Geil Patti, Shane-McWhorter Laura
Department of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, UT, USA.
J Am Diet Assoc. 2008 Apr;108(4 Suppl 1):S59-65. doi: 10.1016/j.jada.2008.01.020.
A wide range of products claiming to lower blood glucose levels or prevent and treat diabetes complications and comorbidities are marketed to the public. Yet many individuals with diabetes are reluctant to inform their health care providers of complementary therapy use. As the nutrition experts on diabetes care teams, registered dietitians, in conjunction with pharmacists, are uniquely positioned to encourage patients to communicate openly about their use of dietary supplements, provide safety and efficacy information about supplements, and discourage use of dangerous or ineffective products. Areas of concern with dietary supplement use include potential side effects, drug interactions, and lack of product standardization, in addition to the increased costs that patients may incur when they use ineffective therapies or delay treatment with proven therapeutic agents. The science behind dietary supplements is evolving and registered dietitians must fully understand the potential risks and benefits to advise their patients appropriately, yet respect their health care values and beliefs.
各种各样声称能降低血糖水平或预防和治疗糖尿病并发症及合并症的产品在向公众销售。然而，许多糖尿病患者不愿告知其医疗服务提供者他们使用补充疗法的情况。作为糖尿病护理团队中的营养专家，注册营养师与药剂师一道，在鼓励患者就其使用膳食补充剂的情况进行坦诚交流、提供有关补充剂的安全性和有效性信息以及劝阻使用危险或无效产品方面具有独特的地位。使用膳食补充剂令人担忧的方面包括潜在的副作用、药物相互作用以及缺乏产品标准化，此外还包括患者使用无效疗法或延迟使用经证实的治疗药物时可能产生的费用增加。膳食补充剂背后的科学在不断发展，注册营养师必须充分了解其潜在风险和益处，以便适当地为患者提供建议，同时尊重他们的医疗保健价值观和信念。
