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Herbal medicines in poorly controlled diabetes: A Systematic Review
Reema Singh1, Pinki Mishra1, Vikas Dhikav2 1 Centre for translational and clinical research, Jamia Hamdard University, New Delhi, India 2 Post Graduate Institute of Medical Education & Research (PGIMER) and Dr. RML Hospital, New Delhi, India Corresponding author- Objective Results Diabetes is among the most common disorder in the world today (40 crores in the world and 6.7 crores in India). Poorly controlled diabetes is the uninterrupted hemoglobin A1c (HbA1C) >7.0% for ≥1 year despite standard care. Poorly controlled diabetes leads to complications, amplifying disability and mortality rates and leading to high direct, indirect, and intangible costs. Herbal medicines are claimed to be effective for treating this form of diabetes. Search of the literature revealed 3- studies (1 systematic review, 2 RCTs). The results of the published studies showed that herbal drugs were effective in providing good blood sugar levels control. Table: Randomised controlled trials of herbal drugs in poorly controlled diabetes Methods & Materials The literature search was done on PUBMED ( . The inclusion criteria included search term e.g. “herbal medicines & poorly controlled diabetes”, “”Randomized clinical trials and herbal medicines and poorly controlled diabetes”. The exclusion criteria included case reports, expert opinions, viewpoints, narrative review articles. Figure-1: Prevalence of controlled & Uncontrolled diabetes Figure-4: Comparative prevalence of complimentary & Alternative Medicine Conclusion Figure-2: Males & females in systematic review This systematic review found that the majority of diabetic patients successfully controlled their blood sugar level by using herbal medicines. Figure-3: CONSORT diagram of present systematic review References Chen SH, Sun YP, Chen XS. Effect of jiangtangkang on blood glucose, sensitivity of insulin and blood viscosity in non-insulin dependent diabetes mellitus. Zhongguo Zhong Xi Yi Jie He Za Zhi Nov; 17(11): PMID: Remli R, Chan SC. Use of complementary medicine amongst diabetic patients in a public primary care clinic in Ipoh. Medical Journal of Malaysia. 2003 Dec; 58(5): PMID: Fujiwara T et al. Lower 1, 5-anhydroglucitol is associated with denovo coronary artery disease in patients at high cardiovascular risk. Heart Vessels Jul; 30(4): PMID: Coronel MA, Armijos JS , Miranda DT , Cedeño DV , Chang Chavez MN. Prevalence and Risk Factors of Poorly Controlled Diabetes Mellitus in a Clinical Setting in Guayaquil, Ecuador: A Cross-Sectional Study. Arosemena et al. Int J Diabetes Clin Res 2015, 2:4.
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