Use and satisfaction of complementary and alternative medicine among diabetic patients in a tertiary care hospital

Authors

  • Monica N. Department of Pharmacology, Bangalore medical college and Research Institute, Bangalore, Karnataka, India
  • Jayanthi CR Department of Pharmacology, Bangalore medical college and Research Institute, Bangalore, Karnataka, India
  • Praveen Panchaksharimath Department of Pharmacology, Bangalore medical college and Research Institute, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20164116

Keywords:

Complementary and alternative medicine, Diabetes, TSQM

Abstract

Background: Diabetes is a chronic disorder which requires long-term treatment. Non- adherence to treatment is a major factor responsible for morbidities and mortalities associated with diabetes. Complementary and alternative medicine (CAM) use has been one of the reasons for discontinuation of treatment. This study was conducted to assess the extent to which CAM and non-CAM users adhere to medical treatment.

Methods: 200 patients attending the diabetic clinic over a period of 2 months participated in the study. After obtaining written informed consent, they were administered a CAM use and satisfaction questionnaire (TSQM) based on effectiveness, no side-effects, convenience and global satisfaction.

Results: Out of 200 participants, 29% (58) used CAM. Naturopathy was the most commonly followed type of CAM (60 %; 35). Residing in the rural areas (OR-3.7), Socio- economic status above poverty line (OR- 9), diabetics with co- morbidities (OR- 6) and microvascular complications (OR-6) and using insulin (OR-3) was found to be the predictors of CAM use. However, the incidence of hypoglycemic episodes was 52 times higher among CAM users. (91%; 52) of the CAM users did not reveal the use to their physicians, out of which (70%; 40) did not disclose due to the fear of discouragement by the doctor. CAM was found to be better in all aspects of patient satisfaction like effectiveness, no- side-effects and global satisfaction than conventional medicine while conventional medicine users scored it to be more convenient to use than CAM.

Conclusions: Doctors should enquire diabetics regarding CAM use since the voluntary disclosure is very less. Keeping lines of communication open for any discussions regarding pros and cons of CAM. Increasing patient awareness about potential drug interactions, when CAM is practised along with conventional medicine.

Metrics

Metrics Loading ...

References

Kaveeshwar S. The current status of diabetes mellitus in India. Australasian Medical Journal. 2014;7(1):45-8.

Shobhana R, Begum R, Snehalatha C, Vijay V, Ramachandran A. Patients’ adherence to diabetes treatment. J Assoc Physicians India. 1999;47:1173-5.

Khan A, Al-Abdul Lateef Z, Al Aithan M, Bu- Khamseen M, Al Ibrahim I, Khan S. Factors contributing to non- compliance among diabetics attending primary health centers in the Al Hasa district of Saudi Arabia. J Fam Community Med. 2012;19(1):26.

Roy V, Gupta M, Ghosh R. Perception, attitude and usage of complementary and alternative medicine among doctors and patients in a tertiary care hospital in India. Indian Journal of Pharmacology. 2015;47(2):137.

Apurva Agrawal A. Complementary and alternative medicine (CAM) use among patients presenting in out- patient department at a tertiary care teaching hospital in Southern Rajasthan, India- A Questionniare based study. Altern Integ Med. 2015;04(01).

Bhalerao MS, Bolshete PM, Swar BD, Bangera TA, Kohle VR, et al. Use of and satisfaction with complementary and alternative medicine in four chronic diseases: a cross sectional study from India. Natl Med J India. 2013;26:75-8.

Astin JA. Why patients use alternative medicine: Results of a national study. JAMA. 1998;279:1548-53.

Yeh GY, Eisenberg DM. Systematic review of herbs and dietary supplements for glycemic control in diabetes. Diabetes Care. 2003;26(4):1277-94.

Birdee G, Yeh G. Complementary and alternative medicine therapies for diabetes: A clinical review. Clinical diabetes. 2010;28(4):147-55.

Kinsel JF, Straus SE. Complementary and alternative therapeutics: Rigorous research is needed to support claims. Annu Rev Pharmacol Toxicol. 2003;43:463-84.

Saper RB, Phillips RS, Sehgal A, Khouri N, Davis RB, Paquin J, et al. Lead, mercury, and arsenic in USand Indian manufactured Ayurvedic medicines sold via the Internet. JAMA. 2008;300:915-23.

Atkinson MJ, Sinha A, Hass SL, Colman SS, Kumar RN, Brod M et al . Validation of a general measure of treatment satisfaction, the Treatment Satisfaction Questionnaire for Medication (TSQM), using a national panel study of chronic disease. biomed central. 2004;2(12):1-13.

De Smet PA. Herbal Remedies. N Eng J Med. 2002;347:2046-56.

Hiromi Kobayashi, Kuniaki Takahashi, Nobuyuki Mizuno, Haruo Kutsuna, Masamitsu Ishii. An Alternative Approach to Atopic Dermatitis: Part II—Summary of Cases and Discussion. Evid Based Complement Alternat Med 2004 ; 1: 145–55.

Arcury T, Bell R, Snively B,Smith S, Skelly A, Wetmore L, et al. Complementary and alternative medicine use as health self management: rural older adults with diabetes. The journal of gerontology series B: psychological sciences and social sciences. 2006;61(2):S62-70.

Khalaf A Whitford D. The use of Complementary and alternative medicine by patients with diabetes mellitus in Bahrain: A cross-sectional study. BMC Complementary and alternative medicine. 2010;10(1):35.

Gor A, Kothari N, Shah P, Gaur K. Use of complementary and alternative medicine (CAM) in patients with essential hypertension and diabetes mellitus attending a tertiary care teaching hospital. Inter Jou Med Sci Dent Heal. 2015;1(2):50-7.

Ogbera A, Dada O, Adeley F, Jewo P. Complementary and alternative medicine use in diabetes mellitus. West African Journal of Medicine. 2011;29(3).

Medagama A, Bandara R, Abeysekara R, Imbulpitiya B, Pushpakumari T. Use of Complementary and alternative medicines(CAMs) among type 2 diabetes patients in Srilanka: A cross- sectional survey: BMC Complementary and alternative medicine. 2014;14(1):374.

Singh. Self medication with herbal remedies amongst patients of type 2 diabetes mellitus: a preliminary study. Indian Journal of endocrinology and metabolism. 2012;16(4).

Downloads

Published

2016-12-21

How to Cite

N., M., CR, J., & Panchaksharimath, P. (2016). Use and satisfaction of complementary and alternative medicine among diabetic patients in a tertiary care hospital. International Journal of Basic & Clinical Pharmacology, 5(6), 2521–2527. https://doi.org/10.18203/2319-2003.ijbcp20164116

Issue

Section

Original Research Articles