Dietary and Botanical Supplement Therapy in Diabetes
Abstract
Context: As diabetes epidemic is gaining momentum in the society, the use of complementary and alternative medicine (CAM) either in conjunction or as an alternative to conventional medicines is now common and popular. The use of CAM supplement is commonly ignored by physicians and patients with a belief that supplements are natural and not medicine. Thus, the spectrum of polypharmacy mandates clinician expertise to become well informed about the common CAM supplements used in treating diabetes.
Evidence Acquisition: An extensive literature search of clinical trials, systematic reviews, and narrative reviews was completed in PubMed from years 1970 to 2013. The keywords for this search included diabetes, complementary and alternative medicine, botanical supplements, and herbal medicine.
Evidence Synthesis: Modern societies are experiencing unprecedented levels of chronic and preventable diseases. Western medications often treat the symptoms or the effects of a disease but do little to prevent them. This issue in general has diverted people’s attention again towards dietary supplements and herbal medicine over the past few years. Therefore, the use of medicinal foods, nutritional supplements are becoming more common to prevent disease and related complications. Since there is no documentation of adverse effects, the potential for herb- drug or herb-dietary supplement interaction is a big challenge due to the multiple prescription medicines consumed by the diabetic patients. However, even though CAM therapies have been shown to have impact on the glycemic control, the risk associated with the drug use is still a concern.
Conclusion: The purpose of this clinical review is to bring awareness among health care providers about selected dietary and botanical supplements frequently used by the patients with diabetes and to provide a framework to advice patients on CAM use.
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Accepted 2014-10-27
Published 2014-11-07
