The Usage Of Plants as a Traditional and Complementary Medicine Among Diabetic Patients in Karachi, Pakistan: an Urgent Need of Educational İntervention

Authors : Zakir KHAN, Junaid KHAN, Muhammad KAMRAN

Pages : 1-2

Doi:10.21763/tjfmpc.605176

View : 12 | Download : 2

Publication Date : 2020-03-16

Article Type : Other Papers

Abstract :A one-month cross-sectional and questionnaire-based study was carried out in a government-based teaching hospital in Peshawar insert ignore into journalissuearticles values(Pakistan); during January 2019. Adult population having diabetes and interact with CAM for treatment purposes were approached. The simple random sampling technique was used for the participant`s enrollment. A participant has a full choice to accept or reject to participate in the study. All the information collected via a validated questionnaire and then data were entered into the Statistical Package for Social Sciences insert ignore into journalissuearticles values(SPSS); for further analysis. A total of 100 individuals was investigated during the study period. The sample were mostly male insert ignore into journalissuearticles values(n= 62);, came from rural insert ignore into journalissuearticles values(n= 77);, aged group 30-59 years insert ignore into journalissuearticles values(n= 83);, and 56 patients had Illiterate status. The ratio of type-2 patients insert ignore into journalissuearticles values(n=89); was higher than as compared to type-1 DM patients insert ignore into journalissuearticles values(n=11);. Out of these patients the prevalence of clinical characteristic included anxiety insert ignore into journalissuearticles values(47.1%);, chronic pain insert ignore into journalissuearticles values(33.9%);, arthritis insert ignore into journalissuearticles values(30.6%);, concomitant heart disease insert ignore into journalissuearticles values(20.7%);, digestive problems insert ignore into journalissuearticles values(22.3%);, renal disease insert ignore into journalissuearticles values(15.7%); and allergies insert ignore into journalissuearticles values(4.1%);. More patients insert ignore into journalissuearticles values(n=68); considered conventional therapy more effective for diabetes, while 7 reported CAM and 25 favored CAM plus conventional treatment strategies. About 5% of the patients completely better, 35 reported satisfactory improvement and 60 reported no change after CAM usage for diabetes. Out of all the patients, 47 patients recommend CAM usage, however, 53 didn’t in favor CAM utilization in the treatment of DM. Caralluma tuberculata insert ignore into journalissuearticles values(n= 11);, Solanum surrattens Burm.f. insert ignore into journalissuearticles values(n= 10);, Fagoniacretica insert ignore into journalissuearticles values(n= 6);, Justicia adhatoda insert ignore into journalissuearticles values(n= 6);, Consolida ambigua insert ignore into journalissuearticles values(n= 5);, Vernonia amydalina insert ignore into journalissuearticles values(n= 4);, A. ParvifloraBenth insert ignore into journalissuearticles values(n=3);, Nigella sativa insert ignore into journalissuearticles values(n= 3);, Carumcarvi insert ignore into journalissuearticles values(n=2);, Brberis lycium Royle insert ignore into journalissuearticles values(n=2);, Trigonellaemodi Both. insert ignore into journalissuearticles values(n= 2);, Abelmoschus esculentus insert ignore into journalissuearticles values(n=2); and Citruluscolocynthis insert ignore into journalissuearticles values(n=2); were the most frequently CAM products. The patients further reported that, these CAM products were freely available at low cost and most often recommended by a friend, neighbor, relative and Hakeem. Another interesting fact was that, ethno medicinal local plants in Pakistan such as, Caralluma tuberculata and Solanum surrattens Burm.f. were the most frequently used CAM and highest satisfaction level among DM patients. The use of CAM products among the adult DM patients was reported in this study. The different type of attitudes, perception and beliefs towards CAM was also revealed. The patients did not report any side effects of CAM use for treatment of DM, but adverse events and side effects have been well reported previously, hence, further empirical-evidence should require and necessary about guidance on the safe and appropriate use of CAM. 
Keywords : Diabetes, Complementary and alternative medicine, Education, Medicine, Pakistan