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The main beach of Sayulita is rarely crowded, the exceptions being at Christmas and Easter.The constant activity of fishing boats, surfers and bird life make it a pleasant place to enjoy, especially with restaurants offering beach-chairs and shade umbrellas and personal food & beverage service.

Several significant ethnic/racial differences were observed in CAM use (both in the types of providers seen as well as in the herbs and dietary supplements used).

Although White patients reported using CAM in addition to their diabetes medication (mean [SD] 4.9 [0.4] on a scale from 1=never to 5=always) more frequently than Mexican American patients (3.1 [1.6], p Several significant ethnic/racial differences were observed in CAM use (both in the types of providers seen as well as in the herbs and dietary supplements used).

Although White patients reported using CAM in addition to their diabetes medication (mean [SD] 4.9 [0.4] on a scale from 1=never to 5=always) more frequently than Mexican American patients (3.1 [1.6], p However, despite these efforts, national prevalence rates and rates of complications associated with diabetes have been increasing steadily over the last decade, particularly for some racial/ethnic groups.

The prevalence of diabetes among adults ages 50–64 is 18% for Latinos and 11% for Asians, compared with 8% for Whites.

Furthermore, ethnic and racial minorities may be differentially at risk for suboptimal quality of diabetes care.

Research suggests that some minorities, such as Mexican American and Vietnamese American patients, have more diabetes-related complications and report poorer quality of diabetes care than non-Hispanic Whites.

Studies further document that these minority groups are less likely to participate in their care, have poorer communication with their providers, and generally receive poorer interpersonal care than non-Hispanic Whites.

Complementary and alternative medicine/therapy is broadly defined as “a diverse group of medical and health care systems, practices, and products that are not generally considered part of traditional or conventional medicine.” Studies have shown that patients, and in particular patients from minority racial or ethnic backgrounds, often do not tell their providers when they stop their prescribed medications or use folk medicine or CAM.

For example, in a national study of over 3,000 Chinese and Vietnamese patients, two-thirds reported that they used CAM while also receiving Western medical care, but less than 10% of patients reported that their doctors discussed CAM use with them.

Patients with chronic conditions, such as type 2 diabetes, are more likely to report using CAM than the general public.

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