Knowledge, attitude and practice of patients with type 2 diabetes mellitus towards complementary and alternative medicine

Al-Eidi, Sulaiman; Tayel, Salwa; Slail, Fatima Al; Qureshi, Naseem Akhtar; Sohaibani, Imen; Khalil, Mohamed; Al-Bedah, Abdullah M.

doi:10.1016/s2095-4964(16)60244-3

Cited by 49 publications

(57 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our study findings were in line with one previous study exploring the knowledge, attitude and practice (KAP) of CAM therapies among patients with type II diabetes [34]; both studies showed that more than onehalf of the participants believed that herbal medicine products have remarkably higher efficacy in controlling blood glucose levels and a wider safety window. This could be an indicator for potential plant toxicity unawareness by users that might be caused by improper use or handling.…”

Section: Discussionsupporting

confidence: 91%

Herbal medicine from the perspective of type II diabetic patients and physicians: what is the relationship?

Alqathama

Alluhiabi

Baghdadi

et al. 2020

BMC Complement Med Ther

View full text Add to dashboard Cite

Background: Diabetes mellitus (DM) is a major public health problem and one of the most challenging diseases worldwide. According to the World Health Organization (WHO), the Kingdom of Saudi Arabia (KSA) has the second highest rate of diabetes in the Middle East and seventh highest globally. Some diabetic patients may prefer to use alternative approaches such as herbal remedies to control their blood glucose level and this study aims to assess the prevalence of herbal usage and to evaluate users' and doctors' knowledge, attitudes and beliefs about herbal medicine as well as the patient/doctor relationship in this regard. Method: A cross-sectional survey was conducted in several hospitals and medical centres in Makkah, KSA, between January and March 2019. Around 289 type II diabetic patients and 105 doctors were interviewed. Results: We found that 68% of the participants were frequent consumers of herbal remedies, especially cinnamon, ginger and fenugreek. Patients' knowledge of herbal usage was mainly gleaned from family and friends as well as social media, and we found that many (71.4%) did not bother to consult or inform their doctors about their choice to self-medicate with herbs. Patients had no concerns regarding the efficacy and safety of herbal usage use in diabetes, as around half of the participants believe that herbal medicine is effective (54%) and safe (46%) for treating symptoms of diabetes. Two-thirds of the doctors (66%) routinely ask patients whether they use herbs for their condition. Although 25% of the doctors took a positive view of herbal medicine in relation to diabetes, others expressed concerns with the rise in herb use and want to see more attention paid to safety aspects. Conclusion: The study concludes that herbal remedies are commonly used by diabetic patients and that a gap exists in the relationship between patients and doctors concerning the disclosure of herbal remedy use and views on its safety.

show abstract

Section: Discussionsupporting

confidence: 91%

Herbal medicine from the perspective of type II diabetic patients and physicians: what is the relationship?

Alqathama

Alluhiabi

Baghdadi

et al. 2020

BMC Complement Med Ther

View full text Add to dashboard Cite

show abstract

“…The most used T&CM therapies were herbs (30.4%), wet cupping (20.9%), nutritional supplements (17.6%), cautery (16.7%), spiritual healing (ruqia) (10.8%), apitherapy (2%), and massage (1.5%). [ 20 ] More than 78% of the T&CM users did not tell their physicians about the use of T&CM [ 20 ].…”

Section: Resultsmentioning

confidence: 99%

A Descriptive Review of the Prevalence and Usage of Traditional and Complementary Medicine among Saudi Diabetic Patients

et al. 2018

View full text Add to dashboard Cite

Diabetes mellitus represents a major burden in Saudi Arabia where seven million (20% of population) are living with diabetes. This article reviews the literature on usage of traditional and complementary medicine (T&CM) therapies among Saudi diabetic patients, focusing in particular on identifying the prevalence as well as discussing their safety and efficacy. Three databases (PubMed, Cochrane, and ScienceDirect) were searched prior to December 10, 2017, for articles published in peer-reviewed journals that reported primary data on the use of traditional and complementary medicine therapies among diabetic patients in Saudi Arabia. Six studies were selected according to the inclusion/exclusion criteria. In conclusion, the prevalence of use of T&CM therapies among diabetics in Saudi Arabia was 32.18%. This review identified that the most used T&CM therapy among diabetics was herbal treatment. The most used herbs were fenugreek, black seeds, neem, myrrh, helteet, harmel, and aloes. There is insufficient or little evidence to support the efficacy of the most identified herbs and therapies. This review is raising the safety concerns about the used herbs and complementary therapies which were commonly used without any medical consultation.

show abstract

“…As we all know, DM is a very common disease, and its prevalence has been significantly increased around the world. [ 36 ] T2DM has a positive correlation with some types of human cancer, such as hepatocellular carcinoma, breast cancer, endometrial cancer, bladder cancer, and kidney cancer. [ 12 – 16 ] However, the mechanism of how EC developed in patients with DM remains unclear, and there are several possible mechanisms below: Hyperglycemia is the connecting link between DM and cancer.…”

Section: Discussionmentioning

confidence: 99%

Diabetes mellitus carries a risk of esophageal cancer

Zhou²,

Li³

et al. 2017

Medicine

View full text Add to dashboard Cite

Background:Many studies have showed that diabetes mellitus (DM) might be a risk factor for certain types of cancers. However, there are still inconsistent results on the effects of DM on the risk of esophageal cancer (EC). The objective of this study is to investigate the association and to quantify the correlation between DM and EC by a meta-analysis.Methods:The initial search identified 339 articles. Those publications that did not report the exact number of EC cases were removed. Finally, 13 meaningful studies were extracted from the databases of PubMed, MEDLINE, and Web of Science. All pooled analyses of risk ratios (RRs) and 95% confidence intervals (CIs) were assessed by a random-effect or fixed-effect model. Subgroup analysis was implemented on the basis of the sex or ethnicity. I2 value was used to assess heterogeneity, and funnel plot analysis was for publication bias.Results:The result showed that there was a positive correlation between type 2 diabetes mellitus (T2DM) and EC risk (RR = 1.28, 95% CI: 1.12–1.47, P < .001). Subgroup analysis based on gender showed that male was an important risk factor for EC (RR = 1.53, 95% CI: 1.44–1.62, P < .001), but female was not (RR = 1.23, 95% CI: 0.41–3.69, P = .71). In addition, subgroup analysis based on ethnicity showed that DM was significantly correlated to EC in North America subjects (RR = 1.39, 95% CI: 1.31–1.47, P < .001), and in Europe subjects (RR = 1.37, 95% CI: 1.02–1.83, P = .04), whereas no correlation was found in Asian subjects (RR = 0.98, 95% CI: 0.50–1.95, P = .96). Furthermore, DM had a correlation to an increased risk of esophageal adenocarcinoma (EAC) (RR = 1.43, 95% CI: 1.35–1.51, P < .001).Conclusion:This meta-analysis indicates that DM is positively correlated to EC. However, the results should be interpreted with caution because of the limitations on potential clinical confounding factors in each study included in this meta-analysis.

show abstract

Knowledge, attitude and practice of patients with type 2 diabetes mellitus towards complementary and alternative medicine

Cited by 49 publications

References 15 publications

Herbal medicine from the perspective of type II diabetic patients and physicians: what is the relationship?

Herbal medicine from the perspective of type II diabetic patients and physicians: what is the relationship?

A Descriptive Review of the Prevalence and Usage of Traditional and Complementary Medicine among Saudi Diabetic Patients

Diabetes mellitus carries a risk of esophageal cancer

Contact Info

Product

Resources

About