Abstract
Background: This study aims to further elucidate the demographic and diabetes characteristics of diabetic patients in Australia who use complementary and alternative medicines (CAM).
Methods: This was a prospective, cross-sectional questionnaire-based study of 149 patients with diabetes attending a general endocrine clinic in a tertiary referral hospital in Sydney, Australia.
Results: Thirty-seven patients (25%) stated they had used CAM therapies within the past 5 years. Vitamins (53%) were the most common CAM therapy used. A greater number of CAM nonusers reported calf pain whilst walking (21% vs. 9%, p=0.051), and HbA1c values were lower for CAM nonusers (7.7% vs. 8.1%, p=0.057). Amongst CAM users, a majority of patients (85%) did not consult with their specialist or general practitioner prior to starting CAM therapy.
Conclusions: With the increasing burden of diabetes, health practitioners will need to be more vigilant and understanding of the potential impact of CAM use on diabetes management.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis and interpretation of data; in the writing of the report or in the decision to submit the report for publication.
References
1. International Diabetes Federation. Diabetes atlas,6th ed. Brussels: International Diabetes Federation,2013.Search in Google Scholar
2. DunstanDW, ZimmetPZ, WelbornTA, De CourtanMP, CameronAJ, SicreeRA, et al. The rising prevalence ofdiabetes and impaired glucose tolerance: the Australiandiabetes, obesity and lifestyle study. Diabetes Care2002;25:829–34.10.2337/diacare.25.5.829Search in Google Scholar PubMed
3. National Center for Complementary and Alternative Medicine. [31-03-2012]; Available from: http://nccam.nih.gov/. Accessed: 20 Jun 2014.Search in Google Scholar
4. MacLennanAH, WilsonDH, TaylorAW. The escalating cost and prevalence of alternative medicine. Prev Med2002;35:166–73.10.1006/pmed.2002.1057Search in Google Scholar PubMed
5. ArmstrongAR, ThiébautSP, BrownLJ, NepalB. Australian adults use complementary and alternative medicine in the treatment of chronic illness: a national study. Aust N Z J Public Health2011;35:384–90.10.1111/j.1753-6405.2011.00745.xSearch in Google Scholar PubMed
6. MandersonL, OldenburgB, LinV, HollingsworthB, de CourtenM, CanawayR, et al. Care seeking, complementary therapy and herbal medicine use among people with type 2 diabetes and cardiovascular disease CAMELOT phase II: surveying for diversity. Aust J Herbal Med2012;24:46–55.Search in Google Scholar
7. ManyaK, ChampionB, DunningT. The use of complementary and alternative medicine among people living with diabetes in Sydney. BMC Complement Altern Med2012;12:2.10.1186/1472-6882-12-2Search in Google Scholar PubMed PubMed Central
8. LuiCW, DowerJ, DonaldM, CollJR. Patterns and determinants of complementary and alternative medicine practitioner use among adults with diabetes in Queensland, Australia. Evid Based Complement Alternat Med2012;2012:659419.10.1155/2012/659419Search in Google Scholar PubMed PubMed Central
9. MakJC, FauxS. Complementary and alternative medicine use by osteoporotic patients in Australia (CAMEO-A): a prospective study. J Altern Complement Med2010;16:579–84.10.1089/acm.2009.0425Search in Google Scholar PubMed
10. CliffordEM, BattyKT, DavisW, DavisTM. Prevalence and predictors of complementary medicine usage in diabetes: Fremantle diabetes study. J Res Pharm Pract2003;33:260–4.10.1002/jppr2003334260Search in Google Scholar
11. ChangHY, WallisM, TiralongoE. Use of complementary and alternative medicine among people living with diabetes: literature review. J Adv Nurs2007;58:307–19.10.1111/j.1365-2648.2007.04291.xSearch in Google Scholar PubMed
12. DiNardoMM, GibsonJM, SiminerioL, MorellAR, LeeES. Complementary and alternative medicine in diabetes care. Curr Diab Rep2012;12:749–61.10.1007/s11892-012-0315-2Search in Google Scholar PubMed
13. Villa-CaballeroLI, MorelloCM, ChynowethME, Prieto-RosinolA, PolonskyWH, PalinkasLA, et al. Ethnic differences in complementary and alternative medicine use among patients with diabetes. Complement Ther Med2010;18:241–8.10.1016/j.ctim.2010.09.007Search in Google Scholar PubMed PubMed Central
14. HasanSS, LoonWC, AhmadiK, AhmedSI, BukhariNI. Reasons, perceived efficacy and factors associated with complementary and alternative medicine use among Malaysian patients with diabetes mellitus. Br J Diabetes Vasc Dis2011;11:92–8.10.1177/1474651410398367Search in Google Scholar
15. ChangHY, WallisM, TiralongoE. Use of complementary and alternative medicine among people with type 2 diabetes in Taiwan: a cross-sectional survey. Evid Based Complement Alternat Med 2011;2011:1–8.10.1155/2011/983792Search in Google Scholar PubMed PubMed Central
©2015 by De Gruyter
Articles in the same Issue
- Frontmatter
- Review
- An emphasis on molecular mechanisms of anti-inflammatory effects and glucocorticoid resistance
- Preclinical Studies
- Endothelium nitric oxide-independent vasorelaxant effects of the aqueous extract from Stephania abyssinica on the isolated rat thoracic aorta
- Evidence of attenuation of intestinal ischemia–reperfusion injury following pre-treatment with methanolic extracts from Chromolena odorata in rats
- Comparative effects of Orchis anatolica vs. the red Korean Panax ginseng treatments on testicular structure and function of adult male mice
- The Miaoyao Fanggan Sachets regulate humoral immunity and cellular immunity in mice
- Toxicological evaluation of the aqueous extract of Acalypha wilkesiana in Wistar albino rats
- Clinical Studies
- Tolerability of the combination of ginger (Zingiber officinalis), gentian (Gentiana lutea) and turmeric (Curcuma longa) in patients with cancer-associated anorexia
- Effect of rhubarb (Rheum emodi) in primary dysmenorrhoea: a single-blind randomized controlled trial
- Integrating traditional medical practice with primary healthcare system in Eritrea
- Factors affecting the use of complementary and alternative medicine among Japanese university students
- Short Communication
- Complementary and alternative medicine in diabetes (CALMIND) – a prospective study
- Online Only: Congress Abstracts
- 2014 IN-CAM Research Symposium: The Next Wave of Complementary and Integrative Medicine and Health Care Research
Articles in the same Issue
- Frontmatter
- Review
- An emphasis on molecular mechanisms of anti-inflammatory effects and glucocorticoid resistance
- Preclinical Studies
- Endothelium nitric oxide-independent vasorelaxant effects of the aqueous extract from Stephania abyssinica on the isolated rat thoracic aorta
- Evidence of attenuation of intestinal ischemia–reperfusion injury following pre-treatment with methanolic extracts from Chromolena odorata in rats
- Comparative effects of Orchis anatolica vs. the red Korean Panax ginseng treatments on testicular structure and function of adult male mice
- The Miaoyao Fanggan Sachets regulate humoral immunity and cellular immunity in mice
- Toxicological evaluation of the aqueous extract of Acalypha wilkesiana in Wistar albino rats
- Clinical Studies
- Tolerability of the combination of ginger (Zingiber officinalis), gentian (Gentiana lutea) and turmeric (Curcuma longa) in patients with cancer-associated anorexia
- Effect of rhubarb (Rheum emodi) in primary dysmenorrhoea: a single-blind randomized controlled trial
- Integrating traditional medical practice with primary healthcare system in Eritrea
- Factors affecting the use of complementary and alternative medicine among Japanese university students
- Short Communication
- Complementary and alternative medicine in diabetes (CALMIND) – a prospective study
- Online Only: Congress Abstracts
- 2014 IN-CAM Research Symposium: The Next Wave of Complementary and Integrative Medicine and Health Care Research