Xiao Eric, Luo Luguang
The Center for Natural Healing, Pawtucket, RI, United States.
Roger Williams Hospital, Providence, RI, United States.
Curr Diabetes Rev. 2018;14(6):487-496. doi: 10.2174/1573399813666170519103230.
Across the world, the economic and health costs of diabetes are rising at an alarming rate. Each year in the United States, billions of dollars are spent on T2 Diabetes mellitus (T2DM) treatments, but such treatments are not always effective and can lead to adverse events. Many pharmacological treatments exist to control the primary and secondary symptoms of T2DM, but these medications are not always efficacious, do little to treat secondary T2DM symptoms, and often carry adverse side effects. Traditional Chinese Medicine (TCM) is a form of alternative medicine that is becoming appealing to western healthcare systems because of its comprehensive, holistic approach to managing T2DM patients.
Works across TCM printed texts, clinical trial databases, medical association practice guidelines, and the existing literature on TCM and western diabetes treatments (in print and online) are reviewed.
Conventional pharmaceutical therapies for T2DM are not efficacious enough to maintain satisfactory blood glucose levels for all patients, and even patients who maintain stable blood glucose levels may still suffer from secondary T2DM symptoms as well as from the side effects of their medications. TCM therapies have demonstrated promising results in T2DM clinical studies without causing the types of side effects associated with standard pharmaceutical treatments. In addition, the economic burden of TCM diabetes treatments on patients and payers is oftentimes less than that of pharmaceutical regimens.
TCM approaches can be a viable alternative approach to treatment in the modern U.S. healthcare landscape, but a number of obstacles impede its assimilation into western health systems.
在全球范围内,糖尿病的经济和健康成本正以惊人的速度上升。在美国,每年在2型糖尿病(T2DM)治疗上花费数十亿美元,但此类治疗并不总是有效,且可能导致不良事件。有许多药物治疗可控制T2DM的主要和次要症状,但这些药物并不总是有效,对治疗T2DM的次要症状作用甚微,且常常伴有不良副作用。传统中医(TCM)作为一种替代医学形式,因其管理T2DM患者的全面、整体方法而对西方医疗保健系统颇具吸引力。
对中医印刷文本、临床试验数据库、医学协会实践指南以及有关中医和西方糖尿病治疗的现有文献(印刷版和在线版)进行了综述。
用于T2DM的传统药物疗法不足以使所有患者维持令人满意的血糖水平,即使血糖水平保持稳定的患者仍可能遭受T2DM的次要症状以及药物副作用的困扰。中医治疗在T2DM临床研究中已显示出有前景的结果,且不会引起与标准药物治疗相关的副作用类型。此外,中医糖尿病治疗对患者和支付方的经济负担通常低于药物治疗方案。
在现代美国医疗保健环境中,中医方法可以成为一种可行的替代治疗方法,但有许多障碍阻碍其融入西方医疗系统。