Advanced Drug Delivery Approaches for Antidiabetic Agents: Strategies to Enhance Bioavailability, Efficacy, and Patient Compliance

Authors

Abstract

Diabetes mellitus is a chronic metabolic disorder characterized by persistent hyperglycemia due to impaired insulin secretion, insulin action, or both. The global burden of diabetes is increasing rapidly, posing significant challenges to healthcare systems worldwide. Although several antidiabetic agents are available, their clinical effectiveness is often limited by poor bioavailability, rapid degradation, frequent dosing requirements, and low patient adherence.

Advanced drug delivery systems have emerged as a promising strategy to overcome these limitations by improving pharmacokinetics, enhancing drug stability, and enabling controlled or targeted release. Various novel systems such as nanoparticles, lipid-based carriers, polymeric systems, transdermal systems, and glucose-responsive drug delivery systems have shown significant improvements in therapeutic outcomes.

This review provides a comprehensive discussion on advanced drug delivery approaches for antidiabetic agents, focusing on strategies to enhance bioavailability, therapeutic efficacy, and patient compliance, along with challenges and future perspectives in clinical translation.

Keywords: Antidiabetic delivery, Drug delivery, Bioavailability enhancement, Controlled release, Glucose-responsive, Patient compliance

Keywords:

Antidiabetic delivery, Drug delivery, Bioavailability enhancement, Controlled release, Glucose-responsive, Patient compliance

DOI

https://doi.org/10.22270/jddt.v16i5.7739

Author Biographies

H G Srusti, Department of Pharmacology, Sree Siddaganga College of Pharmacy, Tumakuru, Karnataka, India - 572103.

Department of Pharmacology, Sree Siddaganga College of Pharmacy, Tumakuru, Karnataka, India - 572103.

Darshini K, Department of Pharmacology, Sree Siddaganga College of Pharmacy, Tumakuru, Karnataka, India - 572103.

Department of Pharmacology, Sree Siddaganga College of Pharmacy, Tumakuru, Karnataka, India - 572103.

K V Poorvika, Department of Pharmacology, Sree Siddaganga College of Pharmacy, Tumakuru, Karnataka, India - 572103

Department of Pharmacology, Sree Siddaganga College of Pharmacy, Tumakuru, Karnataka, India - 572103.

Bramhotri Rout, Department of Pharmacology, The Oxford College of Pharmacy, Bangalore, Karnataka, India - 560068

Department of  Pharmacology, The Oxford College of Pharmacy, Bangalore, Karnataka, India - 560068

References

1. Alam U, Asghar O, Azmi S, Malik RA. General aspects of diabetes mellitus. Handbook of clinical neurology. 2014 Jan 1;126:211-22. https://doi.org/10.1016/B978-0-444-53480-4.00015-1

2. Shabnam A, Safia B. Review on pharmacological therapies for management of gestational diabetes. Int J Pharm Sci Dev Res. 2023 Sept 2;9(1):012-018. https://doi.org/10.17352/ijpsdr.000047

3. Maruthur NM, Tseng E, Hutfless S, Wilson LM, Suarez-Cuervo C, Berger Z, et al. Diabetes Medications as Monotherapy or Metformin-Based Combination Therapy for Type 2 Diabetes: A Systematic Review and Meta-analysis. Ann Intern Med. 2016 Apr 19;164(11):740-751. https://doi.org/10.7326/M15-2650 PMid:27088241

4. Kanzarkar M, Pathak PP, Vaidya M, Brumlik C, Choudhury A. Oral insulin-delivery system for diabetes mellitus. Pharm Pat Anal. 2015 Jan 1;4(1):29-36. https://doi.org/10.4155/ppa.14.53 PMid:25565158

5. Kokil GR, Veedu RN, Ramm GA, Prins JB, Parekh HS. Type 2 diabetes mellitus: limitations of conventional therapies and intervention with nucleic acid-based therapeutics. Chemical Reviews. 2015 Jun 10;115(11):4719-43. https://doi.org/10.1021/cr5002832 PMid:25918949

6. Wong CY, Martinez J, Dass CR. Oral delivery of insulin for treatment of diabetes: status quo, challenges and opportunities. Journal of Pharmacy and Pharmacology. 2016 Sep;68(9):1093-108. https://doi.org/10.1111/jphp.12607 PMid:27364922

7. Jiang X, Zhang P, Li S, Tan X, Hu Z, Deng B, Wang K, Li C, Sullivan MA, Li E, Gilbert RG. Molecular-size dependence of glycogen enzymatic degradation and its importance for diabetes. European Polymer Journal. 2016 Sep 1;82:175-80. https://doi.org/10.1016/j.eurpolymj.2016.07.017

8. Polonsky WH, Henry RR. Poor medication adherence in type 2 diabetes: recognizing the scope of the problem and its key contributors. Patient preference and adherence. 2016 Jul 22:1299-307. https://doi.org/10.2147/PPA.S106821 PMid:27524885 PMCid:PMC4966497

9. Taha NM, Abd El-Azeaz MA, Abd El-Razik BG. Factors affecting compliance of diabetic patients toward therapeutic management. Diabetes. 2025;5(6).

10. Grunberger G. Should side effects influence the selection of antidiabetic therapies in type 2 diabetes. Current Diabetes Reports. 2017 Apr;17(4):21. https://doi.org/10.1007/s11892-017-0853-8 PMid:28293908

11. Zaric BL, Obradovic M, Sudar-Milovanovic E, Nedeljkovic J, Lazic V, Isenovic ER. Drug delivery systems for diabetes treatment. Current pharmaceutical design. 2019 Jan 1;25(2):166-73. https://doi.org/10.2174/1381612825666190306153838 PMid:30848184

12. Sharma G, Sharma AR, Nam JS, Doss GP, Lee SS, Chakraborty C. Nanoparticle based insulin delivery system: the next generation efficient therapy for Type 1 diabetes. Journal of nanobiotechnology. 2015 Oct 24;13(1):74. https://doi.org/10.1186/s12951-015-0136-y PMid:26498972 PMCid:PMC4619439

13. Souto EB, Souto SB, Campos JR, Severino P, Pashirova TN, Zakharova LY, Silva AM, Durazzo A, Lucarini M, Izzo AA, Santini A. Nanoparticle delivery systems in the treatment of diabetes complications. Molecules. 2019 Nov 20;24(23):4209. https://doi.org/10.3390/molecules24234209 PMid:31756981 PMCid:PMC6930606

14. Samavati SS, Kashanian S, Derakhshankhah H, Rabiei M. Nanoparticle application in diabetes drug delivery. Journal of Nanoparticle Research. 2022 Sep;24(9):178. https://doi.org/10.1007/s11051-022-05547-8

15. Yang F, Xue J, Wang G, Diao Q. Nanoparticle-based drug delivery systems for the treatment of cardiovascular diseases. Frontiers in pharmacology. 2022 Sep 12;13:999404. https://doi.org/10.3389/fphar.2022.999404 PMid:36172197 PMCid:PMC9512262

16. Kandregula B, Narisepalli S, Chitkara D, Mittal A. Exploration of lipid-based nanocarriers as drug delivery systems in diabetic foot ulcer. Molecular Pharmaceutics. 2022 Apr 28;19(7):1977-98. https://doi.org/10.1021/acs.molpharmaceut.1c00970 PMid:35481377

17. Hu M, Gou T, Chen Y, Xu M, Chen R, Zhou T, Liu J, Peng C, Ye Q. A novel drug delivery system: hyodeoxycholic acid-modified metformin liposomes for type 2 diabetes treatment. Molecules. 2023 Mar 8;28(6):2471. https://doi.org/10.3390/molecules28062471 PMid:36985444 PMCid:PMC10055618

18. Teaima MH, Gebril MI, Abd Allah FI, El-Nabarawi MA. Niosomes versus proniosomes as promising drug delivery systems in treatment of diabetes mellitus. Int J App Pharm. 2022;14(5):32-40. https://doi.org/10.22159/ijap.2022v14i5.44039

19. Uppar AL, Patil CC, Namannavar S, Deshmane PA. Formulation and evaluation of Caffeine-Loaded Cubosomes hydrogel for topical delivery. Journal of Drug Delivery and Therapeutics. 2026 Apr 15;16(4):39-47. Available from: https://doi.org/10.22270/jddt.v16i4.7666 https://doi.org/10.22270/jddt.v16i4.7666

20. Rashid M, Wani TU, Mishra N, Sofi HS, Ashraf R, Sheikh FA. Development and characterization of drug-loaded self-solid nano-emulsified drug delivery system for treatment of diabetes. Material Science Research India. 2018 Apr 20;15(1):01-11. https://doi.org/10.13005/msri/150101

21. Zaric BL, Obradovic M, Sudar-Milovanovic E, Nedeljkovic J, Lazic V, Isenovic ER. Drug delivery systems for diabetes treatment. Current pharmaceutical design. 2019 Jan 1;25(2):166-73. https://doi.org/10.2174/1381612825666190306153838 PMid:30848184

22. Fuchs S, Ernst AU, Wang LH, Shariati K, Wang X, Liu Q, Ma M. Hydrogels in emerging technologies for type 1 diabetes. Chemical reviews. 2020 Dec 28;121(18):11458-526. https://doi.org/10.1021/acs.chemrev.0c01062 PMid:33370102

23. Kaur J, Gulati M, Zacconi F, Dureja H, Loebenberg R, Ansari MS, AlOmeir O, Alam A, Chellappan DK, Gupta G, Jha NK. Biomedical Applications of polymeric micelles in the treatment of diabetes mellitus: Current success and future approaches. Expert Opinion on Drug Delivery. 2022 Jul 3;19(7):771-93. https://doi.org/10.1080/17425247.2022.2087629 PMid:35695697

24. Mishra V, Yadav N, Saraogi GK, Tambuwala MM, Giri N. Dendrimer based nanoarchitectures in diabetes management: An overview. Current Pharmaceutical Design. 2019 Jun 1;25(23):2569-83. https://doi.org/10.2174/1381612825666190716125332 PMid:31333099

25. Li WX, Zhang XP, Chen BZ, Fei WM, Cui Y, Zhang CY, Guo XD. An update on microneedle-based systems for diabetes. Drug Delivery and Translational Research. 2022 Oct;12(10):2275-86. https://doi.org/10.1007/s13346-021-01113-2 PMid:35112330

26. Mishra MK, Ray D, Barik BB. Microcapsules and transdermal patch: a comparative approach for improved delivery of antidiabetic drug. Aaps Pharmscitech. 2009 Sep;10(3):928-34. https://doi.org/10.1208/s12249-009-9289-z PMid:19629706 PMCid:PMC2802161

27. Ige P, Swami B, Patil T, Pradhan J, Patil P, Nerkar P, Surana SJ. Design and development of sustained release swelling matrix tablets of glipizide for type II diabetes mellitus. Farmacia. 2013 Sep 1;61:883-901.

28. Sharma N, Agarwal D, Gupta MK, Khinchi M. A comprehensive review on floating drug delivery system. International Journal of Research in Pharmaceutical and Biomedical Sciences. 2011 Apr;2(2):428-41.

29. Liu J, Yi X, Zhang J, Yao Y, Panichayupakaranant P, Chen H. Recent advances in the drugs and glucose-responsive drug delivery systems for the treatment of diabetes: a systematic review. Pharmaceutics. 2024 Oct 20;16(10):1343. https://doi.org/10.3390/pharmaceutics16101343 PMid:39458671 PMCid:PMC11511183

30. Zhang J, Xu J, Lim J, Nolan JK, Lee H, Lee CH. Wearable glucose monitoring and implantable drug delivery systems for diabetes management. Advanced Healthcare Materials. 2021 Sep;10(17):2100194. https://doi.org/10.1002/adhm.202100194 PMid:33930258

31. Perin PC, Fornengo P. New oral antidiabetic agents. Internal and Emergency Medicine. 2011 Oct 1;6:135. https://doi.org/10.1007/s11739-011-0677-5 PMid:22009626

32. Dholakia J, Prabhakar B, Shende P. Strategies for the delivery of antidiabetic drugs via intranasal route. International Journal of Pharmaceutics. 2021 Oct 25;608:121068. https://doi.org/10.1016/j.ijpharm.2021.121068 PMid:34481011

33. Tan PK, Kuppusamy UR, Chua KH, Arumugam B. Emerging strategies to improve the stability and bioavailability of insulin: An update on formulations and delivery approaches. Current Drug Delivery. 2023 Oct 1;20(8):1141-62. https://doi.org/10.2174/1567201820666221102094433 PMid:36330644

34. J Meneses M, M Silva B, Sousa M, Sá R, F Oliveira P, G Alves M. Antidiabetic drugs: mechanisms of action and potential outcomes on cellular metabolism. Current pharmaceutical design. 2015 Aug 1;21(25):3606-20. https://doi.org/10.2174/1381612821666150710145753 PMid:26166608

35. Sivakumar PM, Prabhawathi V, Zarrabi A, Akthar S, Prabhakar PK. Current trends in the therapeutic strategies for diabetes management. Current Medicinal Chemistry. 2021 Jul 1;28(23):4616-37. https://doi.org/10.2174/0929867328666210218183914 PMid:33602069

36. Angiolillo DJ. Antiplatelet therapy in diabetes: efficacy and limitations of current treatment strategies and future directions. Diabetes care. 2009 Apr 1;32(4):531-40. https://doi.org/10.2337/dc08-2064 PMid:19336638 PMCid:PMC2660456

37. Tiwari P. Recent trends in therapeutic approaches for diabetes management: a comprehensive update. Journal of diabetes research. 2015;2015(1):340838. https://doi.org/10.1155/2015/340838 PMid:26273667 PMCid:PMC4530263

38. Turabian JL. Strategies and methods to improve compliance in special patient groups and with specific health problems. Arch Community Med Public Health. 2020 Jun 22;6(1):104-9. https://doi.org/10.17352/2455-5479.000088

39. Abinaya SK, Aanandhi VM. An improvement in patient compliance in diabetes mellitus. Research Journal of Pharmacy and Technology. 2018 Feb 1;11(2):587-92. https://doi.org/10.5958/0974-360X.2018.00108.7

40. Vallis M, Jin S, Klimek‐Abercrombie A, Bunko A, Kukaswadia A, Neish CS, Ivers NM. Understanding strategies to improve medication adherence among persons with type 2 diabetes: A scoping review. Diabetic Medicine. 2023 Jan;40(1):e14941. https://doi.org/10.1111/dme.14941 PMid:35996880

41. Kwon SY, Moon JS. Advances in continuous glucose monitoring: clinical applications. Endocrinology and Metabolism. 2025 Apr 8;40(2):161-73. https://doi.org/10.3803/EnM.2025.2370 PMid:40195726 PMCid:PMC12061739

42. Ansari MA, Chauhan W, Shoaib S, Alyahya SA, Ali M, Ashraf H, Alomary MN, Al-Suhaimi EA. Emerging therapeutic options in the management of diabetes: recent trends, challenges and future directions. International Journal of Obesity. 2023 Dec;47(12):1179-99. https://doi.org/10.1038/s41366-023-01369-3 PMid:37696926

43. Lundgrin EL, Kelly CA, Bellini N, Lewis C, Rafi E, Hatipoglu B. Diabetes technology trends: a review of the latest innovations. The Journal of Clinical Endocrinology & Metabolism. 2025 Apr;110(Supplement_2):S165-74. https://doi.org/10.1210/clinem/dgaf034 PMid:39998918

44. Williams DM, Jones H, Stephens JW. Personalized type 2 diabetes management: an update on recent advances and recommendations. Diabetes, metabolic syndrome and obesity: targets and therapy. 2022 Jan 1:281-95. https://doi.org/10.2147/DMSO.S331654 PMid:35153495 PMCid:PMC8824792

Published

2026-05-15
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How to Cite

1.
Srusti HG, Darshini K, Poorvika KV, Rout B. Advanced Drug Delivery Approaches for Antidiabetic Agents: Strategies to Enhance Bioavailability, Efficacy, and Patient Compliance. J. Drug Delivery Ther. [Internet]. 2026 May 15 [cited 2026 May 16];16(5):182-91. Available from: https://www.jddtonline.info/index.php/jddt/article/view/7739

How to Cite

1.
Srusti HG, Darshini K, Poorvika KV, Rout B. Advanced Drug Delivery Approaches for Antidiabetic Agents: Strategies to Enhance Bioavailability, Efficacy, and Patient Compliance. J. Drug Delivery Ther. [Internet]. 2026 May 15 [cited 2026 May 16];16(5):182-91. Available from: https://www.jddtonline.info/index.php/jddt/article/view/7739

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