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Decoding The Link Between Gut Microbiome And Diabetes

The gut microbiota, the microorganisms including bacteria and archaea that live in the digestive tracts of humans, affects numerous biological functions inside the body. Studies, over the years, have suggested that an imbalance in the microbiome or dysbiosis leads to adverse health outcomes. This may include diseases such as diabetes, obesity and cardiovascular disease. To be more specific, a study conducted in 2019 by Infectious Microbes and Diseases (IMD), an international medical journal, highlighted that a disturbance in the gut microbiome might contribute to the development of type 2 diabetes.

Prevalence of diabetes

Type 2 diabetes is one of the most prevalent forms of diabetes, common among adults, and is usually caused by a combination of insulin resistance and an insulin deficiency. The increasing prevalence of diabetes, a worldwide phenomenon, is a result of growing urbanization, changes in diet, and the emergence of more sedentary lifestyles. According to reports, the number of diabetic patients will reach 700 million by 2045.

Diet, a crucial regulator

The gut microflora is linked to dietary changes. Since what we eat is the main source of energy and a crucial method for humans to maintain health and growth, it has a big impact on our gut microbiota. The quality, components, and source of foods affect the composition of the gut microbiome, as well as the functions and interactions in the microbiome ecosystem. However, gut microbiota also varies with an individual’s age, changes in inflammation, and status of the immune system.

Type 2 diabetes characterisation

Type 2 diabetes is often characterized by changes in intestinal microflora, inflammation, and disruption of the intestinal barrier. Further, the gut microbiome can interact with food habits to influence host insulin sensitivity, intestinal permeability, glucose, and fat metabolism. Regarded as a virtual organ of human metabolic activity, gut microbiota, and its metabolic activity interacts with insulin resistance and diabetes.

Food and diabetes

Functional foods, during the last decades, have gained particular attention due to their relationship to nutrition and health. Fermented foods ranging from drinks to food such as kimchi, cassava, sauerkraut, pickle, and apple vinegar contain edible microorganisms that not only enhance food preservation but also boost beneficial bacteria in your gut. Probiotics in the body are associated with a variety of health benefits, including improved digestion, better immunity, etc. In addition to this, plant-based foods containing fiber such as beans, nuts, seeds, broccoli, etc. also protect from developing chronic conditions such as type 2 diabetes.

The bottom line

The relationship between the gut microbiome and diabetes has over time moved step by step from the initial correlation studies, which proved a strong association, to exploring the causality and potential mechanisms. Through research and analysis, it can be said that the gut microbiota will be used not only as a biomarker for diabetes but also as a target for potential treatments. Through the intervention of gut microflora, it is possible to achieve a precise and personalized diagnosis as well as treatment of diabetes. The need of the hour is a significant investment in extensive multicenter, longitudinal, interventional, and double-blind randomized clinical trials. Furthermore, these will yield an extensive knowledge base upon which data science and exploration can occur. The scientific research community must use these data to their fullest advantage, as many discoveries are waiting around the corner.

Alteration in the composition of the gut micro flora plays an important role in both weight loss and comorbidity resolution. New insights into the role of the small bowel and gut micro biota in diabetes may make possible the development of integrated strategies to prevent and treat these metabolic disorders.

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Dr. Anant Pandhare

Guest Author Medical Director - Dr. Hedgewar Hospital

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