Department of Family Medicine, Konya Health Application and Research Center, University of Health Sciences, 42000, Konya, Turkey.
Department of Family Medicine, Selcuk University Medical Faculty, Konya, Turkey.
Complement Ther Med. 2018 Dec;41:41-46. doi: 10.1016/j.ctim.2018.08.008. Epub 2018 Aug 30.
There is a worldwide tendency in the use of complementary and alternative medicine (CAM). Type 2 diabetic patients' attitude towards CAM use differs depending on several patient characteristics.
To determine the awareness, knowledge and the frequency of CAM use; to determine the independent demographic characteristics making it more probable to use CAM in patients with type 2 diabetes mellitus (T2DM).
400 patients with T2DM visiting outpatient diabetes education clinic in Turkey from September 2015 to June 2016 were included in this cross-sectional study. On the basis of patients' responses to our questionnaire interrogating the CAM use, all participants were divided into 2 groups: CAM users and non-users. The independent predictors of CAM use were determined after a multivariate analysis including the parameters with a p value <0.25 in univariate analysis.
In our study the rate of CAM use was 36,7% (n = 147) and CAM use among female gender was significantly more frequent. HbA1c, fasting blood glucose, post-prandial blood glucose serum levels were significantly higher in CAM non-user group. (p < 0.001,p < 0.001 and p < 0.001 respectively). The independent predictive factors proved to be a determinant of CAM use were the age of 50-64 years, female gender and healthy eating habits.
The use of CAM methods in the field of T2DM is growing. Our study reported the prevalence of CAM use, the baseline comparison of CAM users and non-users and demonstrated three independent notable predictors of CAM use among patients with T2DM.
在使用补充和替代医学（CAM）方面，全世界都存在一种趋势。2 型糖尿病患者对 CAM 使用的态度因患者的一些特征而异。
确定 2 型糖尿病患者对 CAM 使用的认知、知识和频率；确定独立的人口统计学特征，这些特征使 2 型糖尿病患者更有可能使用 CAM。
2015 年 9 月至 2016 年 6 月，土耳其一家门诊糖尿病教育诊所纳入了 400 名 2 型糖尿病患者，进行这项横断面研究。根据患者对我们问卷调查的 CAM 使用情况的回答，所有参与者被分为 CAM 使用组和非使用组。在对单变量分析中 p 值<0.25 的参数进行多元分析后，确定了 CAM 使用的独立预测因素。
在我们的研究中，CAM 使用率为 36.7%（n=147），女性 CAM 使用频率明显更高。CAM 非使用者组的糖化血红蛋白（HbA1c）、空腹血糖、餐后血糖血清水平明显更高（p<0.001、p<0.001 和 p<0.001）。独立的预测因素证明，CAM 使用的决定因素是 50-64 岁的年龄、女性性别和健康的饮食习惯。
在 2 型糖尿病领域，CAM 方法的使用正在增加。我们的研究报告了 CAM 使用的流行率，CAM 使用组和非使用组的基线比较，并证明了 2 型糖尿病患者中 CAM 使用的三个独立显著预测因素。
