Endocrine Abstracts

Issues: In resource-poor-settings, Unlike Western nations monitoring DIABETES-treatment Adherence is low priority due to lack of training modules/funds/expertise. we analyzed experiences in using locally available Complementary Alternative Medicines [CAM] in rural/tribal areas.

Aims: Facilities for diagnosis/treatment located in major cities & are unaffordable to >85%. ADR’s & social stigma worsened situation. CAM must be incorporated along with standard ARV’s to reduce ADR’s & control symptoms to get better DIABETES-Treatment-Adherence. Provide CAM to Traditional-faith-hearers. To assess CAM response to pain, fatigue, Mayalgia, wt loss, feeling of hopelessness. Hence combine CAM with ARV’s.

Methods: 80 subjects aged 40–65 years enrolled. 40% females, 60% males. 20% returned to villages after incomplete therapy in city hospitals on allopathic drugs. 10% has severe ADR’s. Mud therapy 10%, Bach-flower 30%, Acupressure/Acupuncture 40%, Hydrotherapy 10%, Hypnotherapy 40%, ayurvedic therapy 80%, 20% on Unani, 60% Homeopathic.

Results: Patients treated in 11 CAM sessions. responses evaluated by feedback Performa periodically to modify treatment. Our NGO functioning shown graphically [pictorial display]. Symptom relief 60%, Psychosocial mood elevation 70%, willingness to shift back to ARV therapy 80%. CAM 50% cheaper compared to drugs. CAM available locally & high acceptance in patients.

Conclusion: 62 patients used & preferred CAMs. Hence CAM effectively compliments DIABETES-treatment-adherence. Community NGO’s must be part of such efforts to evolve newer concepts in Adherence. Realizing divergent versions of CAM multicentre study needed. We shall form group with researchers to substantially improve DIABETES care policy.