Knowledge, Attitude, and Practices of Complementary and Alternative Medication Usage in Patients of Type II Diabetes Mellitus

Raja, Ravi; Kumar, Vikash; Khan, Muhammad Ali; Sayeed, Khalid A; Hussain, Syed Fayyaz; Rizwan, Amber

doi:10.7759/cureus.5357

Cited by 21 publications

(20 citation statements)

References 11 publications

(19 reference statements)

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“…Participants rated the extent to which they have experienced symptoms over the previous week on a 4-point Likert scale ranging from 0 (did not apply to me at all) to 3 (applied to me very much, or most of the time). The cut-off scores for depressive symptoms were developed according to the DASS manual: normal (0-9), mild (10-13), moderate (14)(15)(16)(17)(18)(19)(20), severe (21)(22)(23)(24)(25)(26)(27), and extremely severe (≥28). Participants were considered to suffer from depressive disorders if they scored ≥ 10.…”

Section: Measurementsmentioning

confidence: 99%

Mediators of the association between low socioeconomic status and poor glycemic control among type 2 diabetics in Bangladesh

Rahman

Nakamura

Hasan

et al. 2020

Sci Rep

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in contrast to developed countries 8 , leisure time physical activity in Bangladesh 13 is more prevalent in the lower SES group. Thus, adverse health-related behaviors might mediate the relationship between low SES and poor glycemic control. Among the comorbid conditions, being overweight/obese was generally associated with an increased likelihood of poor glycemic control in type 2 diabetics 15. Studies also noted that comorbid conditions such as hypertension 16 and depressive symptoms 17 are correlated with poorer glycemic control. Besides, hypertension, obesity, and depressive symptoms often exhibit socioeconomic patterning 18,19 , low prevalence of hypertension and overweight/obesity 18 and high prevalence of depressive symptoms 19 were observed in the low SES group. Therefore, these comorbid conditions may potentially mediate the relationship between low SES and poor glycemic control. Apart from adverse-health related behaviors and comorbid conditions, non-adherence to essential health service-related practices including irregular scheduled visits to diabetes clinic, not practicing self-monitoring of blood glucose concentrations, and reliance on alternative medicine have been known to contribute to poor glycemic control 14,20-22. Several observational studies found that underuse of recommended preventive services associated with poor glycemic control 20,21. Studies also indicated that patients who were not self-monitored their blood glucose 14 and rely on alternative medicine 22 had higher odds of having poorly controlled blood glucose compared to those who self-monitored their blood glucose and do not rely on alternative medicine. Furthermore, these essential health service-related practices vary by SES. In comparison to the high-SES group, people in the low-SES group are more likely to use low-cost and often less-effective alternative medicines and to experience barriers in the timely use of health care services according to their need 23. Accordingly, non-adherence to essential health service-related practices has been proposed as potential mediators of the association between low SES and poor glycemic control. To our knowledge, there has been only a single study regarding to examine the mediators contributing to socioeconomic inequality in glycemic control 24 , which showed that avoidance coping during a stressful event related to their diabetes (eg, to give up trying to deal with the event or to refuse to believe it is happening) and depressive symptoms mediated the relationship between SES and glycemic control. However, the contributions of mediators relating low SES to poorer glycemic control may differ according to context, suggesting the need for research in different settings. To date, there have been no studies in developing countries to assess the mediators relating low SES to poorer glycemic control. Therefore, evidence on socioeconomic disparities in glycemic control and potential mediators to mitigate this relationship is required. This study was performed to examine potential modifiable factor...

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Section: Measurementsmentioning

confidence: 99%

Mediators of the association between low socioeconomic status and poor glycemic control among type 2 diabetics in Bangladesh

Rahman

Nakamura

Hasan

et al. 2020

Sci Rep

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“…CAM for the treatment of diabetes is prevalent in Pakistan. In a recent study, almost one-third of patients with diabetes admitted using CAM to treat diabetes [9]. In our study, herbal medicine was the most common form of alternative medicine, followed by home remedies through dietary modifications.…”

Section: Discussionmentioning

confidence: 60%

“…Similar findings were reported by Raja et al, who stated that the use of CAM is associated with older age, lower education status, longer duration of diabetes, female gender, and poor glycemic control. They also also reported other reasons, such as lack of trust in pharmaceutical products, longer waiting intervals to see physicians, and poor patient-doctor relationship to start CAM [9].…”

Section: Discussionmentioning

confidence: 99%

“…In this study, even though there was a numerical reduction in serum HbA1c level, it was not significant (p-value >0.05). Raja et al also showed that participants who practiced CAM for diabetes had poor glycemic control [ 9 ]. In their 2002 to 2007 National survey conducted in the United Kingdom, Nahin et al stated that the use of alternative medicine results in poor glycemic control [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of Alternative Medicine in Reducing Hemoglobin A1c (HbA1c) in Type 2 Diabetes Mellitus

Kumar¹,

Kumari²,

Kumar³

et al. 2020

Cureus

Self Cite

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Introduction: Diabetes mellitus is one of Pakistan's most common diseases, affecting nearly 27.4 million people. Complementary and alternative medicine (CAM) is becoming quite popular for the management of diabetes. We aim to study the subjects that use alternative medicine in order to assess the effect of alternative therapy on the glycemic control and overall health of the patients. Methods: This study was conducted from January 2019 to December 2019 in Karachi, Pakistan. A total of 101 diabetic patients who used alternative medicine as part of their diabetes treatment were enrolled in the study after oral informed consent. Patients who were using concomitant conventional therapy were excluded from the study. On day 0, the random blood glucose levels and hemoglobin A1c (HbA1c) levels were noted. Patients were followed up after 12 weeks, and their blood glucose levels and HbA1c levels were noted again. Out of 101 participants, around 92 of them completed the study and were included in the final analysis. Results: According to the results, 41 (44.5%) participants admitted that they used Herbal medicine, 32 (34.78%) participants used home remedies through dietary modifications, 11 (11.95%) participants used spiritual healing techniques, and 7 (7.60%) participants used cupping therapy. We found no significant reduction of HbA1c levels at the end of 12 weeks in any group. Conclusion: This study failed to show any significant reduction in HbA1c levels after 12 weeks in patients taking various alternative medicine forms. There is a need for further large-scale trials to establish this mode of treatment's efficacy and safety.

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“…This condition can lead to an increase in blood glucose levels which can trigger complications. Complementary and alternative medicine (CAM) that are widely used by T2DM patients are herbs [6], [7]. Many people with diabetes use complementary medicine (together with) or alternative medicine (as a substitute) with conventional treatments for diabetes.…”

Section: Introductionmentioning

confidence: 99%

The health beliefs of patient with type 2 diabetes mellitus who use herbs as a complement to self-care

Joeliantina

Anugrahini

Proboningsih

2021

IJPHS

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Diabetes mellitus type 2 patients who have a tendency to use herbs, are based on the patient's health belief that herbal medicine is a natural ingredient that has efficacy and is safe. This study aimed to explore health beliefs as predictors of herbal use as a complement to diabetes self-care. A cross-sectional study was conducted on 230 patients with type 2 diabetes mellitus who had been clinically diagnosed, received medical treatment and used herbs. The data was collected using a questionnaire at seven community health centers (Puskesmas) in Surabaya City. Data analysis using Partial Least Square. The indicator of health belief variables has a loading factor value>0.5: perceived vulnerability and severity (0.820), perceived benefits (0.739), perceived barriers (0.822), sense of self-efficacy (0.695). Health beliefs have a significant effect on the use of herbs as a complement to diabetes self-care, the value of T>1.97 (T>10.07). Health beliefs consisting of perceived vulnerability and severity, perceived benefits, perceived inhibition, and perceived self-efficacy were strong predictors associated with the use of herbs as a complement to diabetes self-care. Nurses as part of health workers must pay attention to patient health beliefs in providing education to patients.

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Knowledge, Attitude, and Practices of Complementary and Alternative Medication Usage in Patients of Type II Diabetes Mellitus

Cited by 21 publications

References 11 publications

Mediators of the association between low socioeconomic status and poor glycemic control among type 2 diabetics in Bangladesh

Mediators of the association between low socioeconomic status and poor glycemic control among type 2 diabetics in Bangladesh

Efficacy of Alternative Medicine in Reducing Hemoglobin A1c (HbA1c) in Type 2 Diabetes Mellitus

The health beliefs of patient with type 2 diabetes mellitus who use herbs as a complement to self-care

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