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Preface xi
Foreword xiii
List of Contributors xiv
Acknowledgements xv
Introduction to Diabetes Gary Deed Trish Dunning 1
Incidence and prevalence of diabetes 1
Overview of diabetes 2
Management strategies 7
Management targets and regimens 8
Short-term complications 9
Long-term complications 10
Psychological aspects 11
Diabetes management requires integrated approaches 12
People with diabetes' needs, capacities and resources 12
Health professionals' needs 12
Integration - is it possible? 13
Complementary therapies 14
Summary 14
References 15
Complementary Therapy Use Mohan Pawa 17
Introduction 17
Defining complementary therapies 17
What is traditional use? 19
Philosophical basis of CAM 20
Frequency of CAM use 20
Profile of likely CAM users 28
Culture, health beliefs and CAM 29
Reportedadverse events associated with CAM 32
Summary 33
References 33
Complementary Medicine and Safety Lesley Braun 36
Introduction 36
Practices 38
Risks and safety 38
Adverse events 39
Intrinsic and extrinsic factors 42
Pre-market safety mechanisms 44
Preventing adverse medicine reactions 46
Safety of CM and diabetes management 47
References 47
Integrating Complementary and Conventional Therapies Trish Dunning 49
Introduction 49
What is integration? 50
Concerns about integration 51
Benefits of integration 53
Obstacles to integration 55
How can integration be achieved? 55
Current integrative models 57
Regulatory issues 57
Responsibilities of individual conventional practitioners using complementary therapies 61
Evidence-based care and clinical practice guidelines 67
Guidelines for patients using complementary therapies 72
Quality use of medicines 73
Documentation and communication 73
Adverse event reporting 74
References 74
Nutritional Therapies Rocco Di Vincenzo 77
Introduction 77
Nutritional medicine (NM) 77
Nutritional medicine assessment approaches 78
The Zone diet 80
Total wellbeing diet 82
Ketogenic or Atkins diet 83
Metabolic typing and ABO blood type diets 91
ABO blood type diet 93
The USDA food guide pyramid 96
Detoxification diets 99
Nutritional supplementation 102
Vitamins 103
Minerals 105
Trace elements 109
Essential fatty acids; gamma-linolenic acid and omega 3 fish oils 111
Other key nutrients 114
Safe use of supplements 115
References 116
Essential Oils (Aromatherapy) Trish Dunning 125
Introduction 125
Aromatherapy care models 126
Essential oils 126
Essential oils and diabetes education and management 137
Precautions to consider when assessing the suitability of essential oils in patients with renal disease 143
Essential oil use 143
Mental health and psychological care 146
Essential oil application/administration methods 149
Essential oil safety issues 151
Essential oil - conventional medicine interactions 154
References 155
Counselling and Relaxation Therapies Sue Cradock Chas Skinner 158
Introduction 158
The body and the mind 159
Diabetes and the psyche 160
Overview of general concepts and approaches 164
Stress management techniques 167
Summary 175
References 176
Energy Therapies Geraldine Milton 179
Introduction 179
Brief history of energy field medicine within a western context 181
Effects of geomagnetic earth rhythms on health and wellness 182
Electromagnetic and subtle energy within living organisms 183
Effects of subtle and electromagnetic energy on body structure and function 185
Brief overview of eastern perspectives of energy healing 186
Energy medicine in health care and relevance to diabetes and vascular disease 187
Bioenergetic therapies 189
Homeopathy 203
Summary 206
References 207
Herbal Medicines and Interactions with Conventional Medicines Used to Manage Diabetes Lesley Braun 211
Introduction 211
Differences between herbal and conventional medicines 214
Similarities between herbal medicines and conventional medicines 216
Herbal medicines and diabetes 217
Herbal medicines and vascular disease 221
Herbal interactions 224
Pharmacokinetic interactions 225
Pharmacodynamic interactions 226
Using herbal medicines in practice and avoiding adverse herb-medicine interactions 227
References 229
Ayurvedic Management of Diabetes Devaka Fernando 233
Introduction 233
Ayurveda 234
Ayurvedic diagnosis 239
Principles of preparing Ayurvedic herbal medicines 240
Maintaining good health 241
Ayurveda and diabetes 243
Research studies on Ayurvedic herbal remedies 246
The evidence base for Ayurvedic medicines 247
Adverse effects of Ayurveda 247
References 249
Chinese Medicine Treatment of Diabetes Kylie A. O'Brien Charlie Changli Xue 251
Introduction 251
What is Chinese medicine? 251
Key theories that guide Chinese medicine practice 254
Diagnostic methods 258
Chinese herbal medicine 259
Acupuncture and moxibustion 262
How is diabetes understood in Chinese medicine? 262
Chinese herbal medicine in the treatment of diabetes 264
Treating diabetes with acupuncture and moxibustion 266
Summary 269
References 270
Australian Aboriginal Traditional Healing Practices Heather McDonald 272
Introduction 272
Aboriginal concepts of health and illness 273
Traditional healing practices 276
Traditional healing practices as complementary medicine 284
Summary 286
References 287
Massage and Reflexology Paula Mullins 291
Introduction 291
Massage diagnosis and care processes 294
Massage and diabetes 295
Massage and cardiovascular disease 297
Reflexology 301
References 305
Naturopathy Liza Oates 307
Introduction 307
The naturopathic consultation 309
General management aims 310
Naturopathic management options 318
References 336
Complementary Approaches to Managing Pain Trish Dunning Leon Chaitow 339
Introduction 339
What is pain? 341
Pathophysiology of pain 341
Measuring pain severity 344
Managing pain 346
Common types of pain associated with diabetes 359
Summary 364
References 365
Manipulative Therapies Russell Banks 369
The origins of chiropractic therapy 369
Osteopathic beginnings 369
Relationship among chiropractors, osteopaths and the medical profession 370
Principles of manipulative therapies 370
Indications for manipulation 378
Potential benefits of spinal manipulation 380
Risks and complications associated with manipulative therapies 383
Summary 385
References 385
Index 390
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