Use of Complementary and Alternative Medicine in Older Adults With Diabetes

Rhee, Taeho Greg; Harris, Ila M.

doi:10.2337/dc17-0682

Cited by 8 publications

(4 citation statements)

References 3 publications

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“…Of those older adults utilizing some sort of IH treatment, 62.8% utilized herbal therapies. 26 Additionally, several recent randomized controlled trials have shown certain "natural health products" to lower A1C by at least 0.5% such as aloe (Aloe vera), Hintonia latiflora, and various traditional Chinese medicine herbs. 27 The result of decreased use of DS in our study could be due to limitations in diversity of our predominantly white study population.…”

Section: Discussionmentioning

confidence: 99%

Diagnoses associated with dietary supplement use in a national dataset

Friedman

Birstler

Love

et al. 2019

Complementary Therapies in Medicine

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Objectives: The purpose of this study was to determine if participant diagnosis, as determined by a health care provider, is associated with dietary supplement (DS) use. Design/setting: Surveys from 1255 study participants aged 34-84, part of the Midlife in the US Study (MIDUS 2 Survey) Biomarker Project, were reviewed. Participant data included pharmaceutical use (prescription and overthe-counter medications (OTC)), clinical symptoms and diagnosis, and laboratory results. Associations were calculated between the above participant characteristics and DS use. Main outcome measures: Frequency of DS use for physician-reported diagnoses. Results: Overall prevalence of DS use was 32.4%. Participants taking DS were more often female (p = .048), white (p < 0.001), and older (mean age 57 years, p < 0.001). Participants taking DS reported taking more OTC (p < .001) and prescription medications (p=.024), and had an increased number of chronic conditions (p = .004). Participants reporting physician-diagnosed diabetes were significantly less likely to be taking DS (p = .0066), while participants with eye disease (p = .001), high cholesterol (p = 0.041), cancer (p = 0.042), and arthritis (p = 0.044) were more likely to be taking DS than those without those conditions. No difference in DS use was found between patients with and without other identified medical conditions. After adjusting for age, race/ethnicity, and gender, only diabetes remained a significant predictor of decreased DS use (OR 0.588, CI 0.388-0.873, p = .01).

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Section: Discussionmentioning

confidence: 99%

Diagnoses associated with dietary supplement use in a national dataset

Friedman

Birstler

Love

et al. 2019

Complementary Therapies in Medicine

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“…The most commonly used CAMs in patients with diabetes are biologically based therapies (62.8%), such as nutritional supplements, herbs and botanicals (Rhee et al, 2018). Because CAM users are significantly less medication compliant than non‐CAM users (Roter et al, 2016), the lack of professional involvement in decision‐making about CAM use with conventional medicine may carry serious health risks.…”

Section: Introductionmentioning

confidence: 99%

Nurse‐led shared decision‐making on complementary therapy use by patients with diabetes: An participatory action research

Chang

Mao

Huang

2023

Journal of Clinical Nursing

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AimsThe aim of this study was to develop, implement and evaluate a nurse‐led shared decision‐making model of care for discussing the use of complementary and alternative medicine with diabetic patients and to explore to what extent the risk–benefit assessment of using complementary and alternative medicine can provide a framework for facilitating nurse–patient dialogue and strengthening patient involvement in their disease management.DesignParticipatory action research with pre‐post intervention.MethodsA two‐run cycle of action and spirals from participatory action research was undertaken using a purposive sampling method to involve healthcare professionals and diabetic patients from September 2021 to June 2022. The nurse‐led shared decision‐making model of care was designed and implemented congruent with participatory action research principles. Quantitative measures were collected about patients' perceived involvement in shared decision‐making and their understanding of the risks and benefits of using complementary and alternative medicine. Patients' outcomes of disease control (fasting plasma glucose and HbA1c) were also collected. Data were analysed using IBM SPSS software (version 28). Interviews were summarized using thematic analysis. An EQUATOR Network guideline for participatory action research supported the preparation of this paper.ResultsComparison of pre‐post intervention outcomes showed that patients' scale scores on shared decision‐making involvement and understanding of the risk–benefit of using complementary and alternative medicine improved significantly after implementing the model. Fasting plasma glucose improved only slightly after a 3‐month follow‐up.ConclusionsThe care model strengthens patient involvement in their disease management and makes appropriate decisions about CAM use that should reduce potentially harmful side effects or interactions between CAM and conventional medicine.Implications for the Profession and Patient CareThe shared decision‐making model of care incorporates evidence‐based CAM research into practice, facilitates the standardization of CAM management in diabetes, improves care options for patients and educates nurses about CAM use in managing diabetes.Patient or Public ContributionNo Patient or Public Contribution.

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“…In addition to standard care, many people with diabetes consult complementary medicine (CM) health care practitioners (e.g., naturopaths, chiropractors, massage therapists) and use CM treatments (e.g., nutritional supplements, herbal medicines, relaxation techniques) to help manage the condition [ 9 – 11 ]. A study from 2010 reported 43% of Australian adults with type 2 diabetes used CM in the previous 12 months [ 9 ]; this is higher than that reported in a 2012 US study in which 25% of adults aged 65 years and older with diabetes used CM in the previous year [ 11 ]. The Australian study also identified people with diabetes who use CM, compared to non-users, as more likely to have exercised in the previous 2 weeks, and attend exercise or social support groups in the previous 12 months [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

The utilisation of public and private health care among Australian women with diabetes: Findings from the 45 and Up Study

et al. 2021

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Aim To describe the prevalence of health care utilisation and out-of-pocket expenditure associated with the management of diabetes among Australian women aged 45 years and older. Design Cross-sectional survey design. Methods The questionnaire was administered to 392 women (a cohort of the 45 and Up Study) reporting a diagnosis of diabetes between August and November 2016. It asked about the use of conventional medicine, complementary medicine (CM) and self-prescribed treatments for diabetes and associated out-of-pocket spending. Results Most women (88.3%; n = 346) consulted at least one health care practitioner in the previous 12 months for their diabetes; 84.6% (n = 332) consulted a doctor, 44.4% (n = 174) consulted an allied health practitioner, and 20.4% (n = 80) consulted a CM practitioner. On average, the combined annual out-of-pocket health care expenditure was AU$492.6 per woman, which extrapolated to approximately AU$252 million per annum. Of this total figure, approximately AU$70 million was spent on CM per annum. Conclusions Women with diabetes use a diverse range of health services and incur significant out-of-pocket expense to manage their health. The degree to which the health care services women received were coordinated, or addressed their needs and preferences, warrants further exploration. Limitations of this study include the use of self-report and inability to generalise findings to other populations.

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Use of Complementary and Alternative Medicine in Older Adults With Diabetes

Cited by 8 publications

References 3 publications

Diagnoses associated with dietary supplement use in a national dataset

Diagnoses associated with dietary supplement use in a national dataset

Nurse‐led shared decision‐making on complementary therapy use by patients with diabetes: An participatory action research

The utilisation of public and private health care among Australian women with diabetes: Findings from the 45 and Up Study

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