Complementary and Alternative Medicine Use in Diabetes Mellitus

Abstract

BACKGROUND: Complementary and alternative medicine (CAM), an emerging aspect of the management of chronic diseases worldwide is not widely studied in Nigerian patients with diabetes mellitus (DM). OBJECTIVE: To assess the frequency and pattern of CAM utilization in people with DM . METHODS: This was a cross-sectional question-naire survey involving 263 patients with DM. Biodata, duration of DM, type and pattern of CAM utilization and adherence to prescribed medications were documented. The prevalence and possible determinants of CAM utilization were evaluated by determining the odds ratio for independent variables. RESULTS: There were 263 respondents with a mean age of 60 (10.7) years and with ages ranging from 28-80 years. The prevalence of CAM usage was 46% and the female: male ratio was 2:1. Generally, CAM users were older than non-CAM users, (p= 0.006). The main forms of CAM used were biological based therapies and these included bitter leaf (Vernonia amygdalina), aloe vera, garlic, ginger, and "local herbs". Adherence to prescribed medications was observed by 94% of respondents. CONCLUSION: We found that CAM usage is an important facet of management of DM among our patients with biological based therapies being the prevalent forms of CAM utilized. Despite CAM usage, adherence to prescribed medications was high. Further evaluation of the impact of CAM on glycaemia is needed. WAJM 2010; 29(3): 158-162.

Diabetes Mellituslu Hastaların Tamamlayıcı ve Alternatif Tedavileri Kullanma Durumları ve Diyabet Tutumları İle İlişkisi

“…Ancak diyabet hastalarının TAT kullanım durumu ile diyabet tutumları kapsamında sadece tedavi uyumlarını değerlendiren bir çalışmaya ulaşılabilmiştir. Ogbera ve arkadaşlarının (2010) diyabetli hastalarda TAT kullanı-mını inceledikleri bu çalışmada, hastaların TAT kullanım durumunun diyabet tedavisine uyumlarını etkilemediğini belirlemişlerdir (34). Literatürde diyabetli hastaların TAT kullanım nedenlerini inceleyen çalışmalara bakıldığın-da; hastaların bu uygulamaları tıbbi tedavileri ile birlikte, hastalık semptomlarını kontrol edebilmek, komplikasyonlardan korunmak ve yaşam kalitelerini arttırmak için kullanmakta oldukları görülmektedir (20,21,35,36).…”

Protective Effect of Aerva jevanica Against Ethanol Induced Hepatic Stress in Rats: A Randomized Control Report

“…The result found has resemblance with other study. 23 Free radical produced by the metabolism of ethanol causes oxidative damages and hepatic necrosis due imbalance of oxidative system. To overcome the toxicity of free radicals induced by the metabolism of ethanol a defense system protects the body called antioxidant.…”

Determination of in vitro antidiabetic effects of Zingiber officinale Roscoe

“…Although several studies have mentioned antidiabetic activity of Zingiber officinale (Grover et al, 2002;Akhani et al, 2005;Kelble, 2005;Al-Amin et al, 2006;Büyükbalci, Sedef, 2008;Islam, Choi, 2008;Abd-Elraheem et al, 2009;Saraswat et al, 2009;Ogbera et al, 2010;Saraswat et al, 2010;Madkor et al, 2011;Ramudu et al, 2011;Rani et al, 2011), no data is available on protein glycation and glucose absorption inhibitory potential of native Zingiber officinale rhizomes at national level. The present study was undertaken to investigate the antidiabetic effects of Zingiber officinale in terms of glucose diffusion and glycation inhibition.…”