ETHNOPHARMACOLOGICAL THERAPIES IN THE TREATMENT OF DIABETES IN SERBIA

Sažetak

The use of ethnopharmacological therapies is part of the human tradition. For centuries, they have been used in the treatment of diabetes, as well as other illnesses. The aim of this study was to examine the frequency of traditional medicine use in Serbia. The study was conducted as an online survey in February 2018. 130 people were surveyed, of which 55.38 % were people diagnosed with diabetes. The most commonly used herbal substituents were M. piperita L. (21 %), traditional herbal mixtures designed to regulate the primary and secondary diabetes complications (15%), M. chamomilla L. (13%) and pharmaceutical supplements based on traditional recipes (10 %). 100 % of people with diabetes adheres to contemporary pharmacotherapy, while 25.86 % of people without diabetes do not use pharmacotherapy, but exclusively traditional medicine. There is no significant difference between the diabetic population that uses traditional medicine (51.34 %) and the one who doesn’t  (48.61 %), whereas in non-diabetic population the difference is significant (p < 0.05) so that 87.93 % of them regularly use medicinal herbs. More women than men use ethnopharmacological treatments (p < 0.05). The age of the respondents and their education also have an impact on the choice of therapy, so ethnopharmacological approaches are the most often used by faculty educated people aged 30 to 50 years. Moreover, people pay attention to the quality of supplements they use, i.e. 57.96 % of people buy them in pharmacies, 29.55 % with certified sellers, and only 12.49 % at the local market.

Korišćenje etnofarmakoloških terapija deo je ljudske tradicije. Vekovima se koriste kako u lečenju dijabetesa, tako i u terapiji drugih bolesti. Svrha ovog rada bila je ispitivanje učestalosti primene tradicionalne medicine u Srbiji. Ispitivanje je vršeno anketiranjem preko interneta, februara 2018. Ispitano je 130 ljudi, od kojih je 55,38 % ispitanika bilo sa dijagnostifikovanim dijabetesom. Najčešće korišćeni herbalni supstituenti bili su M. piperita L. (21 %), tradicionalne biljne mešavine namenjene regulaciji primarnih i sekundarnih posledica dijabetesa (15 %), M. chamomilla L. (13 %) i farmaceutski suplementi zasnovani na tradicionalnim recepturama (10 %). Savremene farmakoterapije pridržava se 100 % ljudi sa dijabetom, dok 25,86 % ispitanika bez dijabeta ne koristi farmakoterapiju, već isključivo tradicionalnu medicinu. Nema bitne razlike među dijabetičnom populacijom koja koristi (51,34 %) i koja ne koristi etnofarmakološke tretmane (48,61 %), dok je u nedijabetičnoj populaciji razlika značajna (p < 0,05), pa tako 87,93 % njih redovno primenjuje upotrebu lekovitih biljaka. Mnogo je više žena nego muškaraca sklonih etnofarmakološkim pristupima lečenja (p < 0,05). Starost ispitanika i njihovo obrazovanje takođe imaju uticaja na odabir terapije, pa su tako etnofarmakološki pristupi najzastupljeniji kod fakultetski obrazovanih ljudi starosti od 30 do 50 godina. Pokazalo se da ljudi obraćaju pažnju i na ispravnost suplemenata koje koriste, tj. 57,96 % ljudi kupuje u apoteci, 29,55 % kod sertifikovanih prodavaca, a samo 12,49 % na pijaci.