PATTERNS AND DETERMINANTS OF COMPLEMENTARY AND ALTERNATIVE MEDICINE USE AMONG TYPE 2 DIABETIC PATIENTS IN A DIABETIC CENTER IN SAUDI ARABIA: HERBAL ALTERNATIVE USE IN TYPE 2 DIABETES

Background: Despite of the notable advances in the conventional treatment of diabetic patients, use of complementary and alternative medicine is increasing (CAM),  due to unsatisfactory results or adverse effects of the conventional treatment. The unsupervised use of  the (CAM) may increase the risk of misuse. Due to observed wide use of (CAM). Aim and Objectives: The current study aim at determiningthe prevalence, patterns, and predictors of complementary and alternative medicine (CAM) use in patients with type 2 diabetes mellitus (T2DM). Methods: Througha cross-sectional design, we select a random sample of 310 adult patients with T2DM registered at Jeddah Diabetic Center (JDC), Jeddah, Saudi Arabia JDC over the year 2016. A semi-structured questionnaire was used to collect data regarding the use, frequency, and duration of use of a list of common herbals such as black seed (Nigella sativa), ginger, cinnamon, etc.; and users’ attitude and belief towards CAM use in T2DM. In addition, socio-demographic, and clinical factors were collected and analyzed as factors and predictors for CAM use. Results: Eighty (25.8%) participants declared using CAM to treat diabetes, including ginger (11.6%), black seeds(10.0%), cinnamon (5.5%), fenugreek(2.9%),garlic (2.9%) and green tea (2.3%),while<1% used myrrh, onion or Asafoetida.Twenty-seven (8.7%) participants used more than one herbal. Majority of the users used herbal on a daily basis, buying it from a perfumery, and were advised by their friends. Majority of CAM users believed that CAM use improves health (96.3%), controls blood sugar (96.3%) and has fewer side effects (95.0%).Older age and being a female were significant predictors of CAM use. Conclusion: One in four diabetic patients attending JDC isa regular userof herbal medicine for diabetes.Most frequently used herbals are ginger, black seed, and cinnamon. Majority of users believe that herbal products are safe and effective in treating diabetes.