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

Boston, Cecil; Wong, Natasha; Ganga, Teshawattie; Chandradatt, Khaimwattie; Rosales, Judith; Singh, Jaipaul; Kurup, Rajini

doi:10.9734/jocamr/2019/v7i230097

Cited by 7 publications

(8 citation statements)

References 23 publications

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“…They reported older age, less education, longer duration of diabetes, diabetes management using oral hypoglycaemics, family history of diabetes, and neuropathy as predictors of herbal medicine use [1]. In another Nigerian study, use of CAM resulted in better glycemic control and an improved lipid profile [11]. The results are contrary to our study where users of CAM depicted worse glycemic control.…”

Section: Discussioncontrasting

confidence: 94%

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

Raja¹,

Kumar²,

Khan³

et al. 2019

Cureus

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IntroductionComplementary and alternative medicine (CAM) is becoming popular among individuals affected by chronic diseases, such as diabetes mellitus. We aimed to determine the knowledge, attitude, and practices of complementary and alternative medicine use among type 2 diabetes patients in Karachi, Pakistan.MethodsAn observational, prospective, cross-sectional study was conducted in the institute of diabetology in a tertiary care hospital in Pakistan from 1st March 2018 till 31st August 2018. All patients of type 2 diabetes mellitus attending the clinic for routine follow-up visits during the study period were interviewed. Their demographic characteristics, clinical data, and knowledge, attitude, practices towards use of CAM products were assessed. Data was managed using SPSS for Windows version 16.0 (SPSS Inc, Chicago, IL).ResultsCAM therapies were being used by 151 (57.8%) individuals. Herbs (n = 121; 80.1%), specific diets (n = 98; 64.9%), and cupping (n = 68; 45.0%) were the most readily utilized CAM practices. CAM practices were associated with diabetes-related complications [p < 0.000; Odds Ratio (OR) 2.57; Confidence Interval (CI) 1.53, 4.34], poor glycemic control (p < 0.000; OR 0.29; CI 0.17, 0.5), lack of trust in pharmaceutical products (p < 0.000; OR 5.08; CI 2.28, 11.32), poor patient-doctor relationship (p = 0.06; OR 1.47; CI 0.26, 8.17), CAM products being readily available and cheaper (p < 0.000; OR 6.1; CI 3.02, 12.32), and belief that CAM products have fewer side effects (p < 0.000; OR 12.32; CI 6.83, 22.22) and can help in diabetes control (p < 0.000; OR 35.76; CI 16.79, 76.15).ConclusionUse of complementary medicine products among Pakistani diabetic population is high. Herbs and specific diets were common modes of CAM practices. Use of CAM showed significant association with female gender, older age, unemployment, longer duration of diabetes, diabetes-related complications, and poor glycemic control.

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Section: Discussioncontrasting

confidence: 94%

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

Raja¹,

Kumar²,

Khan³

et al. 2019

Cureus

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“…On the contrary, various studies show the benefit of complementary medicine as well. In a Nigerian study, CAM's use was associated with better glycemic control and an improved lipid profile [13]. Choudhury et al in a systemic review stated that several herbal plants proved to be beneficial for glycemic control in type 2 diabetes [14].…”

Section: Discussionmentioning

confidence: 99%

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

Kumar¹,

Kumari²,

Kumar³

et al. 2020

Cureus

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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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“…Given the chronic nature of T2DM and long-term complications, patients are often prompted into using alternative medicine in the management of their condition [29]. This might be explained by the fact that they believe some herbal extracts are natural [30], safe [31] [32], provide symptomatic relief and help in the prevention of complications in patients [33]. Evidence also suggests that some herbal extracts help in the regeneration of pancreatic beta cells thereby improving glycaemic control in the patients [34].…”

Section: Introductionmentioning

confidence: 99%

“…However, evidence on the safety and effectiveness of herbal medicines compared to conventional medicines is inconclusive. Some studies have found a significant reduction in glycosylated haemoglobin (HbA1c), cholesterol and fasting blood glucose with little or no side effects with the use of some herbal extracts [31] [32] [35]. However, it is currently unclear if there are any side effects to the herbs used by type 2 diabetics in our setting given most of the herbs used are commonly consumed as vegetables as a source of vitamins and fibre.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Herbal Medicine Use amongst Adults with Type 2 Diabetes in an Urban Setting in Cameroon

Niba¹,

Dzekem²,

Navti³

et al. 2023

JBM

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Background: Type 2 diabetes mellitus (T2DM) is currently a major global public health burden associated with elevated blood glucose. The use of herbal medicine in the management of type 2 diabetes is currently on the rise both in developed and developing countries. This study sets out to determine the prevalence of herbal medicine use and to identify the factors associated with herbal medicine use amongst type 2 diabetes patients. Methods: A community based cross-sectional study involves 123 adults living with type 2 diabetes (90 males and 30 females), mean age 58.7 ± 9.5 years in the Bamenda III health district of the North West Region of Cameroon. Data on the different types of herbs used, frequency and mode of herbal medicine use as well as reasons for using herbal medicines in the management of T2DM were assessed using a structured questionnaire. Anthropometric and diabetes related measurements were carried out following standard procedures. Logistic regression analysis was used to identify the independent predictors of herbal medicine use. Results: The prevalence of herbal medicine use was 24.4% (n = 30) amongst which 37.4 % used both herbs and orthodox medicine. A higher proportion of diabetic males used herbal medicines compared to females and this difference was significant (X 2 = 5.243, p < 0.027). Also, a higher proportion of patients who had attained secondary/tertiary education used herbal medicine compared to those who had attained only primary education and this difference was significant (X 2 = 10.75, p = 0.005). The most commonly used herbs were Vernonia amygdalina leaves (19.10%), Aloe vera (13.48%), Mangifera indica leaves (11.24%) including its bark and Carica papaya leaves (8.99%). Bivariate analysis indicated that being male (OR 2.8, 95% CI, 1.14 -6.79) and having attained secondary/tertiary education

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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

Cited by 7 publications

References 23 publications

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

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

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

Predictors of Herbal Medicine Use amongst Adults with Type 2 Diabetes in an Urban Setting in Cameroon

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