Effects of daily bitter gourd consumption for 2 months among pre-diabetics : an intervention trial in Moshi, Tanzania

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Prevalence of pre-diabetes and type 2 diabetes mellitus are on the rise not only in high-income countries, but also in low- and middle-income countries such as the United Republic of Tanzania, whereas many diabetes cases remain undiagnosed. Type 2 diabetes is often linked to overweight and obesity due to excess caloric intakes and sedentary lifestyles. In Tanzania, the most recent estimated prevalence of pre-diabetes was 9.1% (in 2013) and of diabetes 3.5% (in 2015). Access to proper diabetes care and management is often insufficient in Tanzania. The increasing rates of diabetes will amplify the already existent burden on affected individuals and the country on its own. Alternative strategies such as the use of anti-diabetic plants, may be one possibility to fight against rising blood glucose levels and prevent the onset of type 2 diabetes mellitus. One medicinal plant with hypoglycemic effects is Momordica charantia, also known as bitter gourd or bitter melon. Bitter gourd has shown anti-diabetic effects in cell, animal, and human studies, but no clear recommendation on the application of bitter gourd variety, dosage, and mean of consumption is available. Bitter gourd is most commonly cultivated and consumed in Asian countries. Bitter gourd is also available in Sub-Saharan countries, mainly collected from the wild. The current research project was divided into two studies which were conducted in Moshi, Tanzania, between 2011-2014. The first study aimed to assess knowledge and usage of bitter gourd as well as knowledge and management of diabetes among diabetic patients. The second study aimed to assess anti-diabetic effects of 2.5 g dry raw bitter gourd powder consumption per day among pre-diabetics.

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Giessen : VVB Laufersweiler Verlag

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