title: CAM: naturopathic dietary interventions for patients with type 2 diabetes.
abstract: OBJECTIVE
  To test feasibility, acceptability, and preliminary effectiveness of a naturopathic dietary intervention in patients with Type 2 diabetes.
  
  
  METHODS
  Prospective observational pilot study evaluating the change in clinical and patient-centered outcome measures following a 12-week individualized and group dietary education program delivered in naturopathic primary care.
  
  
  RESULTS
  HbA1c improved in all participants (n = 12); mean - 0.4% +/- 0.49% SD, (p = 0.02). Adherence to healthful eating increased from 3.5 d/wk to 5.3 d/wk (p = 0.05). Specific nutritional behavior modification included: days/week consuming ≥5 servings of fruit/vegetables (p = 0.01), attention to fat intake (p = 0.05), and -11.3% carbohydrate reduction. Measures of physical activity, self-efficacy and self-management also improved significantly.
  
  
  CONCLUSIONS
  A naturopathic dietary approach to diabetes appears to be feasible to implement among Type 2 diabetes patients. The intervention may also improve self-management, glycemic control, and have influences in other domains of self-care behaviors. Clinical trials evaluating naturopathic approaches to Type 2 diabetes are warranted.
authors: Bastyr University Research Institute, Kenmore WA 98128, USA. eoberg@bastyr.edu
authors: Erica B
authors: EB
authors: Oberg
authors: Ryan D
authors: RD
authors: Bradley
authors: Jason
authors: J
authors: Allen
authors: Megan A
authors: MA
authors: McCrory
mesh_terms: D000328:Adult; D000368:Aged; D001521:Behavior Therapy; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy*; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009324:Naturopathy / Q000379:methods*; D010349:Patient Compliance; D010353:Patient Education as Topic; D010865:Pilot Projects; D011446:Prospective Studies; D012648:Self Care; D020377:Self Efficacy; D012927:Social Control, Informal; D016896:Treatment Outcome
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human