Treating type 2 diabetes: A cross-sectional audit of naturopathic standards of care using the Naturopathic Patient Database

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The Naturopathic Patient Database is a data management tool developed by the Canadian College of Naturopathic Medicine to collect patient data from its teaching clinic, the Robert Schad Naturopathic Clinic. This study investigated how type 2 diabetes mellitus was managed at the Robert Schad Naturopathic Clinic from May 2009 to February 2011. Cases of type 2 diabetes mellitus from the Robert Schad Naturopathic Clinic reported in the Naturopathic Patient Database were extracted based on an International Classification of Diseases, 10th revision code assessment of E11 (non-insulin-dependent diabetes mellitus) and files were audited. The American Diabetes Association 2010 standards of medical care in diabetes were used as guidelines for the audit. Multiple categories in diagnosis, physical exam, laboratory tests, and management were graded on a 0 to 2 scale. The average audit score was 55.5/90. The most common interventions being used are diet and aerobic exercise, followed by supplements (omega-3 fatty acids) and botanicals. These data suggest that the American Diabetes Association standards of care for type 2 diabetes mellitus are not followed stringently. Education and creation of a naturopathic standard of care may improve audit performance and patient outcomes.
Title of abstract: 
Treating type 2 diabetes: A cross-sectional audit of naturopathic standards of care using the Naturopathic Patient Database
Author: 
Christopher Habib ND, Matthew Gowan ND, Stefan Podgrabinski, Tom Grodski ND, Brenda Leung ND, Maria Shapoval ND, Dugald Seely ND, MSc, Kieran Cooley ND
Affiliations: 
1Canadian College of Naturopathic Medicine, Toronto, ON, Canada; 2OM Corporation, Toronto, ON, Canada; 3Boucher Institute of Naturopathic Medicine, New Westminster, BC, Canada
Citedate: 
Saturday, December 31, 2011 - 19:00
Citation: 
Journal of Evidence-Based Complementary & Alternative Medicine April 2012 vol. 17 no. 2 108-116 .
Taxonomy: 

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