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Investigation of the Relationship Between Alternative Treatment Methods Used by Type 2 Diabetes Patients and Their Nutritional Status and Self-Care

Year 2025, Volume: 5 Issue: 2, 187 - 205, 29.08.2025
https://doi.org/10.56061/fbujohs.1611962

Abstract

Type 2 diabetes mellitus (T2DM) is characterised by abnormalities in carbohydrate, fat and protein metabolism and is caused by insulin secretion, insulin resistance or a combination of both. This study was conducted to examine the effects of alternative treatment methods used by individuals with type 2 diabetes on their eating habits and self-care. A total of 48 individuals diagnosed with type 2 diabetes participated in the study. The average duration of diabetes was 10.7 years and 58.7% of the participants used oral anti-diabetic drugs. 47.9% of the participants stated that they had previously used Complementary and Alternative Medicine (CAM) and 55% stated that they used CAM to get rid of the side effects of medication. The mean CAM attitude level of the patients was 32.3±8.1 and the mean self-care level was 71.9±13.4. A positive correlation was found between the number of meals, duration of diabetes, fasting and postprandial blood glucose and self-care levels (p<0.05). Patients who applied diet with oral anti-diabetic (80.6) or insulin with oral anti-diabetic (80.2) had higher self-care levels than other patients (p<0.05). A significant relationship was found between diabetes duration, regular glucose measurement, oral anti-diabetic intake, fasting and postprandial blood glucose levels and diabetes self-care scale scores of the individuals participating in the study. No significant relationship was found between CAM attitude scale scores and self-care scale scores and other data.

References

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Investigation of the Relationship Between Alternative Treatment Methods Used by Type 2 Diabetes Patients and Their Nutritional Status and Self-Care

Year 2025, Volume: 5 Issue: 2, 187 - 205, 29.08.2025
https://doi.org/10.56061/fbujohs.1611962

Abstract

Tip 2 diabetes mellitus (T2DM), karbonhidrat, yağ ve protein metabolizmasındaki anormalliklerle karakterize bir hastalıktır ve insülin salgılanması, insülin direnci veya her ikisinin birleşimi nedeniyle oluşur. Bu çalışma, tip 2 diyabetli bireylerin kullandıkları alternatif tedavi yöntemlerinin beslenme alışkanlıkları ve öz bakımlarına olan etkilerini incelemek amacıyla yapılmıştır. Çalışmaya tip 2 diyabet tanısı almış 48 birey katılmıştır. Diyabetin ortalama süresi 10,7 yıldır ve katılımcıların %58,7’si oral antidiyabetik ilaç kullanmaktadır. Katılımcıların %47,9’u daha önce Tamamlayıcı ve Alternatif Tıp (TAT) kullandığını ve %55’i ise ilaçların yan etkilerinden kurtulmak için TAT kullandığını belirtmiştir. Hastaların TAT tutum düzeyi ortalaması 32,3±8,1 ve öz bakım düzeyi ortalaması 71,9±13,4’tür. Öğün sayısı, diyabet süresi, açlık ve tokluk kan şekeri ile öz bakım düzeyleri arasında pozitif korelasyon bulunmuştur (p<0,05). Diyetle birlikte oral antidiyabetik (80,6) veya insülinle birlikte oral antidiyabetik (80,2) uygulayan hastaların öz bakım düzeyleri diğer hastalara göre daha yüksekti (p<0,05). Çalışmaya katılan bireylerin diyabet süresi, düzenli glukoz ölçümü, oral antidiyabetik alımı, açlık ve tokluk kan şekeri düzeyleri ile diyabet öz bakım ölçeği puanları arasında anlamlı ilişki bulundu. CAM tutum ölçeği puanları ile öz bakım ölçeği puanları ve diğer veriler arasında anlamlı ilişki bulunmadı.

References

  • American Association of Diabetes Educators. (2020). An effective model of diabetes care and education: revising the AADE7 Self-Care Behaviors®. The Diabetes Educator, 46(2), 139-160. https://doi.org/10.1177/0145721719894903
  • American Diabetes Association. (2020). Diagnosis and classification of diabetes mellitus. Diabetes care, 33(Supplement_1), S62-S69. https://doi.org/10.2337/dc18-S002
  • Arslan, K. S. Ü. (2022). Investigation of the effects of complementary and alternative therapy usage on physical activity and self-care in individuals diagnosed with type 2 diabetes. Holistic Nursing Practice, 36(2), 93-104. https://doi.org/10.1097/HNP.0000000000000499.
  • Astin, J. A. (1998). Why patients use alternative medicine: results of a national study. jama, 279(19), 1548-1553. https://doi.org/10.1001/jama.279.19.1548.
  • Aydın, H., Deyneli, O., Yavuz, D., Tarçın, Ö., & Akalın, S. (2005). Does the frequency of the self-monitoring of blood glucose influence glycemic control in type 2 diabetic patients. Marmara Med J, 1, 13-16.
  • Bawadi, H., Abu-Jamous, D., & Tayyem, R. F. (2014). Evaluation of the dietary pattern of patients with type 2 diabetes in Northern Jordan: an inconvenient truth!. International Journal of Diabetes in Developing Countries, 34, 134-138. https://doi.org/10.1007/s13410-013-0149-8
  • Blahova, J., Martiniakova, M., Babikova, M., Kovacova, V., Mondockova, V., & Omelka, R. (2021). Pharmaceutical drugs and natural therapeutic products for the treatment of type 2 diabetes mellitus. Pharmaceuticals, 14(8), 806. https://doi.org/10.3390/ph14080806
  • Candar, A., Demirci, H., Baran, A. K., & Akpınar, Y. (2018). The association between quality of life and complementary and alternative medicine use in patients with diabetes mellitus. Complementary therapies in clinical practice, 31, 1-6. https://doi.org/10.1016/j.ctcp.2018.01.002
  • Ceylan, S., Azal, Ö., Taşlipinar, A., Türker, T., Açikel, C. H., & Gulec, M. (2009). Complementary and alternative medicine use among Turkish diabetes patients. Complementary therapies in medicine, 17(2), 78-83. https://doi.org/10.1016/j.ctim.2008.07.003
  • Chang, H. Y., Wallis, M., & Tiralongo, E. (2007). Use of complementary and alternative medicine among people living with diabetes: literature review. Journal of advanced nursing, 58(4), 307-319. https://doi.org/10.1111/j.1365-2648.2007.04291.x
  • Chang, H. Y., Huang, Y. Y., Chung, C. J., & Liu, F. H. (2023). A comparative analysis of complementary therapies use among patients attending diabetic clinics in Taiwan: 2007 vs. 2023. BMC Complementary Medicine and Therapies, 23(1), 455. https://doi.org/10.1186/s12906-023-04299-9
  • Chatterjee, S., Khunti, K., & Davies, M. J. (2017). Type 2 diabetes. The lancet, 389(10085), 2239-2251. http://dx.doi.org/10.1016/S0140-6736(17)30058-2
  • Ching, S. M., Zakaria, Z. A., Paimin, F., & Jalalian, M. (2013). Complementary alternative medicine use among patients with type 2 diabetes mellitus in the primary care setting: a cross-sectional study in Malaysia. BMC complementary and alternative medicine, 13, 1-7. https://doi.org/10.1186/1472-6882-13-148
  • Di Onofrio, V., Gallé, F., Di Dio, M. et al. Effects of nutrition motivational intervention in patients affected by type 2 diabetes mellitus: a longitudinal study in Naples, South Italy. BMC Public Health 18, 1181 (2018). https://doi.org/10.1186/s12889-018-6101-6
  • Erci, B. (2007). Attitudes towards holistic complementary and alternative medicine: a sample of healthy people in Turkey. Journal of clinical nursing, 16(4), 761-768. https://doi.org/10.1111/j.1365-2702.2006.01655.x
  • Evert, A. B., Dennison, M., Gardner, C. D., Garvey, W. T., Lau, K. H. K., MacLeod, J., ... & Yancy Jr, W. S. (2019). Nutrition therapy for adults with diabetes or prediabetes: a consensus report. Diabetes care, 42(5), 731. https://doi.org/10.2337/dci19-0014
  • Ghorat, F., Mosavat, S. H., Hadigheh, S., Kouhpayeh, S. A., Naghizadeh, M. M., Rashidi, A. A., & Hashempur, M. H. (2024). Prevalence of Complementary and Alternative Medicine Use and Its Associated Factors among Iranian Diabetic Patients: A Cross-Sectional Study. Current Therapeutic Research, 100, 100746. https://doi.org/10.1016/j.curtheres.2024.100746
  • Hayran, M., & Hayran, M. (2018). Sağlık Araştırmaları İçin Temel İstatistik (2. Basım). Omega Araştırma, Organizasyon, Eğitim, Danışmanlık. Ankara.
  • Huang, L., Zhang, L., Jiang, S., Liang, B., Xu, N., Li, J., ... & Zhang, Z. (2022). Association of the Coronavirus Disease 2019 Outbreak on the Diabetes Self-Management in Chinese Patients: An Analytical Cross-Sectional Study. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 1413-1422. https://doi.org/10.2147/DMSO.S35182
  • Hyland, M. E., Lewith, G. T., & Westoby, C. (2003). Developing a measure of attitudes: the holistic complementary and alternative medicine questionnaire. Complementary therapies in medicine, 11(1), 33-38. https://doi.org/10.1016/S0965-2299(02)00113-9
  • Jafari, A., Movahedzadeh, D., Barsalani, F. R., & Tehrani, H. (2021). Investigation of attitude, awareness, belief, and practice of complementary and alternative medicine among type 2 diabetic patients: a cross sectional study. Journal of diabetes & metabolic disorders, 20, 477-484. https://doi.org/10.1007/s40200-021-00769-4
  • Jamhuri, N., Shaari, S., Baharom, B., Rekamarudin, N., Ismail, S. H., Teo, C. S., ... & Samudi, A. N. M. (2024). Nutrition Status, Perspective and Usage of Traditional and Complementary Medicine among Cancer Patients in Malaysia: A Descriptive Study. International Journal of Food, 1(1), 120-130. https://doi.org/10.51200/ijf.v1i1.4815
  • Judith, O., Ijeoma, O., Ekere, K., Isaac, A., Christianah, I., Olubunmi, O., & Martins, E. (2016). Popularity and customer preferences for herbal medicines in Nigeria: a questionnaire based survey. Humanit Soc Sci Lett, 4(3), 69-76. https://doi.org/10.18488/journal.73/2016.4.3/73.3.69.76
  • Kahn, S. E., Cooper, M. E., & Del Prato, S. (2014). Pathophysiology and treatment of type 2 diabetes: perspectives on the past, present, and future. The Lancet, 383(9922), 1068-1083. http://dx.doi.org/10.1016/S0140-6736(13)62154-6
  • Kara, K., & Çınar, S. (2011). Diyabet bakım profili ile metabolik kontrol değişkenleri arasındaki ilişki. Kafkas J Med Sci, 1(2), 57-63. https://doi.org/5505/kjms.2011.41736
  • Karakurt, P., & Kasikci, M. (2015). Validity and reliability of the Turkish version of the Diabetes Self-Care Scale. International Journal of Diabetes in Developing Countries, 35, 148-156. https://doi.org/10.1007/s13410-014-0252-5
  • Kasole, R., Martin, H. D., & Kimiywe, J. (2019). Traditional medicine and its role in the management of diabetes mellitus:“patients’ and herbalists’ perspectives”. Evidence‐Based Complementary and Alternative Medicine, 2019(1), 2835691. https://doi.org/10.1155/2019/2835691
  • Kav, S., Yilmaz, A. A., Bulut, Y., & Dogan, N. (2017). Self-efficacy, depression and self-care activities of people with type 2 diabetes in Turkey. Collegian, 24(1), 27-35. https://doi.org/10.1016/j.colegn.2015.09.005
  • Kevin A. Cradock, Gearóid ÓLaighin, Francis M. Finucane, Rhyann McKay, Leo R. Quinlan, Kathleen A. Martin Ginis, Heather L. Gainforth; Diet Behavior Change Techniques in Type 2 Diabetes: A Systematic Review and Meta-analysis. Diabetes Care 1 December 2017; 40 (12): 1800–1810. https://doi.org/10.2337/dc17-0462
  • Küçükgüçlü, Ö., Kızılcı, S., Mert, H., Uğur, Ö., Besen, D. B., & Ünsal, E. (2012). Complementary and alternative medicine use among people with diabetes in Turkey. Western journal of nursing research, 34(7), 902-916. https://doi.org/10.1177/0193945910387165
  • Lee, N. P., & Fisher Jr, W. P. (2005). Evaluation of the Diabetes Self-Care Scale. Journal of applied measurement, 6(4), 366-381.
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There are 49 citations in total.

Details

Primary Language English
Subjects Nutritional Science
Journal Section Research Articles
Authors

Dilanur Sönmez 0009-0001-8543-1824

Ceyda Okudu 0000-0001-9676-4045

Elif Gamze Şen 0000-0003-1569-8950

Publication Date August 29, 2025
Submission Date January 7, 2025
Acceptance Date March 26, 2025
Published in Issue Year 2025 Volume: 5 Issue: 2

Cite

APA Sönmez, D., Okudu, C., & Şen, E. G. (2025). Investigation of the Relationship Between Alternative Treatment Methods Used by Type 2 Diabetes Patients and Their Nutritional Status and Self-Care. Fenerbahçe University Journal of Health Sciences, 5(2), 187-205. https://doi.org/10.56061/fbujohs.1611962