Adjunctive naturopathic care for type 2 diabetes: patient-reported and clinical outcomes after one year Full Text
BMC Complementary and Alternative Medicine,

Bradley R et al. – Improvements were noted in self–monitoring of glucose, diet, self–efficacy, motivation and mood following initiation of adjunctive naturopathic care (ANC) for patients with inadequately controlled type 2 diabetes. Study participants also experienced reductions in blood glucose that exceeded those for similar patients who did not receive ANC. Randomized clinical trials will be necessary to determine if ANC was responsible for these benefits.

Methods
  • Forty patients with type 2 diabetes were invited from a large integrated health care system to receive up to eight ANC visits for up to one year.
  • Participants were required to have hemoglobin A1c (HbA1c) values between 7.5-9.5 % and at least one additional cardiovascular risk factor (i.e., hypertension, hyperlipidemia or overweight).
  • Standardized instruments were administered by telephone to collect outcome data on self-care, selfefficacy, diabetes problem areas, perceived stress, motivation, and mood.
  • Changes from baseline scores were calculated at 6- and 12-months after entry into the study.
  • Six and 12-month changes in clinical risk factors (i.e., HbA1c, lipid and blood pressure) were calculated for the ANC cohort, and compared to changes in a cohort of 329 eligible, non-participating patients constructed using electronic medical records data.
  • Between-cohort comparisons were adjusted for age, gender, baseline HbA1c, and diabetes medications.
  • Six months was prespecified as the primary endpoint for outcome assessment.

Results
  • Participants made 3.9 ANC visits on average during the year, 78 % of which occurred within six months of entry into the study.
  • At 6-months, significant improvements were found in most patient-reported measures, including glucose testing (P = 0.001), diet (P = 0.001), physical activity (P = 0.02), mood (P = 0.001), self-efficacy (P = 0.0001) and motivation to change lifestyle (P = 0.003).
  • Improvements in glucose testing, mood, self-efficacy and motivation to change lifestyle persisted at 12-months (all P < 0.005).
  • For clinical outcomes, mean HbA1c decreased by 0.90 % (P = 0.02) in the ANC cohort at 6-months, a 0.51 % mean difference compared to usual care (P = 0.07).
  • Reductions at 12-months were not statistically significant (0.34 % in the ANC cohort, P = 0.14; -0.37 % difference compared to the usual care cohort, P = 0.12).

Please login or register to follow this author.
Are you sure you want to Unfollow this Author?
► Click here to access Full Text, PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Internal Medicine

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Internal Medicine Articles

1 Sweetened carbonated beverage consumption and cancer risk: Meta-analysis and review European Journal of Cancer Prevention, August 1, 2014    Evidence Based Medicine    Review Article

2 Triglycerides and cardiovascular disease The Lancet, August 19, 2014    Evidence Based Medicine    Clinical Article

3 Effects of intensive glycaemic control on ischaemic heart disease: analysis of data from the randomised, controlled ACCORD trial The Lancet, August 5, 2014    Evidence Based Medicine    Clinical Article

4 Global sodium consumption and death from cardiovascular causes New England Journal of Medicine, August 15, 2014    Evidence Based Medicine    Clinical Article

5 Effect of BCG vaccination against Mycobacterium tuberculosis infection in children: systematic review and meta-analysis BMJ, August 20, 2014    Evidence Based Medicine    Clinical Article

6 A very low carbohydrate, low saturated fat diet for type 2 diabetes management: a randomized trial Diabetes Care, July 31, 2014    Clinical Article

7 Corticosteroid treatment for community-acquired pneumonia - the STEP trial: study protocol for a randomized controlled trial Full Text Trials, July 16, 2014    Free full text    Evidence Based Medicine    Clinical Article

8 Obesity is a risk factor for significant carotid atherosclerosis in patients aged 39 to 55 years Angiology, July 18, 2014    Evidence Based Medicine    Clinical Article

9 Perioperative atrial fibrillation and the long-term risk of ischemic stroke JAMA, August 26, 2014    Evidence Based Medicine    Clinical Article

10 Changes in circulating leptin levels during acute stress and associations with craving in abstinent smokers: A preliminary investigation Psychoneuroendocrinology, June 20, 2014    Clinical Article

11 A randomized trial of epidural glucocorticoid injections for spinal stenosis New England Journal of Medicine, July 7, 2014    Evidence Based Medicine    Clinical Article

12 QTc changes after meal intake: sex differences and correlates Journal of Electrocardiology, August 27, 2014    Clinical Article

13 Being overweight or obese and risk of developing rheumatoid arthritis among women: A prospective cohort study Annals of Rheumatic Diseases, August 25, 2014    Evidence Based Medicine    Clinical Article

14 Statins and physical activity in older men the osteoporotic fractures in men study JAMA Internal Medicine, June 12, 2014    Evidence Based Medicine    Clinical Article

15 Screening pelvic examinations in asymptomatic, average-risk adult women: An evidence report for a clinical practice guideline from the American college of physicians Annals of Internal Medicine, July 2, 2014    Evidence Based Medicine    Clinical Article

16 Relationship between tea consumption and pancreatic cancer risk: A meta-analysis based on prospective cohort studies and case-control studies European Journal of Cancer Prevention, August 1, 2014    Evidence Based Medicine    Clinical Article

17 Risk of dementia among patients with asthma: a nationwide longitudinal study Journal of the American Medical Directors Association, August 1, 2014    Clinical Article

18 Impact of graduated compression stockings on the prevention of post-thrombotic syndrome - results of a randomized controlled trial Phlebology, August 20, 2014    Evidence Based Medicine    Clinical Article

19 Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose-response meta-analysis of prospective cohort studies BMJ, August 1, 2014    Evidence Based Medicine    Review Article    Clinical Article

20 Screening and prostate cancer mortality: Results of the European Randomised Study of Screening for Prostate Cancer (ERSPC) at 13 years of follow-up The Lancet, August 8, 2014    Evidence Based Medicine    Clinical Article

Indexed Journals in Internal Medicine: New England Journal of Medicine, The Lancet, Archives of Internal Medicinemore

Register now to view all the MDLinx contents (FREE)!

  • Stay current on the latest literature, research and clinical news
  • Get special communications and offers from MDLinx and our sponsors
  • Receive invitations to paid market research
View Samples and Register

Connect with us, stay current.

Receive the latest mecial news
updates for free via email

Sign up!

Subscribe to our free RSS feeds:

Get the latest news in your specialty automatically added to your newsreader or your personal My Yahoo!, Google, My MSN or My AOL page. Learn More

Close