Treating Type 2 Diabetes: A Cross-sectional Audit of Naturopathic Standards of Care Using the Naturopathic Patient Database (original) (raw)
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Description of Clinical Risk Factor Changes During Naturopathic Care for Type 2 Diabetes
Journal of Alternative and Complementary Medicine, 2009
Background: Survey findings report that 48% of people with type 2 diabetes use complementary and alternative medicine (CAM) practice. Publications suggest a high incidence of health promotion counseling in naturopathic practice, yet clinical data on risk factor changes are not available in the literature. Objectives: The primary aim of this study was to describe clinical risk factor changes during the utilization of naturopathic CAM services in patients with type 2 diabetes. Design: A retrospective, observational study design was used to describe naturopathic care. Setting: Abstracted medical charts were from patients of the Bastyr Center for Natural Health in Seattle, WA. Participants: The patients in this study had type 2 diabetes and received naturopathic care between 2001 and 2006. Outcomes: Abstracted data included patient demographics, duration of care, number of visits, laboratory values for hemoglobin A1c (HbA1c), low density lipoprotein (LDL) and high density lipoprotein (HDL) cholesterol, triglycerides (TAG); and systolic=diastolic blood pressure (SPB, DBP). Results: Thirty-seven (37) patient records met inclusion criteria and were abstracted in detail. Mean and median duration of care were 27 and 20 months, respectively. The mean number of visits was 11. Significant mean changes in clinical laboratory risk factors over the duration of care were: À0.65% for HbA1c ( p ¼ 0.046), À45 mg=dL for TAG ( p ¼ 0.037), À7 mm Hg in SBP ( p ¼ 0.02), and À5 mm Hg in DBP ( p ¼ 0.003). Mean changes for cholesterol did not reach statistical significance. The percentage of patients who reached new control, had clinically significant risk factor improvements, or had any improvement was: 26%, 42%, and 68% for HbA1c, 7%, 28%, and 62% for LDL, 0%, 25%, and 39% for HDL, 14%, 38%, and 52% for TAG, 16%, 51%, and 86% for SBP, and 27%, 54%, and 70% for DBP. Comments/conclusions: These preliminary outcomes suggest that risk factor improvements occur during naturopathic care for diabetes, although the contribution of naturopathic care to these changes cannot be determined. Effectiveness and generalizability of naturopathic approaches in treating type 2 diabetes should be evaluated in controlled prospective studies in representative populations or randomized trials.
BMC Complementary and Alternative Medicine, 2012
Background: Several small, uncontrolled studies have found improvements in self-care behaviors and reductions in clinical risk in persons with type 2 diabetes who received care from licensed naturopathic physicians. To extend these findings and determine the feasibility and promise of a randomized clinical trial, we conducted a prospective study to measure the effects of adjunctive naturopathic care (ANC) in primary care patients with inadequately controlled type 2 diabetes.
Patient-Reported Experiences with First-Time Naturopathic Care for Type 2 Diabetes
PLoS ONE, 2012
Differences in the effectiveness of diverse healthcare providers to promote health behavior change and successful diabetes self-care have received little attention. Because training in naturopathic medicine (NM) emphasizes a patient-centered approach, health promotion, and routine use of clinical counseling on wellness and prevention, naturopathic physicians (NDs) may be particularly well-prepared for promoting behavior change. However, patients' experiences with NM have not been well studied. This study provides the first report of the perceptions of persons with type 2 diabetes of their first experiences with naturopathic care for their diabetes. Following their participation in a one-year prospective cohort study of adjunctive naturopathic care for diabetes, twenty-two patients were interviewed about their experiences working with a naturopathic physician. Using a content analysis approach, nine dominant themes were identified. Three themes characterized the nature of the ND-patient interaction: 1) patient-centered, 2) holistic health rather than diabetes focused, and 3) collaborative. Five themes characterized the content of the clinical encounter: 1) individualized and detailed health promotion, 2) counseling that promoted self-efficacy, 3) pragmatic and practical self-care recommendations, 4) novel treatment options that fostered hopefulness, and 5) patient education that addressed both diabetes self-care and general health. A ninth theme was cross-cutting: the contrast between ND care and conventional medical care. Results indicate that the routine clinical approach used by NDs is consistent with behavior change theory and clinical strategies found most effective in promoting self-efficacy and improving clinical outcomes.
CAM: Naturopathic dietary interventions for patients with Type 2 diabetes
Objective: To test feasibility, acceptability, and preliminary effectiveness of a naturopathic dietary intervention in patients with Type 2 diabetes. Methods: Prospective observational pilot study evaluating the change in clinical and patient-centered outcome measures following a 12-week individualized and group dietary education program delivered in naturopathic primary care. Results: HbA1c improved in all participants (n ¼ 12); mean -0.4% þ/À 0.49% SD, (p ¼ 0.02). Adherence to healthful eating increased from 3.5 d/wk to 5.3 d/wk (p ¼ 0.05). Specific nutritional behavior modification included: days/week consuming !5 servings of fruit/vegetables (p ¼ 0.01), attention to fat intake (p ¼ 0.05), and À11.3% carbohydrate reduction. Measures of physical activity, self-efficacy and selfmanagement also improved significantly. Conclusion: A naturopathic dietary approach to diabetes appears to be feasible to implement among Type 2 diabetes patients. The intervention may also improve self-management, glycemic control, and have influences in other domains of self-care behaviors. Clinical trials evaluating naturopathic approaches to Type 2 diabetes are warranted.
Effect of Two Months Naturopathy Treatment in Non Insulin Dependent Diabetes Mellitus Patients
International Journal of Science and Research (IJSR), 2016
Type 2diabetes is emerging as a serious medical and socioeconomic problem world over. The number of people with type 2diabetes mellitus are increasing due to population growth, ageing, and urbanization and increasing prevalence of obesity and physical inactivity. The aim of the study is to evaluate the effect of Naturopathy on the Fasting blood glucose (FBG), postprandial blood glucose (PPBG) levels and Body Mass Index (BMI) in patients with Type 2 Diabetes Mellitus. A total of 50 patients were recruited and divided into two Groups. Group I (Intervention group = 32 sittings) were on both naturopathy and allopathic medication with diet control and Group II (control group) were on allopathic medication and diet control. The study parameters were assessed at baseline and after two months intervention. The result suggested significant changes in the levels of FBG and PPBG in both the groups and improvement was seen in Body Mass Index (BMI) only in group 1 patients.
REVIEW ON MANAGEMENT OF DIABETES WITH THE HELP OF NATUROPATHY
Diabetes is becoming more prevalent in the Indian population as a result of changes in lifestyle. The effects of naturopathy treatment, salt-restricted low-calorie diets, and yoga on long-term glycemic management in individuals with type 2 diabetes mellitus are investigated in this study. Diabetes mellitus type 2 is a major global health issue. Diabetes, mostly type 2, affects 5.2 percent of the world's adult population, according to the World Health Organization. With a prevalence of 10.4 percent and a population of almost 19 million people, India currently has the world's highest population of people with type 2 diabetes. By 2045, India is anticipated to have the biggest growth in prevalence worldwide (84 percent increase). This rise is due to an increase in life expectancy as well as changes in lifestyle, such as fewer healthful foods and inactivity. To avoid a rise in the prevalence of type 2 diabetes, countries must improve prevention, present review focus on management of diabetes with the help of naturopathy.
F1000Research
Background: This review aims to map the evidence on the effectiveness of Complementary and Alternative Medicine (CAM) for Type 2 Diabetes Mellitus (T2DM) and its associated complications and identify research gaps in key outcomes and CAMs. Methods: We followed the Johanna Briggs Institute guidelines to undertake this scoping review. We carried out a comprehensive search from inception to March 2020 in electronic databases and registers. Forward and backward citations of included studies were also searched. The randomized controlled trials (RCTs) and non-randomized studies with intervention and control arm were mapped based on the effectiveness of various CAM (Yoga, Ayurveda, Homeopathy, Siddha, Naturopathy, Unani, and Sowa-rigpa) on outcomes among individuals with prediabetes or metabolic syndrome, T2DM with and without any comorbidities. Results: A total of 249 studies were included after screening 3798 citations. Most of the included studies were conducted in India and Iran. Most ...
BMC Complementary Medicine and Therapies, 2020
BackgroundDiabetes mellitus (DM) is a major public health problem and one of the most challenging diseases worldwide. According to the World Health Organization (WHO), the Kingdom of Saudi Arabia (KSA) has the second highest rate of diabetes in the Middle East and seventh highest globally. Some diabetic patients may prefer to use alternative approaches such as herbal remedies to control their blood glucose level and this study aims to assess the prevalence of herbal usage and to evaluate users’ and doctors’ knowledge, attitudes and beliefs about herbal medicine as well as the patient/doctor relationship in this regard.MethodA cross-sectional survey was conducted in several hospitals and medical centres in Makkah, KSA, between January and March 2019. Around 289 type II diabetic patients and 105 doctors were interviewed.ResultsWe found that 68% of the participants were frequent consumers of herbal remedies, especially cinnamon, ginger and fenugreek. Patients’ knowledge of herbal usage...
Type 2 Diabetes mellitus is fast gaining the status of a potential epidemic in India and other countries which is bound to increase further due to rapid urbanization and lifestyle changes. The aim of the study is to evaluate the effect of Naturopathy on the Fasting blood glucose (FBG), postprandial blood glucose (PPBG) levels, Body Mass Index (BMI), Blood Pressure (BP) and clinical symptoms in patients with Type 2 Diabetes Mellitus. This study was conducted in 64 type 2 Diabetes mellitus patients who were randomized into two Groups. Group I (Intervention group) were on both naturopathy and allopathic medication with diet control and Group II (control group) was on allopathic medication and diet control. Duration of the treatment period was 2 months following in which each patient has received 32 sittings. Data collection and data analysis were conducted concurrently. The study parameters were assessed at baseline and after two months of intervention. The result suggested significant...