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B19 Rachel Spanier Brenda Hookham V00776839 Online source evaluation for complementary and alternative medicine in the treatment of type 2 diabetes Diabetes has become a large issue in our society. Globally, 171 million people suffered from diabetes mellitus in 2000 and the numbers are increasing (Wazaify et al., 2011). The treatment of diabetes through insulin and monitoring blood glucose levels has been prevalent for years but complementary and alternative medicine has been gaining popularity (Wazaify et al., 2011). There has been an abundance of hype about this type of medicine lately and there has been many researches attempting to explore its efficiency. Complementary and alternative medicine can include herbal supplements, massage, exercise and mediation. It is a broad field and it includes almost everything that is not traditional treatment. I have evaluated five selected websites (Wazaify et al., 2011; Khan et al., 2003; NCCAM, 2008; Healthy-Ojas, 2010; Cancer Tutor, Unspecified) and ranked them according to their suitability as an online source and reference. Table 1. Online Source Evaluation Results, from Most Suitable to Least Suitable, for Alternative Medicine for the Treatment of Diabetes. Ranking Website Reason for Ranking 1 Complementary and alternative Primary reference with most medicine used among information provided. Jordanian patients with Diabetes. (Wazaify et al., 2011) 2 Cinnamon Improves Glucose Primary reference, however it and Lipids of People with Type was a very short article and 2 Diabetes. (Khan et al., 2003) could have provided further information. 3 Diabetes and CAM: A Focus Respectable information that on Dietary Supplements. can be verified, however it is (NCCAM, 2008) not written in a scientific paper form. 4 Diabetes Natural Treatments It is peer-reviewed but there Alternative were no references and not in (Healthy-Ojas, 2010) scientific paper form. 5 The Cure for Type 2 Diabetes Not peer-reviewed, (Cancer Tutor, Unspecified) unprofessional, amateur author and website, not in scientific paper form. 1 B19 Rachel Spanier Brenda Hookham V00776839 Website 1: Complementary and alternative medicine used among Jordanian patients with diabetes (Wazaify et al., 2011) I ranked this website first due to its solid status as a primary reference. It was peer-reviewed; it provided all of the original methods and results of the research, it was written by scientists and published in the form of a scientific paper. The article’s purpose was to determine the prevalence of use of herbal remedies in Jordan. A survey of 1000 diabetic patients was done and it was found that 16.6% reported using herbs as alternative and additional medicine (Wazaify et al., 2011). The most used herb in the survey was green tea, Camellia sinesis (Wazaify et al., 2011). There is supporting evidence that medicinal plants and herbs have anti-diabetic potential by reducing hypoglycaemia (Grover et al., 2002). It is even stated that medicinal herbs help restore pancreatic tissues and increase insulin output (Jia et al., 2003). All references used in this article were accurate and reported similar findings that were claimed. There were no scientific articles that contradicted with these results, which point to reputable information. Website 2: Cinnamon improves glucose and lipids of people with type 2 diabetes (Khan et al, 2003) This website is ranked second due to its equivalent status of a primary reference with website 1. It was peer-reviewed, written as a scientific article by scientists and had original research, however it is not ranked first because it provided a lot less information, was of a shorter length and it was an older article. This article claimed the inclusion of cinnamon, Cinnamomum cassia, in the daily diet of diabetic patients could reduce risk factors associated with diabetes and cardiovascular disease (Khan et al., 2003). Two groups of 30 patients were given a dose or cinnamon (either 1g, 3g or 6g) or a placebo capsule for 40 days, which was then followed by a 20-day washout period. The results showed no dose response because all of the levels were similar. However, after the 20- day washout period, only the patients who received the dose of 6g had a significant decrease in serum glucose (Khan et al., 2003). The information it provided was valid – 2 B19 Rachel Spanier Brenda Hookham V00776839 all of the claims could be backed up. Bailey and Day, in 1989, found similar results in many plant medicines – they found that certain polyphenols have hypoglycaemic effects. Cinnamon has an active ingredient proanthocyanidin, which is a larger class of polyphenols. Therefore, the results of Bailey and Day coincide with the newer results of Khan and his team in 2003. It was also found that there is an insulin-potentiating factor in certain foods and spices (Khan et al., 1990). Cinnamon was found to be one of these selected spices and it increased insulin activity more than a three-fold (Khan et al., 1990). I ranked this website second because I had to retrieve most information from further references and it is an older article than the first. Website 3: Diabetes and CAM: A Focus on Dietary and Supplements (NCCAM, 2008) This source is ranked third due to its lacking quality as a primary reference. It provides valid information but it is not presented in a scientific paper form and it is not clear if the specific article is actually written by scientists. It is peer-reviewed but it is pulling research and results from other papers and articles – there is no original research done in this article. It explores substances that are considered complementary an alternative medicine that are p
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