Endocrinology: Treatment of Type II Diabetes with mesenchymal stem cells (MSC)

The ReoCell cell therapy program, based on mesenchymal stem cells (MSCs), is used as an adjunct to standard treatment for type 2 diabetes. Administration of the cell product aims to reduce inflammation, improve tissue sensitivity to insulin, and support pancreatic function.

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What is type 2 diabetes?

Type 2 diabetes is a chronic condition characterized by elevated blood glucose levels caused by insulin resistance. As a result, the body's cells cannot use insulin effectively, which leads to a buildup of glucose in the blood.

Insulin is a hormone that helps glucose move from the bloodstream into cells, where it becomes a source of energy. In type 2 diabetes, cells stop responding to insulin normally. At first, the pancreas compensates by producing more of it, but over time its cells become exhausted and glucose accumulates in the blood.

Type 2 diabetes accounts for more than 90% of all diabetes cases. Unlike type 1, insulin is usually still produced, but it does not work effectively. The disease develops gradually and can go unnoticed for years.

Symptoms of Type 2 Diabetes

Symptoms may develop gradually and include:

  • frequent urination;

  • persistent thirst;

  • numbness or tingling in the hands or feet;

  • slow healing of wounds, cuts, and scrapes

  • slow healing of wounds or infections.

  • increased appetite along with unexplained weight loss

  • blurred vision

  • chronic fatigue and drowsiness

“Some people have no symptoms at all, and diabetes is discovered by chance during a routine blood test. That is why screening is more important than waiting for symptoms to appear,”
Nataliia Tereshchenko
Endocrinologist, Highest Qualification Category Physician

Diagnosis: how the diagnosis is confirmed

Diagnosis is based on laboratory tests of venous blood using international criteria. Diabetes is confirmed if at least one of the following results is present:

  1. Glycated hemoglobin (HbA1c): 6.5% or higher

  2. Fasting glucose: 7.0 mmol/L (126 mg/dL) or higher

  3. Glucose 2 hours after a glucose load (glucose tolerance test): 11.1 mmol/L or higher

  4. Random glucose of 11.1 mmol/L or higher in the presence of classic symptoms

How type 2 diabetes is treated: standard therapy

Treatment is built step by step, from lifestyle changes to combinations of medications and, if needed, insulin. The goal is to keep glucose within the target range and prevent complications.

  • Lifestyle change: losing excess weight, regular physical activity, controlled nutrition, quitting smoking, control of blood pressure and cholesterol.
  • Metformin: reduces glucose production by the liver, practically does not cause hypoglycaemia and usually does not lead to weight gain.
  • GLP-1 drugs: semaglutide, tirzepatide — lower glucose levels, reduce weight, protect the cardiovascular system.
  • SGLT2 inhibitors: dapagliflozin, empagliflozin — protect the heart and kidneys, slightly reduce weight and blood pressure.

The regimen is selected individually by the physician based on HbA1c level, weight, heart and kidney health, and coexisting conditions.

Cell therapy for type 2 diabetes as a complement to standard therapy

Cell therapy with mesenchymal stem cells (MSCs) is a possible addition to standard treatment. It does not replace diet, medication, or monitoring by an endocrinologist, but works from a different angle: mesenchymal stem cells act on chronic inflammation and reduced tissue sensitivity to insulin.

The decision to use cell therapy is made individually, after an examination and consultation with an endocrinologist, with the aim of reducing potential risks of vascular complications of diabetes.

Cell therapy for type 2 diabetes as a complement to standard therapy

How do MSCs work for Type 2 Diabetes?

In treating Type 2 diabetes, mesenchymal stem cells (MSCs) are introduced into the patient's body, where they can act through several mechanisms:

  1. Regeneration of beta cells

    MSCs can transform into beta cells, improving insulin production.

  2. Reducing inflammation

    MSCs possess anti-inflammatory properties that help reduce overall inflammation in the body.

  3. Improved insulin sensitivity

    MSCs can enhance the sensitivity of cells to insulin, allowing the body to use glucose more effectively.

  4. Healing ulcers

    The ability of adult stem cells to convert into vascular cells and produce various endothelial growth factors promotes the formation of new blood vessels (neovascularization) in the affected limb. Stem cells create new bypass networks, circumventing areas of narrowing. This process restores blood circulation, improving the nourishment and oxygen supply to the lower limbs.

Effects of MSC Therapy for Patients

Patients who have undergone MSC therapy may experience the following positive effects:

  • Improved blood sugar stabilization

  • Reduced risk of complications

  • Improved immunity

  • Reduced need for insulin

  • Improved sexual function

  • Improved overall well-being

  • Reduced dosage of blood sugar medication

  • Reduced severity and frequency of complications

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Who Is Cell Therapy For: Indications and Contraindications

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  • Oncological diseases in the active stage
  • Acute infectious or inflammatory processes
  • Severe uncontrolled chronic diseases in the stage of decompensation
  • Pregnancy and breastfeeding
  • Pronounced blood clotting disorders
  • Individual contraindications determined by the doctor after a consultation

Contraindications

  • Oncological diseases in the active stage
  • Acute infectious or inflammatory processes
  • Severe uncontrolled chronic diseases in the stage of decompensation
  • Pregnancy and breastfeeding
  • Pronounced blood clotting disorders
  • Individual contraindications determined by the doctor after a consultation

Scientific rationale for cell therapy in type 2 diabetes

Scientific rationale for cell therapy in type 2 diabetes

The most consistent research data on mesenchymal stem cell therapy in type 2 diabetes concern three things: a reduction in glycated hemoglobin (HbA1c), a reduced need for insulin, and improved tissue sensitivity to insulin.

Reduced Need for Insulin

One of the main goals of therapy is to lower the medication dose. In a meta-analysis of randomized trials (Kashbour et al., Diabetology & Metabolic Syndrome, 2025) covering 13 studies and 507 patients, the daily insulin requirement in the MSC group was markedly lower than in the placebo group. In the subgroup of patients with type 2 diabetes specifically, this was one of the most pronounced effects. A separate meta-analysis focused on type 2 diabetes (Ranjbaran et al., Journal of Diabetes Investigation, 2021) reached similar conclusions: insulin doses decreased, and HbA1c levels dropped significantly.

Better Control of Blood Sugar After Meals

According to the 2025 meta-analysis, glucose levels after meals decreased more consistently in patients with type 2 diabetes than fasting glucose levels. This is consistent with the idea that MSCs act primarily on tissue sensitivity to insulin.

What the Data Show About β-Cell Function

Some studies assessed C-peptide levels, a marker of the body’s own insulin production. In the overall sample, C-peptide rose at 12 months, but in the type 2 diabetes subgroup specifically, the changes were inconsistent. In other words, restoring the function of insulin-producing cells is not yet considered a guaranteed outcome.

Safety

According to the meta-analyses, no serious adverse events or deaths were recorded during treatment and follow-up. The most common adverse reactions were mild to moderate and resolved on their own: upper respiratory tract infections, nausea, abdominal pain, and injection-site reactions. Episodes of hypoglycemia did occur, but they are linked more to concurrent insulin use than to the therapy itself. Kashbour et al. meta-analysis, 2025 (adverse event analysis across 8 studies).

Cell therapy does not target a single symptom, but several biological mechanisms at once. Its potential effect is linked to the release of biological molecules that act on the beta cells of the pancreas, reduce inflammation, and activate tissue regeneration.

Nataliia Borysivna Tereshchenko Endocrinologist

How treatment at ReoCell works: stages

  1. Endocrinologist consultation

    The doctor reviews the medical history and examination results, assesses the patient's general condition and determines the indications for treatment.

  2. Building an individual plan

    Based on the diagnosis, a personalised treatment programme is developed that can combine standard therapy with modern regenerative methods where indicated.

  3. Treatment

    All procedures are carried out in accordance with approved medical protocols under the supervision of experienced specialists.

  4. Medical follow-up

    After treatment the doctor monitors the patient's condition, analyses the indicators and adjusts further recommendations if needed.

  5. Monitoring results

    Repeat consultations and assessment of clinical indicators are carried out to track treatment effectiveness and maintain the results achieved.

ReoCell doctors

Lidiia Mykolaivna Mykhalchuk Endocrinology

Endocrinologist

Candidate of Medical Sciences, doctor of the highest qualification category.

More about the doctor
Nataliia Borysivna Tereshchenko Endocrinology

Endocrinologist

Doctor of the highest qualification category

More about the doctor

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Why do they choose us?

Individual approach

Every patient is unique, so we develop personalised treatment plans that take into account all the features of your body. Our task is to achieve the maximum therapeutic effect for every patient.

Professional team

Our doctors and scientists are recognised experts in medicine. They continuously improve their knowledge and skills, introducing the newest treatment methods.

Full range of services

From manufacturing cell products to using them in treatment. Our modern biotechnology laboratory and cryobank guarantee the highest quality and safety.

Permits and licences

A complete package of permits ensuring safe and effective treatment.

Do not delay treatment

Diabetes control today means fewer risks in the future

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Reviews from our patients

Mykola Osiichuk 2 months ago

Great service, cutting-edge technology!!!

Tatiana Fuzyk 5 months ago

I want to leave a review of REOCELL clinic. I am very pleased with the visit and the result.

Sincere thanks to Dr. Dmytro Andriiovych and Tetiana Vasylivna — attentive, professional, and they explain everything in detail. I also thank the anesthesiologist Oleksandr Anatoliiovych — everything went calmly and comfortably.

The clinic is very cozy, with a pleasant atmosphere. The nurses are attentive and caring and support you at every stage. The administrators are always friendly and well organized. The doctors are always in touch, which gives confidence and peace of mind.

I have only positive impressions. I really liked it and recommend it to everyone.

Olena Rechkina 7 months ago

I had an exosome procedure for hair loss at the clinic — I saw the result after just 2 weeks. Thank you!

Good Family 7 months ago

Incredible impressions of the clinic's specialists! Especially endocrinologist Natalia Borysivna and gynecologist Lina Aliievna! An extremely high level of professionalism! Very caring and gentle! They approach their work with enthusiasm ❤️🙏. They know how to give the patient their full attention! I highly recommend this clinic!…

Anya Gres 11 months ago

A great team of professionals who treat the cause, not the symptom.

Vasily Kolb 11 months ago

Great service. True professionals. Pleasant communication. Friendly staff. Definitely recommend 🤗…

Ivan Melashenko 11 months ago

A very high-quality, modern clinic: a thorough examination, and all the necessary tests are done on site. Tetiana Karpenko is an attentive, professional doctor. Dmytro Andriiovych is simply the best.

Olga Velytchenko 1 year ago

Thank you for the wonderful therapy, its effectiveness, the kind attitude and the atmosphere. I had fibroblast therapy to improve my facial skin. I noticed that my skin turgor improved, the pigment spots disappeared, and my skin really became more lively and attractive. Thank you :)

Yuliia Moshkivska 1 year ago

I want to thank the whole ReoCell clinic team for their wonderful work! I chose the autologous fibroblast procedure for natural skin renewal and have no regrets at all.

I appreciate the comprehensive approach: everything was explained to me in detail, a thorough diagnosis was carried out, and I was supported throughout the entire treatment. The material collection and the subsequent cell injection were comfortable.

The result exceeded my expectations! My skin became much fresher and firmer, and fine wrinkles decreased. The best part is the feeling of renewal from within, with nothing artificial. I am very glad I chose this particular clinic and this technology. Definitely recommend!

Tetyana Semenova 1 year ago

I am very grateful to ReoCell clinic! I used fibroblast cell therapy for skin rejuvenation; I am 55 years old. My own fibroblasts were used, and I later also banked them in the ReoCell bank. The result exceeded my expectations. My skin became smooth, fresh and firm. I recommend it!

Olena Dzyuba 1 year ago

At ReoCell clinic I had a rejuvenation procedure with a product based on fibroblast-conditioned medium to improve my skin. I was bothered by constant inflammatory breakouts, redness and dryness. I saw the result after 2 weeks — the red spots disappeared, and my skin looked "fresh" and more hydrated. After a course of 3 procedures over 3 months, my skin became firmer, the tone evened out, the dullness disappeared, and I looked healthier and more radiant. Half a year has passed since the start of treatment, and the effect still lasts; acquaintances and friends say I look rested and younger. I see the proof of these words in the mirror too, which makes me happy: in the morning light make-up is enough, and my look and mood are wonderful. Thank you to dermatologist Maryna Malanushenko for the excellent result!

Vitaly 1 year ago

Polite and professional staff

Andrii 1 year ago

Thank you! I came to the clinic with knee osteoarthritis. It got much better: the pain went away, and according to MRI the cartilage structure improved!!! For 2 years now I have been living without knee pain and without intra-articular injections. I especially want to thank Oksana Spivakova for managing my case, monitoring and communicating with the doctors :) I recommend this therapy

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    Causes and Risk Factors of Type 2 Diabetes

    Type 2 diabetes used to be considered a disease of adulthood, but in recent years it has increasingly been diagnosed in younger people, primarily because of the spread of obesity. The disease is closely linked to lifestyle: low physical activity, an unbalanced diet, and excess weight. However, reducing everything to habits alone would be inaccurate, as hereditary predisposition also plays an important role.

    What causes type 2 diabetes? The disease usually develops where a hereditary predisposition is combined with an unhealthy lifestyle.

    Risk factors fall into two groups.

    Non-modifiable (cannot be changed):

    • family history: diabetes in parents or siblings;
    • age 45 or older (although the disease is increasingly diagnosed in younger people as well);
    • a history of gestational diabetes during pregnancy;
    • ethnicity.

    Modifiable (can be changed):

    • excess weight and abdominal obesity;
    • low physical activity, sedentary lifestyle;
    • unbalanced diet with excess calories;
    • smoking;
    • high blood pressure and lipid metabolism disorders;
    • prolonged stress and lack of sleep.

    Family history is one of the strongest factors: having diabetes in a father or mother roughly doubles the risk, and if both parents are affected, the risk rises even more. But heredity is not destiny: genes set the predisposition, while lifestyle determines whether it is realized.

    Complications of Type 2 Diabetes in Patients

    Over time, elevated glucose levels damage blood vessel walls and nerve fibers. That is why type 2 diabetes is dangerous primarily because of its complications. The most common consequences of type 2 diabetes include:

    • cardiovascular disease: heart attack, coronary artery disease;
    • increased risk of stroke;
    • kidney damage (nephropathy), up to kidney failure;
    • nerve damage (neuropathy) with numbness and loss of sensation in the limbs;
    • eye damage (retinopathy), which can lead to vision loss;
    • diabetic foot syndrome: ulcers that heal poorly, with a risk of amputation;
    • slow wound healing and susceptibility to infections: skin, urogenital, and fungal;
    • metabolic disorders that lead to other health problems.

    Most of these complications develop over years and initially cause no symptoms. That is why regular monitoring of glucose, blood pressure, and weight, along with routine checkups, is important. They help slow the disease and detect changes at an early stage, when more can be done.

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