotanical survey of medicinal plants used for diabetes treatment in Rabat , Morocco. Heliyon. 2019; 5(3):1-24.

Bichitrananda T, Nityananda S, Sudhir KS. Biocatalysis and agricultural biotechnology trends in diabetes care with special emphasis to medicinal plants : Advancement and treatm ent. Biocatal Agric Biotechnol. 2021; 33(4):1-11.

Balde NM, Youla A, Balde MD, Kake A, Diallo MM, Balde MA, Maugendre D. Herbal medicine and treatment of diabetes in Africa : an example from Guinea. Diabetes Metab. 2006; 32(2):171-175.

Aljawharah A, Ghadeer A, Halah B, Lujain A, Ola K, Sara J, Shorooq M, Farah A. Herbal medicine from the perspective of type II diabetic patients and physicians : what is the relationship ?. BMC Compl Med Ther. 2020; 4(2):1-9.

Muhammad SHA, Kanwal R, Muhammad T, Shuqing C.Zingiber officinale and type 2 diabetes mellitus: Evidence from experimental studies. Crit Rev Eukaryot Gene Expr.2015; 25(2):91-112.

Badreldin HA, Gerald B, Musbah OT, Abderrahim N. Some phytochemical, pharmacological and toxicological properties of ginger (Zingiber officinale Roscoe): a review of recent research. Food Chem Toxicol. 2008; 46(2):409-429.

Larissa S, David M, Mike C, Davina G, Alessandro L, Mark P, Paul S, Lesley AS. Meta-analysis protocols(PRISMA-P) 2015 : elaboration. Res Methods Rep. 2015;7647(1):1-25.

Hassan MK, Behrouz T, Beman AJ, Azadeh N, Mohammad RM. The effect of ginger powder supplementation on insulin resistance and glycemic indices in patients with type 2 diabetes: a randomized, double-blind, placebo-controlled trial. Compl Ther Med. 2014; 22(1):9-16.

Sulistyoningsih M, Rakhmawati R, Septiyanto AA. The Influence of the Provision of Ginger, Turmeric and Salam Leaf to the Level of Uric Acid and Blood Glucose on Duck.Ind Anim Husb.Anim Sci. 2018; 20(2):78-83.

Arif NE, Kun IN, Idola PSS. The effect of ginger extract (Zingiber officinale Roscoe) on the number of fibroblas cells in rats (Rattus norvegicus). J Nurs Care Biomol. 2017;2(1):10-14.

Hafez RM, Sherif WM, Gamal R. Modulatory effects of garlic, ginger, turmeric and their mixture on hyperglycaemia, dyslipidaemia and oxidative stress in streptozotocin- nicotinamide diabetic rats. Br J Nutr. 2011;105(8):1210-1217.

Nafiseh K, Farzad S, Asadollah R, Tayebeh R, Payam H, Mohsen MT. The effects of ginger on fasting blood sugar, hemoglobin A1c, apolipoprotein B, apolipoprotein A-I and malondialdehyde in type 2 diabetic patients. Iran J Pharm Res. 2015; 14(1):131-140.

Andri RY, Nurul M, Eko S. Steeping of ginger (Zingiber diabetes (NIDDM) as a learning resource biology. Ind Biol Edu. 2016; 2(3):258-264.

Homeira M, Alireza G, Bahareh R, Razieh K. The effect of ginger herbal spray on reducing xerostomia in patients with type II diabetes. Avicenna J Phytomed. 2017; 7(4):308-316.

Kondeti RS, Korivi M, Nishanth K, Kesireddy SR.Neuroprotective effect of ginger on anti-oxidant enzymes in streptozotocin-induced diabetic rats. Food Chem Toxicol.2011; 49(4):893-897.

Valter DDS and Rosa MBN. Diabetes mellitus experimental induzido com aloxana em ratos Wistar. Rev Cienc Farm Basic E Apl. 2015; 36(1):9-15.

Felicia C, Linda R, Sarah D, Michele ALM, Craig S, Martyn TS, Jen CW. A state-of-the-science review of arsenic’s effects on glucose homeostasis in experimental models. Env Health Perspect. 2020; 128(1):1-15.

Macario MC, Eliud AGM, Monica GAM, Luz DCSP, Luis ESJ, Jeannett AIV, Olga LV, Araceli HZ. Arsenic exposure and non-carcinogenic health effects. Hum Exp Toxicol. 2021; 40(12):826-850.

Jacqueline FR, Safia C, Tatyana G, Charles GG, Peter CB. Polypeptide-induced toxicity autophagy defends pancreatic β cells from human islet amyloid polypeptide-induced toxicity. J Clin Invest. 2014; 124(8):3489-3500.

Chunjion W, Youfei G, Jichun Y. Cytokines in the progression of pancreatic β -cell dysfunction. Int J Endocrinol. 2010; 2(11):1-10.

Vadim VK, Olga VS, Anton IK. Glucose Variability : How Does It Work ?. Int J Mol Sci . 2021; 22(15):1–23.

Huimin P, Xudong W, Shiqun Z, Wang X, Jili L, Jiwei Q, Qing Z, Yongzhe C, Liangyi C, Shu JL. Loss of the voltage-gated proton channel Hv1 decreases insulin secretion and leads to hyperglycemia and glucose. J Biol Chem. 2020; 295(11):3601–3613.

Sabry MEB. Curcumin regulates gene expression of insulin like growth factor , B-cell CLL /lymphoma 2 and antioxidant enzymes in streptozotocin induced diabetic rats.BMC Comp Alt Med. 2013; 13(12):1-13.

Debrup C, Avinaba M, Sourav S, Avijit P, Samrat G, Anisur RKB. [6]-Gingerol isolated from ginger attenuates sodium arsenite induced oxidative stress and plays a corrective role in improving insulin signaling in mice. Toxicol Lett. 2012; 210(1):34–43.

Danie PV, Surbhi D, Priya R, Abhinav C, Aiysha SK, Sangam R, Mohan K, Prosenjit M. NF- κ B p65 regulates hepatic lipogenesis by promoting nuclear entry of ChREBP in response to a high carbohydrate diet. J Biol Chem. 2021;296(22):1007-1021.

Renaud D, Fadila B, Isabelle H, Veranique F, Fabienne F, Jason RBD, Jean G, Cathrine P. Liver-specific inhibition of chrebp improves hepatic steatosis and insulin resistance in ob/ob mice. J Diabetes. 2006; 55(8):2159–2170.

Pauline M, Marianne H, Aline M, Claire G, Etienne M, Fadila B, Bernard M, Emeline R, Pierre DD, Geneviève T, Sylvie CB, Sam V, Veronika S, Laurent M, Anne M, Madjid Z, Sandra G, Valentin B, Diane B, Sophie B, Marie M, Boris MR, Corinne L, Barbara F, Thierry S, Arne A, Bernard P, Justine BM, Emmanuelle M, Laetitia L, Frederic L, Herve G, Charlotte L, Cecilia H, Remi RL, Wim HMS, Vladimir S, Peter AMR, Cedric M, Nathalie V, Matthew H, Stefan H, Antonio VP, Hubert V, Catherine P, Dominique L. ChREBP in fat cells controls insulin sensitivity. Nat

Metab. 2018; 1(1):133–146.

Paula OP and Catherine P. Carbohydrate Sensing Through the Transcription Factor ChREBP. Epigenom Epigen. 2019; 10(6):1-9.

Seiji I, Katsumi I, Bonnie CM, Kosaku U. Carbohydrate response element binding protein directly promotes lipogenic enzyme gene transcription. Natl Acad Sci. 2004;101(44):1-6.

Tara J, Weiyi C, Victor H, Rebecca H, Kristina Y, Claudia T, Pradip S, Lawrence C, Michael AC, Mark WS. Deletion of hepatic carbohydrate response element binding protein (ChREBP) impairs glucose homeostasis and hepatic insulin sensitivity in mice. Mol Metab. 2017; 6(11):1-14.

Huanqing G, Tao G, Chunli L, Guowei Z, Johji Y, Jianwei W, Yuhao L. Treatment with ginger ameliorates fructose-induced fatty liver and hypertriglyceridemia in rats: Modulation of the hepatic carbohydrate response elementbinding protein-mediated pathway,‖ Evid-Based Compl Altern Med. 2012; 9(11):1-13.

Nirmala K, Virendra VP, Rajakumar K, Bhaskar V, Kalpagam P. Dose-dependent effect in the inhibition of oxidative stress and anticlastogenic potential of ginger in STZ induced diabetic rats. Food Chem. 2012; 135(4):2954–2959.

Xiaoyan W, Yuan Z, Fangzhou Y, Guoliang D, Lin L, Bin X, De J, Yong S, Chunqin M, Tulin L. Comparative pharmacokinetics and tissue distribution of schisandrin, deoxyschisandrin and schisandrin B in rats after combining acupuncture and herb medicine (schisandra chinensis).Biomed Chromatogr. 2014; 28(8):1075-1083.

Mao QQ, Xu XY, Cao SY, Gan RY, Corke H, Beta T, Li HB. Bioactive compounds and bioactivities of ginger (Zingiber officinale Roscoe). Foods. 2019; 8(6):1-21.

Iris BK and Robert F. Benefits of Ginger and Its Constituent 6-Shogaol in Inhibiting Inflammatory Processes. Pharmaceuticals. 2021; 14(6):1-19.

Shafina HMH, Suzana M, Noor AAH, Srijit D, Wan ZWN, Yasmin AMY. Ginger extract (Zingiber officinale) has anti-cancer and anti-inflammatory effects on ethionine-induced hepatoma rats. Clinics. 2008; 63(6):807–813.

Mojgan M, Siavash F, Shahram A, Maryam K, Mehran R, Fahimeh A, Eric P, Shilan H, Khazdouz JH. Effect of ginger (Zingiber officinale) on inflammatory markers : a systematic review and meta -analysis of randomized controlled trials. Cytokine. 2020; 135(6):1-10.

Alba N, Mariona J, Victoria A, Anna C, Jose S, Hugo G, Jordi B, Joan P, Manuel PO, Reinald P. Cellular Dysfunction in Diabetes as Maladaptive Response to Mitochondrial Oxidative Stress. Exp Diabetes Res. 2012; 12(1):1-14.

Lakshmi KM, Gautam B, Basudev B. Biochemical scenario behind initiation of diabetic retinopathy in type 2 diabetes mellitus. Indian J Ophthalmol. 2018; 66(4):535-540.

Andrea MV, James WR, Phillip L, Eva LF. Oxidative Stress in the Pathogenesis of Diabetic Neuropathy. Endocrine Rev. 2004; 25(4):612-628.

Ferdinando G and Michael B. Oxidative stress and diabetic complications. Nat Pub Health. 2011; 107(9):1058-1070.

Brahm KT, Kanti BP, Abidi AB, Syed IR. Markers of Oxidative Stress during Diabetes Mellitus. J Biomarkers. 2013; 1(12):1-8.

Wu H, Syoichi T, Tomoka H, Yuiko S, Tami K, Toshimi T, Eri K, Atsuhiro F, Ryuichi W, Mayu M, Kana M, Hideo M, Masaya N, Morio M, Norio A, Yoshiaki T, Takeshi M.Hyperglycemia promotes schwann cell de-differentiation and de-myelination via sorbitol accumulation and igf1. J Biol Chem. 2015; 290(28):17106–17115.

Gehan EA and Wael EK. Neuroprotective effect of ginger in the brain of streptozotocin-induced diabetic rats. Ann Anat. 2014; 196(3):119–128.

Casper GS and Toshio M. Early and advanced nonenzymatic glycation in diabetic vascular complications : the search for therapeutics. Amino Acids. 2012; 42(4):1193–1204.

Yanqi M, Jing C, Ying W, Jingfang L, Songbo F. Nonenzymatic glycation of transferrin and diabetes mellitus. Diab Met Syn Obe Targ Ther. 2021; 14(6):2539–2548.

Nawale RB, Mourya VK, Bhise SB. Non-enzymatic glycation of proteins : a cause for complications in diabetes. 7. Varun PS, Anjana B, Nirmal S, Amteshwar SJ. Advanced Glycation End Products and Diabetic Complications. Kor J Phys Pharm. 2014; 18(1):1–14.

Kazeem MI, Akanji MA, Hafizur RM, Choudhary MI.Antiglycation, antioxidant and toxicological potential of polyphenol extracts of alligator pepper, ginger and nutmeg from Nigeria. Asian Pac J Trop Biomed. 2012; 2(9):727–732.

Shehwaz A, Ahmad A, Khaled SA, Rejo JJ, Amjad AK, Arshad HR. Processes protective effects of ginger extract against glycation. J Processes. 2020; 8(4):1-20.

Yiming L, Van HT, Colin CD, Basil DR. Preventive and protective properties of Zingiber officinale ( ginger ) in diabetes mellitus, diabetic complications , and associated lipid and other metabolic disorders : a brief review. EvidBased Compl Altern Med. 2012; 10(11):1-11.

Gloria AO and Anthony JA. IntechOpen. A Review of the Antidiabetic Activities of Ginger. In: Haipi. W. Ginger Cultivation and Its Antimicrobial and Pharmacological Potentials. London: United Kindom; 2020; 117-130p.

Megha S, Palla S, Paduru YR, Madhoosudan AP, Nagalla B, Geereddy BR. Antiglycating potential of Zingiber officinalis and delay of diabetic cataract in rats. Mol Vis.2010; 10(16):1525-1537.

Nafiu BA, Maung MC, Ni NW, Rahela Z, Mohammad TR. Beneficial effects of ginger (Zingiber officinale) on carbohydrate metabolism in streptozotocin-induced diabetic rats. Br J Nutr. 2012; 108(7):1194–1201.

Khulood SS. Hypoglycemic Property of Ginger and Green Tea and their Possible Mechanisms in Diabetes Mellitus. Conf Proce J. 2014; 5(1):13–19.

Kusumarn N, Putrada NA. Antidiabetic Activity of Zingiber officinale Roscoe Rhizome Extract : an In Vitro Study. Hayati J Biosci. 2018; 25(4):160–168.

Mutiu IK, Musbau AA, Musa TY, Anofi OTA. Protective effect of free and bound polyphenol extracts from ginger (Zingiber officinale roscoe) on the hepatic antioxidant and some carbohydrate metabolizing enzymes of streptozotocininduced diabetic rats. Evid-Based Compl Altern Med. 2013;10(1):1-8.

Wondimeneh SS, Tadesse YA, Yared AA. Prevalence of erectile dysfunction in patients with diabetes mellitus and its association with body mass index and glycated hemoglobin in africa : a systematic review and metaanalysis. Int J Endocrinol. 2020; 14(1):1-10.

Adele B, Forouzan E, Mahmood M, Ghasem A, Zahra K. Sexual dysfunction in men with type II diabetes. Cas J Int Med. 2020; 11(3):295–303.

Diana KT, Lintang DS, Ari U. Epidemiology of erectile dysfunction in men with diabetes mellitus : a study in a primary health care center in Indonesia. Med J Ind. 2020; 29(1):82–87.

Eskedar GM, Hedija YY, Alehegn BG. Sexual dysfunction among men with diabetes mellitus attending chronic outpatient department at the three hospitals of Northwest Amhara region , Ethiopia : Prevalence and associated factors. PloS One. 2021; 16(8):1–14.

Zohra G, Rim A, Mouhamed AB, Zouheir S, Fatma MA, Khaled Z, Abdelfattah EF, Ahmed H. Antioxidant and androgenic effects of dietary ginger on reproductive function of male diabetic rats. Int J Food Sci Nutr. 2013; 64(8):974–978.

Nizar NZ, Ahmad SA, Russell HW, Kathleen SE, David HP. Prevalence of diabetes mellitus in patients with endstage liver cirrhosis due to hepatitis C, alcohol, or cholestatic disease. J Hepatol. 2000; 32(2):209-217.

Ingrid JH and Graeme AM. Impact of Diabetes on the Severity of Liver Disease. The Am J Med. 2007; 120(10):829–834.

Himoto T, Yoneyama H, Kurokohchi K, Inukai M, Masugata H, Goda F, Haba R, Watababe S, Kubota S, Senda S, Masaki T. Selenium deficiency is associated with insulin resistance in patients with hepatitis C virus –related chronic liver disease. Nutr Res. 2011; 31(11):829-

Sara M, Luca M, Francesco V, Giacomo L, Fabio M. Glycogenic hepatopathy associated with type 1 diabetes mellitus as a cause of recurrent liver damage. Ann Hepatol.2019; 11(4):554-558.

Diego GC, Jose AGG, Fernando JLG, Emmanuel IGM, Hector JMG, Jesus ZVP. The treatment of diabetes mellitus of patients with chronic liver disease. Ann Hepatol. 2019;14(6):780–788.

Kondeti RS, Korivi M, Nishanth K, Kesireddy SR.Neuroprotective effect of ginger on anti-oxidant enzymes in streptozotocin-induced diabetic rats. Food Chem Toxicol.2011; 49(4):893–897.

Tara A, Maryam M, Hadi ZM, Saeed N, Majid K. Ginger (Zingiber officinale Roscoe) Extract Protects the Heart Against In fl ammation and Fibrosis in Diabetic Rats. Can J Diabetes. 2020; 45(3):220–227.

James WD, Mini Y, Da SK, Sunmin P. Efficacy of ginger for treating Type 2 diabetes: A systematic review and metaanalysis of randomized clinical trials. J Ethn Foods. 2015; 2(1):36-43.

Mutiu IK, Musbau AA, Musa TY. Amelioration of pancreatic and renal derangements in streptozotocininduced diabetic rats by polyphenol extracts of Ginger (Zingiber officinale) rhizome. Pathophysiol. 2015;22(4):203-209.

Nursyaidah AI, Hartini MY, Anwar U. Heliyon Voltammetric and spectroscopic determination of polyphenols and antioxidants in ginger (Zingiber officinaleRoscoe. Heliyon. 2018; 5(3):1-8.

Gholamreza A, Mobina A, Mina S, Ameneh N, Ziyaadin K, Abdulmannan F, Kamesh V, Ammar. SS, Amir H. The effects of ginger supplementation on biomarkers of inflammation and oxidative stress in adults : A systematic review and meta-analysis of randomized controlled trials. J Herb Med. 2020; 22(1):1-9.

Shengying A, Guanzhong L, Xin G, Yahui A, Renyu W. Ginger extract enhances antioxidant ability and immunity of layers. Anim Nutr. 2019; 5(4):407-409.

Sirvan A, Magshoud P, Mohhamad A, Stephen RS. Effects of ginger (Zingiber officinale Roscoe ) supplementation and resistance training on some blood oxidative stress markers in obese men. J Exer Sci Fit. 2014; 12(1):26–30.

Amir MA, Mohammad HA, Reham DA, Ayman MM. Biomedicine & Pharmacotherapy Ginger alleviates hyperglycemia-induced oxidative stress , in fl ammation and apoptosis and protects rats against diabetic nephropathy. Biomed Pharmacother. 2018; 106(10):381-

Aline JCMZ, Caroline BS, Anderson GJ, Marina R, Cassia DM, Daniela C, Maria CFF, Vivian MMS. Gingerol supplementation does not change glucose tolerance , lipid pro fi le and does not prevent weight gain in C57BL/6 mice fed a high-fat diet. Clin Nutr Exp. 2020; 32(1):11-19.

Nasrin LD, Mohammad A, Hossein BR, Ghorban M. Effects of the hydroalcoholic extract of Zingiber officinale on arginase i activity and expression in the retina of streptozotocin-induced diabetic rats. Int J Endocrinol Metab. 2017; 15(2):1-7.

Zemene DK. Prevalence and correlates of complementary and alternative medicine use among diabetic patients in a resource-limited setting. Metab. 2021; 10(1):1-7.

Kasole R, Martin HD, Kimiywe J. Traditional Medicine and Its Role in the management of diabetes mellitus : (patients’ and herbalists’ perspectives). Evid-Based Compl Altern Med. 2019; 2019(7):1-12.

Awanish P, Poonam T, Rishbay P, Rasmi S, Shambaditya G. Alternative therapies useful in the management of diabetes : A systematic review. Pharm Bioall Sci. 2011; 3(4):504-513.

Wissem AW and Brahim M. Research progress of Tunisian medicinal plants used for acute diabetes. J Acute Dis. 2016; 5(5):357-363.

Fang YH, Ting D, Lian XM, Xin LM. Dietary ginger as a traditional therapy for blood sugar control in patients with type 2 diabetes mellitus. Med. 2019; 98(13):1-7.

World Health Organization. Guidelines for the assessment of herbal medicines. WHO Library, Geneva, 1991. [Online]. Available:

https://apps.who.int/iris/bitstream/handle/10665/58865/WHO_TRM_91.4.pdf?sequence=1&isAllowed=y.

Ministry. T. T. R. I. Ginger: Superior, Hot Export Commodity For Your Health. (1st ed). Jakarta: Indonesia; 2016; 12p.

Ekwasita RP. Status and process of increasing production and export of Indonesian ginger. Perspect (Montclair). 2013; 12(2):79-90.

Rahmad SS, Rika AH, Insannul K, Novizar N, Nofialdi N. Demand and Supply of traditional medicinal plant in north sumatera province. J Med Plant Indonesia. 2020; 13(1):50–60.

North SPHO. North Sumatra Province Health Profile 2019. (1st ed). Medan: Indonesia; 2020; 379p.

Ministry. I. I. Building the Independence of the National Pharmaceutical Industry. (2nd Ed) Jakarta; center and information, Indoensia; 2021; 38p.

Ministry TRI. Medicinal Plant Commodity Info. (1st ed). Jakarta: Indoensia; 2017; 106p.

Pierhagen E. Adoption of technologies for sustainable farming systems. (1st ed). Paris: Perancis; 2021; 149p.

Susan S. Importance and effectiveness of herbal medicines. J Pharmacogn. Phytochem. 2019; 8(2):354-357.

North SPHO. North Sumatra Province Health Profile 2017. (1st ed). Medan, Indonesia, 2018; 300p.

Downloads

Published

2022-04-01

How to Cite

S. Siregar, R., A. Hadiguna, R., Kamil, I., Nazir, N., & Nofialdi, N. (2022). Ginger (Zingiber officinale R.) as a Potent Medicinal Plant for the Prevention and Treatment of Diabetes Mellitus: A Review: doi.org/10.26538/tjnpr/v6i4.2. Tropical Journal of Natural Product Research (TJNPR), 6(4), 462–469. Retrieved from https://tjnpr.org/index.php/home/article/view/70