University of Pittsburgh School of Nursing, 3500 Victoria Street, Pittsburgh, PA 15261, USA.
Curr Diab Rep. 2012 Dec;12(6):749-61. doi: 10.1007/s11892-012-0315-2.
Growing numbers of people with diabetes in the U.S. and worldwide use complementary and alternative medicine (CAM) while receiving conventional medical therapy as a means of managing disease and improving quality of life. Although herbal and natural products are the most commonly used forms of CAM, mind-body approaches are also gaining popularity and scientific interest. Current findings suggest that CAM may help to promote an integrative, participatory model of diabetes care that relies upon provider knowledge of evidence-based therapies and patient disclosure of CAM use. Emerging evidence of positive findings with some natural products and mind-body therapies have been reported in glycemic parameters, markers of cardiovascular risk, and quality of life in individuals with type 2 diabetes; however, further investigation in well-designed, adequately powered studies is needed before use of CAM modalities can be recommended as part of clinical care.
美国和全球范围内，越来越多的糖尿病患者在接受常规医学治疗的同时，使用补充和替代医学（CAM）来管理疾病和提高生活质量。虽然草药和天然产品是最常用的 CAM 形式，但身心方法也越来越受欢迎并引起科学关注。目前的研究结果表明，CAM 可能有助于促进一种综合的、参与式的糖尿病护理模式，这种模式依赖于提供者对循证疗法的了解和患者对 CAM 使用的披露。在 2 型糖尿病患者中，一些天然产品和身心疗法在血糖参数、心血管风险标志物和生活质量方面的积极发现已经有报道；然而，在推荐将 CAM 模式作为临床护理的一部分之前，还需要在精心设计、充分有力的研究中进一步调查。
