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Vol. 58, No. 2, 2011
Issue release date: June 2011
Section title: Original Paper
Ann Nutr Metab 2011;58:101–108
(DOI:10.1159/000326765)

Use of Complementary and Alternative Medicine Supplements in Patients with Diabetes Mellitus

Fabian E.a · Töscher S.a · Elmadfa I.a · Pieber T.R.b
aDepartment of Nutritional Sciences, University of Vienna, Vienna, and bDivision of Endocrinology and Metabolism, Department of Internal Medicine, Medical University of Graz, Graz, Austria

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 9/9/2010
Accepted: 2/22/2011
Published online: 4/8/2011
Issue release date: June 2011

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 4

ISSN: 0250-6807 (Print)
eISSN: 1421-9697 (Online)

For additional information: http://www.karger.com/ANM

Abstract

Background/Aims: This study was conducted to evaluate the current use of biologically-based complementary and alternative medicine (CAM) therapies in diabetics, considering health awareness, motivation, and expectations for CAM use. Moreover, patients’ attitudes toward cinnamon preparations and the need for appropriate information from health care professionals were determined. Methods: A total of 200 patients (59% men and 41% women) with type 1 (16%) or type 2 diabetes (84%) were interviewed using a standardized, validated questionnaire; the results from 198 respondents were analyzed. Results: A third of type 1 and type 2 diabetics (women > men; p < 0.01) reported current use of biologically-based CAM supplements, and intake was significantly (r = 0.203; p < 0.05) correlated to the degree of health awareness/interest in self-care in type 2 diabetics. The use of nutritional supplements (vitamins/multivitamins and minerals), herbal medicine, and cinnamon was reported most frequently. Prevention (36%) and improved well-being/quality of life (13%) but not the positive modulation of diabetes management (4%) were given as main motivations. Eighty-three percent of type 1 diabetics (women > men; p < 0.05) and 70% of type 2 diabetics already knew about the postulated positive effect of cinnamon on blood glucose. Up to 85% reported a willingness or a probable willingness to test the effect of cinnamon on blood glucose. Among patients with type 2 diabetes the subjectively felt disease burden was found to have a significant (r = 0.235; p < 0.01) impact on the willingness to use cinnamon preparations for better diabetes management. Conclusion: This study indicates a remarkable interest in CAM remedies in the investigated group of diabetics as a strategy for active engagement in health and disease self-management. Healthcare professionals should be aware of the increasing number of patients using CAM supplements and hence incorporate these aspects into patient care in order to ensure patient satisfaction and optimize health care.

© 2011 S. Karger AG, Basel


  

Author Contacts

Elisabeth Fabian, PhD
Department of Nutritional Sciences, University of Vienna
Althanstrasse 14
AT–1090 Vienna (Austria)
Tel. +43 1 4277 54933, E-Mail elisabeth.fabian@univie.ac.at

  

Article Information

Received: September 9, 2010
Accepted after revision: February 22, 2011
Published online: April 8, 2011
Number of Print Pages : 8
Number of Figures : 0, Number of Tables : 4, Number of References : 42

  

Publication Details

Annals of Nutrition and Metabolism (Journal of Nutrition, Metabolic Diseases and Dietetics)

Vol. 58, No. 2, Year 2011 (Cover Date: June 2011)

Journal Editor: Koletzko B. (Munich)
ISSN: 0250-6807 (Print), eISSN: 1421-9697 (Online)

For additional information: http://www.karger.com/ANM


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 9/9/2010
Accepted: 2/22/2011
Published online: 4/8/2011
Issue release date: June 2011

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 4

ISSN: 0250-6807 (Print)
eISSN: 1421-9697 (Online)

For additional information: http://www.karger.com/ANM


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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