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Diabetes mellitus is a metabolic disorder in the endocrine system. This dreadful disease is found in all parts of the world and becoming a serious threat of.
Table of contents
- Nutritional supplements, plants, and herbs
- Complementary and Alternative Medicine Therapies for Diabetes: A Clinical Review
- Alternative Diabetes Treatments
Has it made a difference? Chaparro recommends providing patients the information they need to understand the impact of what they are doing. Many CAM treatments may be harmless, and preliminary research indicates some may be helpful, but the potential for undesirable interactions with conventional medicines, possible adverse effects, and the risk that patients will abandon effective treatments for the promise of a 'natural' cure make it imperative that health care providers be aware of common alternative treatments and enable open communication with their diabetes patients.
Encourage patients to inform all of their health care professionals about any and all complementary treatments they are trying and to continue to take conventional medication as prescribed. Urge patients to look for a US Pharmacopeial Convention seal on packaging to ensure that supplements come from a reputable source.
Nutritional supplements, plants, and herbs
More information is available at www. To ensure an online pharmacy is legitimate, the FDA recommends the following:. If a patient wants to try a supplement or treatment and it can be determined that this treatment is not dangerous or detrimental to health , suggest trying it for a limited period of time.
Work with patients to determine whether A1c, blood sugar control, or quality of life has improved after the trial period. Patients may not realize that "natural" remedies can have adverse effects. Recommend laboratory tests for kidney and liver function to ensure the supplement is not harming the patient's health. Unproven therapies for diabetes and their implications.
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Efficacy and safety concerns regarding complementary and alternative medicine use among diabetes patients. J Pak Med Assoc. Vinegar improves insulin sensitivity to a high-carbohydrate meal in subjects with insulin resistance or type 2 diabetes. Vinegar consumption can attenuate postprandial glucose and insulin responses; a systematic review and meta-analysis of clinical trials.
Diabetes Res Clin Pract. Vinegar consumption increases insulin-stimulated glucose uptake by the forearm muscle in humans with type 2 diabetes. Vinegar as a functional ingredient to improve postprandial glycemic control-human intervention findings and molecular mechanisms. Mol Nutr Food Res. Find a vitamin or supplement: Cotey S, Harris A. Can taking cinnamon supplements lower your blood sugar? Published October 4, Cinnamon use in type 2 diabetes: Do cinnamon supplements have a role in glycemic control in type 2 diabetes? J Acad Nutr Diet.
Complementary and Alternative Medicine Therapies for Diabetes: A Clinical Review
National Center for Complementary and Integrative Health website. Updated November 29, Updated March 8, Which cinnamon is better for blood sugar? The People's Pharmacy website.
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- Diabetes and other complementary alternative medicines.
- Top 5 Alternative Diabetes Therapies: Are Patients Undermining Their Treatment?;
- Can Alternative Therapies Help You Manage Diabetes?.
- Advising Patients With Diabetes About CAM Therapies.
- Just Get Over It!!
Published August 1, Herbs, supplements and alternative medicines. American Diabetes Association website. Updated February 20, Diabetes and dietary supplements: Updated June 23, Chromium and parenteral nutrition. Systematic review and meta-analysis of the efficacy and safety of chromium supplementation in diabetes. J Clin Pharm Ther. Chromium supplements for glycemic control in type 2 diabetes: Chromium dietary supplement fact sheet.
National Institutes of Health website. Updated November 4, Yoga as a complementary health approach. Updated March 15, Effects of yoga in adults with type 2 diabetes mellitus: Vizcaino M, Stover E. The effect of yoga practice on glycemic control and other health parameters in type 2 diabetes mellitus patients: Updated September 26, Another 79 million adults have prediabetes, putting them at greater risk of developing type 2 diabetes down the road, according to the CDC.
Diabetes is a costly disease, placing a high financial burden on the patient and the healthcare system. If poorly managed or left untreated, it can cause blindness, loss of kidney function, and conditions that require the amputation of digits or limbs. Interventions can prevent or delay the disease in people with prediabetes.
Can their diabetes be reversed? Is it possible to cure diabetes with natural therapies? And moreover, what actually constitutes a reversal of the disease?
Alternative Diabetes Treatments
The key to answering these questions begins with the pathophysiology of type 2 diabetes. What Is Type 2 Diabetes? Diabetes is a group of diseases characterized by elevated blood glucose levels due to defects in insulin secretion, insulin action, or both. For those people whose bodies resist insulin, the pancreas secretes extra insulin to maintain normal glucose levels. As the condition progresses, insulin production gradually decreases and eventually reaches a level of deficiency that can no longer maintain blood glucose in the normal range.
But how type 2 diabetes presents and progresses can vary considerably, as noted by the ADA, and methods of treatment can vary from patient to patient. Conventional Medicine One way to approach diabetes is to use integrative holistic medicine, also known as alternative medicine, a medical specialty that focuses on caring for the whole person, treating and preventing disease, and empowering patients to create conditions for optimal health, according to the American Board of Integrative Holistic Medicine.
This modality can be contrasted with the emphasis of conventional medicine, which is to cure or mitigate disease, as reported by the American Holistic Health Association. For example, a conventional practitioner will follow an established algorithm for diabetes management that includes a medically established protocol centered on monitoring blood sugar and prescribing medications to balance it. An alternative medicine provider takes a personalized, whole-person approach that may include a prescription for changes in diet and exercise habits, stress reduction, and other lifestyle considerations.
The table below offers a comparison of alternative medicine with conventional medicine. The concept of whole-person medicine is gathering increasing support in the nutrition and dietetics profession, as evidenced by the 2,member Dietitians in Integrative and Functional Medicine DIFM practice group of the Academy of Nutrition and Dietetics the Academy.
Informed by scientific evidence, this group of RDs provides integrative and functional medical nutrition therapy IFMNT based on two principles: Each client has a unique genetic make up, and each client functions in an environment with internal and external factors that influence interactions between the mind, body, and spirit. The NCP is a systematic approach to providing high-quality nutrition care. The NCP consists of four distinct, interrelated steps: Diabetes Management Practitioners agree that nutrition is the cornerstone of diabetes management, and that a range of nutrition intervention strategies can be used to meet the metabolic goals and individual preferences of the person with diabetes.
However, there are significant differences in the approach and methodologies used by alternative and conventional practitioners to manage the disease. One difference is in terminology. When is remission really remission? The goal of MNT is to achieve and maintain blood glucose levels in the normal range or as close to normal as is safely possible.
Patients who meet this goal are described as being in control. A dietary pattern that includes carbohydrates from fruits, vegetables, whole grains, legumes, and low-fat milk is encouraged for good health. Carbohydrate intake should be monitored using carbohydrate counting or experienced-based estimation.
Using foods with a low glycemic index that are rich in fiber and other important nutrients is encouraged. For individuals with diabetes and normal renal function, protein recommendations are the same as healthy individuals: People with diabetes are encouraged to consume a variety of fiber-containing foods, such as legumes, fiber-rich cereals, fruits, vegetables, and whole grain products.
DeLaney instructs her patients to consume eight to 10 servings of vegetables and fruits per day. Dean uses a glucomannan fiber supplement for her patients with type 2 diabetes. Two or more servings of fish per week are recommended for their cardiovascular health. She encourages them to eat whole-fat dairy products, egg yolks, butter, olive oil, and avocado. Extra-virgin olive oil, nuts, and seeds are prominent sources of healthful fat on the Swift menu.
Vitamins and Minerals Conventional: Vitamin and mineral supplements are provided only when deficiencies have been identified. People with diabetes are encouraged to engage in at least minutes of moderate-intensity aerobic activity weekly and resistance training at least twice per week. Keeping in mind the principles of patient-centered care and the need to exercise the body, mind, and spirit, Swift includes yoga and qi gong on her nutritional lifestyle prescription pad for diabetes care.
Dean uses a more traditional approach. DeLaney encourages 30 minutes of physical activity daily, leaving the type of activity up to the patient. However, many practitioners agree that bringing an A1c level down from 8. This is where the lines become blurred. In a consensus statement issued by the ADA, the term remission is defined based on the following definitions: Remember that diabetes care is complex and goes beyond glucose control.
Swift urges RDs to be informed and stay up-to-date as complementary and alternative medicine data evolves.