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      Use of Complementary and Alternative Medicine among People with Type 2 Diabetes in Taiwan: A Cross-Sectional Survey

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          Abstract

          Research into CAM use by people with diabetes is limited. This study explored CAM use among patients who attend diabetic clinics for followup treatment. Special attention was paid to patients' changing patterns of CAM use before and after diagnosis with Type 2 diabetes, their experience of CAM use, and their management of CAM use with conventional medicines. A retrospective cross-sectional survey ( n = 326) was undertaken in three census regions in Taiwan, including metropolitan, urban, and rural areas in 2006-7 (87.4% response rate). Participants reported extensive use of CAM with conventional medicines. The prevalence of CAM use was 22.7% before and 61.0% after diagnosis with Type 2 diabetes with nutritional supplements being the most commonly used CAM before and after diagnosis. However, the disclosure rate of CAM use to healthcare professionals remained low (24.6%), and lack of knowledge about CAM ingredients was common (63.4%). Awareness of the widespread use of CAM by people with Type 2 diabetes is crucial for healthcare professionals. The self-administration of both conventional medicines and CAM without disclosure of CAM use to healthcare professionals may result in ineffective diabetes management and adverse effects. CAM information needs to be incorporated into clinical practice and patient and professional education.

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          Most cited references29

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          Ayurveda and Traditional Chinese Medicine: A Comparative Overview

          Ayurveda, the traditional Indian medicine (TIM) and traditional Chinese medicine (TCM) remain the most ancient yet living traditions. There has been increased global interest in traditional medicine. Efforts to monitor and regulate herbal drugs and traditional medicine are underway. China has been successful in promoting its therapies with more research and science-based approach, while Ayurveda still needs more extensive scientific research and evidence base. This review gives an overview of basic principles and commonalities of TIM and TCM and discusses key determinants of success, which these great traditions need to address to compete in global markets.
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            Systematic Review of Herbs and Dietary Supplements for Glycemic Control in Diabetes

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              Prevalence of use of complementary/alternative medicine: a systematic review.

              Reported are the results of a systematic review of the prevalence of use of complementary/alternative medicine. Computerized literature searches were carried out in four databases. Twelve surveys thus found were selected because they dealt with the utilization of complementary/alternative medicine in random or representative samples of the general population. Data were extracted in a predefined, standardized way. Prevalence of use of complementary/alternative medicine ranged from 9% to 65%. Even for a given form of treatment such as chiropractic, as used in the USA, considerable discrepancies emerged. The data suggest that complementary/alternative therapies are used frequently and increasingly. Prevalence of use seemed to depend critically on factors that were poorly controlled in surveys of complementary/alternative medicine. The true prevalence of use of complementary/alternative medicine in the general population remains uncertain.
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                Author and article information

                Journal
                Evid Based Complement Alternat Med
                ECAM
                Evidence-based Complementary and Alternative Medicine : eCAM
                Hindawi Publishing Corporation
                1741-427X
                1741-4288
                2011
                8 September 2010
                8 September 2010
                : 2011
                : 983792
                Affiliations
                1Fooyin University, 151, Chinhsueh Rd., Ta-liao, Kaohsiung 83101, Taiwan
                2Research Centre for Clinical and Community Practice Innovation, Griffith University, Southport QLD 4222, Australia
                3Research Centre for Clinical and Community Practice Innovation and Gold Coast Health Service District, Griffith University, Southport QLD 4215, Australia
                4School of Pharmacy, Griffith University, Gold Coast QLD 4222, Australia
                Author notes
                *Hsiao-yun Annie Chang: chang369@ 123456gmail.com
                Article
                10.1155/2011/983792
                2952338
                20953402
                ef9d9be1-592b-48e9-96b7-8323700811f7
                Copyright © 2011 Hsiao-yun Annie Chang et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 1 February 2010
                : 19 May 2010
                : 10 July 2010
                Categories
                Research Article

                Complementary & Alternative medicine
                Complementary & Alternative medicine

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