Ilex Guayusa Tea Improves Glycaemia and Autonomic Modulation in Female Streptozotocin-Induced Diabetic Rats.

Background: Cardiovascular diseases are the leading cause of morbidity and mortality among diabetic patients, with their incidence rising globally. Streptozotocin (STZ)-induced diabetic rats, untreated with insulin, exhibit human-like symptoms such as hyperglycemia, polydipsia, polyuria, weight loss, cardiomyopathy, neuropathy, and oxidative stress. Thus, this study evaluated the effects of Ilex guayusa tea on cardiovascular, autonomic, metabolic, and oxidative stress parameters in diabetic rats, as well as its antioxidant and phytochemical properties. Methods: Thirteen female Wistar rats were divided into two groups: diabetic (D; n = 7) and diabetic + Ilex guayusa (DG; n = 6). Diabetes was induced by a single STZ injection (50 mg/kg, i.v.), and guayusa tea was provided ad libitum for 21 days (3.0 g/L). Results: Glycemia and body mass were initially similar between the groups; however, throughout the protocol, the D group showed an increase in glycaemia and a decrease in body mass when compared to initial values. While no differences in arterial pressure, heart rate, linear heart rate variability, and oxidative stress were observed, the D group showed reduced vascular sympathetic modulation (LF-SAP and VAR-SAP) compared to the DG group. This reduced vascular sympathetic modulation, which was a poor prognostic marker in this model, was inversely correlated with glycemia (VAR-SAP and final glycemia, r: -0.81, p = 0.002). Conclusions: These findings suggest that Ilex guayusa tea consumption may mitigate metabolic and autonomic dysfunction in diabetes, highlighting its potential therapeutic role in managing diabetic complications.