Table 2: The recommended therapeutic options in clinical diabetic treatments.

Drug and therapy Mechanisms of action Adverse events
Insulin and its derivatives Glucose metabolisms Not significance
Sulphonylurea Stimulate insulin secretions Gastrointestinal (20-30%)
Infections (20%)
Biguanide (Metforrnin) Decrease amount of sugar productions by liver Metabolisms
Acarbose
Voglibose
α-glucosidase inhibitors Gastrointestinal (20-30%)
Pioglitazone Receptor agonists Heart failure (1-5%)
Bladder carcinoma (1-2%)
Sitagliptin
Vidagliotin
Saxagliptin
Dipeptidy peptidase IV inhibitors Injection
GLP-1 analogues Nature pepetic C Injection
Gene therapy Insulin-formation Under-investigation
Pancreatic transplantation Recovery of pancreatic function Difficult to implement
Exercise Mimics insulin actions Not significance
Curcumin
Resveratol
Plant chemicals
Wider biochemical pathways
Low
Other melbine Variable Variability
Smoke cessation Cardiovascular risks No
Aspirin Cardiovascular risks Blood coagulation impair
Vaccine Infections Not obvious
Gastric bariatric surgery Obesity Expensive
Orlistat Obesity (pancreatic lipase) Only drug for obesity
Propolis Disease complication No
Natto Vascular softness No
Herbal drug (>500) Variable Variability
α-thioctic acids (Lipoic acid) Disease complications Not obvious
New anti-diabetic drugs SGLT-2 inhibition
DPP4 antagonists
Under investigations

[1, 24].