Use of complementary and alternative medicine among Thai patients with type 2 diabetes mellitus

Wanchai, Ausanee; Phrompayak, Duangjai

doi:10.1016/s2095-4964(16)60263-7

Cited by 17 publications

(21 citation statements)

References 18 publications

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“…5,6 The frequency of CAM users before Anti-diabetic treatment were 7.27% and after conventional treatment CAM usage increased to 92.72% in our study which is almost similar to observations made by others. 10,14 Females (56.36%) used CAM more in our setup than males probably the reason being that females are easily influenced by cultural beliefs, social beliefs, relatives etc. Our results are in concurrence to the results of earlier studies.…”

Section: Discussionmentioning

confidence: 96%

Complementary and alternative medicine use among type 2 diabetes patients in a tertiary care hospital

Sadiq¹,

Khajuria²,

Khajuria³

2017

Int J Basic Clin Pharmacol

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Background: Complementary and alternative medicine (CAM) use is prevalent among chronic diseases like Diabetes mellitus (DM). Therefore, the aim was to study the pattern of CAM use among Type2DM in our set up.Methods: The study was done in diabetic patients attending OPD of Government medical college hospital over a period of 2 months. Patients who gave consent were subjected to a pre-structured questionnaire which consisted of two parts pertaining to socio-demographic profile and CAM usage details.Results: Out of 280 patients enrolled in the study, 110 admitted being CAM users along with conventional Anti-Diabetic treatment. The CAM users were mostly females (56.36%) and were from rural background (70.90%). CAM was prevalent in educated patients (90.90%) more than illiterates (9.09%). Ayurveda (44.54%) was the most common type of CAM used and relatives (58.18%) provided main source of CAM information. 32.72% patients thought that CAM is safe, effective (20.90%) and less costly (19.09%). Only 16.36% patients disclosed regarding their CAM usage to the attending physician while majority (83.63%) were non-revealers. The results suggest that patients should be encouraged to reveal to their physician regarding CAM as it can avoid possibility of interactions.Conclusions: CAM is prevalent in T2DM and more so in females from rural areas. Ayurveda was the most widely type of CAM used and majority of patients did not disclose to the treating physician regarding CAM usage.

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Section: Discussionmentioning

confidence: 96%

Complementary and alternative medicine use among type 2 diabetes patients in a tertiary care hospital

Sadiq¹,

Khajuria²,

Khajuria³

2017

Int J Basic Clin Pharmacol

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“…Moreover, WHO had also reported that in 2014, 9% of adults aged 18 years and older had been diagnosed with DM. DM had been predicted to become the seventh leading cause of death by 2030 with the International Diabetes Federation envisaging a rise in prevalence of 642 million people by 2040 and a rise in the annual global healthcare spending on DM to $US 802 billion [1].…”

Section: Introductionmentioning

confidence: 99%

“…Currently, DM treatment can be broadly divided into two therapeutic approaches: conventional medicine and alternative medicine [1]. In diabetic patients, significant improvements can be achieved by treatment with hypoglycemic or antihyperglycemic, insulin sensitizing, and insulin secretion enhancing drugs [2].…”

Section: Introductionmentioning

confidence: 99%

“…Practices of the body and mind include a diverse group of procedures or techniques administered or taught by a trained practitioner, such as "yoga, chiropractic and osteopathic manipulation, meditation, massage, acupuncture, relaxation techniques (i.e., breathing exercises, guided imagery, and progressive muscle relaxation), Taichi, Qigong, healing touch, hypnotherapy and movement therapy". In addition, there are other complementary health approaches that may not neatly fit into either of these two groups such as the practices of healers from the traditions of Ayurvedic medicine, Chinese medicine, homeopathy, and naturopathy [1].…”

Section: Introductionmentioning

confidence: 99%

“…Prevalence of CAM use ranges from 34-38% [4,5,6]. In studies related to CAM use by DM patients, the prevalence of CAM use varies from 17% to 80% [1,7,8]. These studies have also reported that the most commonly used CAM therapies in patients with diabetes are nutritional advice and lifestyle diets, herbal remedies, supplements, spiritual healing, and massage therapy and meditation training.…”

Section: Introductionmentioning

confidence: 99%

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Comparison and Effectiveness of Complementary and Alternative Medicine as against Conventional Medicine in the Treatment and Management of Type 2 Diabetes

Boston

Wong

Ganga

et al. 2019

JOCAMR

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Aim: The main objective of the study was to compare, using laboratory data, the efficacy of herbal medicines against conventional drugs in treating and managing diabetes mellitus (DM) among type 2 diabetic (T2DM) patients. Methodology: The study recruited 80 patients from a private Herbal Clinic and the Georgetown Public Hospital Diabetic and Medical Outpatient Clinic after giving their consent and satisfying the inclusion criteria. Laboratory tests and analysis were done using conventional scientific methods and data analyzed using SPSS version 20 with a p-value of 0.05 being used to determine statistical significance. Results: The results showed that age, religion, ethnicity, education, marital status and monthly income have significant associations with the use of herbs. Persons using herbal medicine alone had normal lipid profile, renal function and liver function test, in addition to hemoglobin (Hb), white blood cell count (WBC), glycosylated hemoglobin (HBA1c) and fasting blood glucose (FBS). The most common herbs used were Momordica charantia (local name- karela) and Azadirachta indica (local name- neem), which were used in combination or alone. Results showed a positive effect on coronary heart disease risk. Conclusion: The information generated from the study indicated that a significant number of diabetic patients using herbs alone for their treatment had normal results. However, a more controlled study is required to validate these results.

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Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis

Alzahrani

Price

Greenfield

et al. 2021

Eur J Clin Pharmacol

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Aim This study aimed to undertake a systematic review and meta-analysis of global prevalence and types of complementary and alternative medicine (CAM) use amongst adults with diabetes. Methods Nine databases, including MEDLINE and EMBASE, were searched for studies published between 2009 and 2019 which included extractable data for CAM use in adult patients with diabetes. Study characteristics, types of CAM, and overall and subgroup prevalence data in relation to CAM use were extracted. Meta-analysis of aggregate level data on prevalence and prevalence ratios (PRs) was performed using a random effects model. Results From the 38 studies included in the review, a total of 37 types of CAM and 223 types of herbs were identified. Pooled prevalence of CAM use was 51%. A wide variation in prevalence rates (predictive interval 8–93%) was observed. In the context of high heterogeneity, we found no evidence that CAM use was associated with gender, chronicity or type of diabetes. Approximately one third of patients did not disclose their use of CAM to healthcare professionals (95% PrI 25%, 97%). Herbal medicines, acupuncture, homoeopathy and spiritual healing were the common CAM types reported. Conclusions A wide variation in prevalence of CAM use by patients with diabetes was identified. Healthcare professionals should be aware of their patients’ use of CAM to ensure treatment optimization, avoid herb–drug interactions and promote medication adherence in diabetes. Diabetic reviews and clinical guidelines should incorporate exploration of patient use of CAM as many patients do not proactively disclose the use of CAM to their healthcare professionals. Registration The protocol for this study was registered with the Centre for Review and Dissemination (CRD). Protocol registration number CRD42019125036.

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Use of complementary and alternative medicine among Thai patients with type 2 diabetes mellitus

Cited by 17 publications

References 18 publications

Complementary and alternative medicine use among type 2 diabetes patients in a tertiary care hospital

Complementary and alternative medicine use among type 2 diabetes patients in a tertiary care hospital

Comparison and Effectiveness of Complementary and Alternative Medicine as against Conventional Medicine in the Treatment and Management of Type 2 Diabetes

Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis

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