A CROSS-SECTIONAL OBSERVATIONAL STUDY ON MISCONCEPTIONS ABOUT DIABETES AND RISK OF HYPOGLYCEMIA WITH CONCURRENT USE OF NATURAL HERBS/HERBAL PRODUCTS
Objective: To determine the various misconceptions in diabetes mellitus and the factors leading to such misconceptions. To find out the association of various misconceptions with the socio-demographic factors.
Methods: A cross-sectional observational study was conducted among 350 diabetic patients for a period of 6 mo. The study was done in diabetic clinics in the districts of Salem and Erode.
Results: The study included a total of 350 patients, among which 206 (58.86%) were females and 144 (41.14%) were males. The majority of the study population was between the age group 61-70 (30.86%). The total misconception scores were low (0-34) in 144 (41.14%), moderate (35-69) in 180 (51.43%) and high (70-104) in 26 (7.43%). Out of 25 patients identified with hypoglycemia 2 patients (8%) had only drug-drug interaction. 10 patients (40%) with both DI and HDI were identified. Herb-drug interactions alone were identified in 13 diabetic patients with hypoglycemia (52%) indicating the risk of hypoglycemia with concurrent use of herbs along with diabetic medications.
Conclusion: In this study carried out in a study population of 350 patients, the majority of the population, which contributes to about 94% had high to moderate knowledge about their condition of diabetes mellitus. The misconceptions about diabetes mellitus were high in 6.57% of the study population.
2. Rajkumar Patil, Nisha Nasrin A, Shib Sekhar Datta, Abhijit V Boratne, Lokeshmaran. Popular misconceptions regarding diabetes management: Where should we focus our attention?. J Clin Diagn Res 2013;7:287-91.
3. Harsh Mohan. Textbook of pathology. 8th ed. Ivan Damjanov: Jaypee Brothers Medical Publishers; 2018.
4. Akshadha Easwar, Aditya Gaudani, Arohi Gandhi, Milav Patel, Donald S Christian. A study on the myths and misconceptions of Diabetes Mellitus among diabetic patients attending tertiary care institute of Ahmedabad City, Gujarat. GCSMC J Med Sci 2018;VII:22-7.
5. Naila Akbar, Taleiha Aqeel, Noman Ul-Haq, Aqeel Naseem, Sameer Dhingra. Assessment of knowledge and dietary misconceptions among diabetic patients. J Pharm Practice Community Med 2016;2:9-15.
6. Sabra AA, Taha AZ, Al-Zubicr AG, Al-Kurashi NY. Misconceptions about diabetes mellitus among adult male attendees of primary health care centres in Eastern Saudi Arabia. SA Fam Pract 2010;52:344-9.
7. Sonia Verma, Madhu Gupta, Harvinder Popli, Geeta Agarval. Diabetes mellitus treatment using herbal drugs. Int J Phytomed 2018;10:1-10.
8. Ramesh C Gupta, Dennis Chang, Srinivas Nammi, Alan Bensoussan, Kellie Bilinski. Interactions between antidiabetic drugs and herbs: an overview of mechanisms of action and clinical implications. Diabetol Metab Syndr 2017;9:1-12.
9. Ahmed A Alsunni, Waleed I Albaker, Ahmed Badar. Determinants of misconceptions about diabetes among Saudi diabetic patients attending diabetes clinic at a tertiary care hospital in Eastern Saudi Arabia. J Family Community Med 2014;21:93-9.
10. Olamoyegun A Michael, Ajani O Gbadebo, Akinlade AT. Prevalence, pattern and determinants of myths and misconceptions among patients with Diabetes Mellitus in southwest Nigeria. Annals Med Health Sci Res 2018;8:62-7.
11. Devin M Mann, Diego Ponieman, Howard Leventhal, Ethan A Halm. misconceptions about diabetes and its management among low-income minorities with diabetes. Diabetes Care 2009;32:591-3.
12. Manisha Modak, Priyanjali Dixit, Jayant Londhe, Saroj Ghaskadbi, Thomas Paul A, Devasagayam. Indian herbs and herbal drugs used for the treatment of diabetes. J Clin Biochem Nutr 2007;40:163-73.
13. Debashish Paramanick, Neeraj Sharma. A review on herbs which are used in diabetes mellitus. Int J Drug Dev Res 2017;9:12-7.
14. Omobhude Fidelis Aluefua, Aminu Chika, Abubakar Amali Muhammad, Aminu Usman. Interactions between herbs and antidiabetic drugs: a systematic review. Res J Pharmacol 2017;11:6-17.
15. Chandraprakash Dwivedi, Swarnali Daspaul. Antidiabetic herbal drugs and polyherbal formulation used for diabetes: a review. J Phytopharmacol 2013;2:44-51.
16. Noura Al-Mousa, Amr Sabra. Adherence to the American diabetes association standards of care in Saudi Arabia. J Am Sci 2013;9:446-51.
17. Arun Kumar, Manish K Goel, Ram Bilas Jain, Pardeep Khanna, Vikas Chaudhary. India towards diabetes control: Key issues. Austarlasian Med J 2013;6:524-31.
18. Ganesh S Anusuya, S Gopalakrishnan, Rama Ravi, Stephen T, Krishnakumar J, Ezhil R, et al. Prevalence of type 2 diabetes mellitus among people attending medical camps in South Chennai, India. Int J Public Health Res 2015;2:63-8.
19. Vimal Pahuja, Genevie Fernandes, Nilesh Chatterjee. Knowledge of the disease among type 2 diabetes patients in a tertiary care hospital in Mumbai, India. Asian J Pharm Clin Res 2018;11:234-40.
20. Sheeba S, Sneha AK, Veena Biju. Knowledge and self-care practices among diabetics. Asian J Pharm Clin Res 2017;10:234-7.
21. Mani Rupeshkumar, Kunchu Kavitha, Pallab Kanti Haldar. Role of herbal plants in the diabetes mellitus therapy: an overview. Int J Appl Pharm 2014;6:1-3.
22. Rajni Jain, Piyush Jain, Poorva Jain. A review on treatment and prevention of diabetes mellitus. Int J Curr Pharm Res 2016;8:16-8.
This work is licensed under a Creative Commons Attribution 4.0 International License.