- Email: [email protected]
From obesity to diabetes - a multimedia simulation guide
Track 1. Education,
Nutrition & Psychosocial
whole data into EPR file. As a result, the system supported one-point advice on diet more effectively for outpatients before their consultation of physicians. Although FileMakerJ can afford to keep a long text in one field, whole record of one hour teaching is too much for the system disk and it is difficult for other staffs to read through. With the above mentioned voice recognition system, about 8% of mis-recognition of Japanese was found. Although the incidence of mis-recognition is not acceptable for medical record to store, the system was helpful for physicians to know what dietitian told beforehand their consultation. Diet regimen is the most important part of diabetes treatment, but dietitians do not have enough time to record what they have taught and what is the problem for each patient to adhere. With the EPR system, they can concentrate their effort in talking to patients, however, further improvement is required to minimize the frequency of mis-recognition.
P1024 From Obesity to Diabetes - A Multimedia Simulation Guide STEPAN SVACINA ’ , Jiri Kofranek 2. ’ 3rd Medical Clinic, IstMedical Faculty Charles University, Prague, Czech Republic: 2 Inst. Pathophysioiogy, 1st Medical Faculty Charles University, Prague, Czech Republic
We have designed a multimedia computer simulation guide to epidemiological, genetical, physiological and clinical aspects of the development from obesity to type 2 diabetes and to therapy of obesity, diabetes and obese diabetic patient. UKPDS results are included. We have created a computer program combining hypertext, multimedia interactive animations and simulation models. We have used developer’s tool kits of Macromedia (director 7) and tools from Mathworks (Matlab and Simulink). For the interaction of multimedia components, hypertext and simulation we have taken advantage of the system called Control Web. Glucose compartment changes, insulin sensitivity changes, insulin receptor and postreceptor events are shown using simulation models. Bergman’s Minimal Model and other glycoregulation models are included. Genetic and therapeutic consultation is possible. The program has following parts - Diagnosis of obesity and diabetes. Epidemiology of obesity and diabetes. Harmon changes in obesity and diabetes. Insulin sensitivity and insulin resistance. The metabolic way from obesity to diabetes. Metabolic syndrome. Polycystic ovary syndrome and other insulin resistant states. Clinical investigation in obesity and diabetes. Therapy of obesity and diabetes. Genetics of obesity and diabetes. Profit of obesity therapy in diabetes. The program is used for teaching students and doctors. Computer presentation will be shown during the congress. Patient oriented part is also prepared.
P1025 Characteristics of Nutritional Behavior in Diabetic Patients: An Epidemiological View from the French Monica Nutritional Survey F?GOURDY ‘, J.B. Ruidavets’, M.C. Tumin ‘, J. Ferrieres2, D. Arveiler3, P Amouye14, C. Simon3, N. Marecaux4, A. Binghams, P. Ducimetiere’, H. Hanaire-Broutin ‘. ’ Diabetology department, CHU Rangueil, Toulouse; 2 MONICA, Toulouse: s MONICA, Strasbourg; 4 MONICA, Lille; 5 INSERM lJ258, Paris, France
A nutritional survey was carried out in 1996-97 in a random sample of 1105 men aged 45-64 yr in the three French regions participating in the WHO MONICA Project (Lille, Strasbourg, Toulouse). Dietary investigation was undertaken by dietitians at home using the three days record method with estimation of quantities by household measures. 112 subjects reported a previous history of type 2 diabetes (insulin-treated subjects excluded) or hyperglycemia(Diabetic group: 10.2%. BMIz28.6f4.0 kg/m’). We compared their dietary habits with those of non-diabetic
Aspects of Diabetes
s245
Care
subjects (n=993, BMI=27.0f3.4). Statistical analysis was performed after adjustment for age, school duration, professional status, and living area. Energy and nutrient (expressed as percentages of calories) intakes were as follow: Diabetics (II = I 12) Energy (kcal/d) Carbohydrates (%)
Fats(S) Proteins(B)
Non-diabetics
(n = 993)
P
2369 39.7 42.3
2414 42.2 40.7
NS
18.0
17.0
<0.05
The percentage of oligosaccharides was reduced in diabetic patients (12.2% vs 15.4%, p
P1026 The Relationship between Nutritional Status and Glyceamlc Status of Urbanised Black Subjects Previously Identified as Glucose Intolerant A.M. BADENHORST, M. Slabber, M. Nel, W.F. Mollentze. Departments of Human Nutrition; Biostatistics and Internal Medicine, University of the Orange Free State, Bloemfontein, South Africa The aim of this was study was to determine the relationship between nutritional- and glyceamic status of urbanised black subjects formerly identified as glucose intolerant. Five years ago a randomly selected sample of Mangaung near Bloemfontein were screened for diabetes mellitus, and 79 subjects were identified as glucose intolerant. These 79 subjects were followed-up five years later to determine the prevalence of diabetes and to establish the possible role of nutrition nutritional status in the etiology of diabetes. Nutrient intake, body composition and serum albumin levels were measures. Nutritional status was compared to glyceamic status. Eleven (14%) of the subjects previously identified as glucose intolerant developed diabetes mellitus (DM), 26 (34%) remained glucose intolerant (GI) and 40 (52%) showed a normal glucose tolerance (NG). Subjects in all three groups showed low intakes of nutrients (~67% of the RDA ‘s). Significantly less subjects in the NG groups showed low intakes of phosphorous (p=O.O5), folic acid (p=O,OO4), ascorbic acid (p=O,O2) and vitamin D (p=O,O5) than the GI group. The GI group showed a significantly smaller fat percentage (p=O,O4) and lean body mass (p&1,04) than the NG group. The mean serum levels of the three groups were very similar: 47.7 (DM), 45.6 (GI), 46.1 (NG). These results suggest that the NG group were better nourished than the GI and the DM group and that optimal nutrition may play a role in the prevention of the development of diabetes mellitus. The most disturbing finding however, were the low nutrient intakes of all groups. The need for better dietary education and improved standards of living in these communities remains a priority to be addressed in health care.
P1027 Combination Patterns of Medical Remedies and Home Remedies for Adults with ‘Qpe 2 Diabetes Mellitus MAYUMI IT0 ’ , Yoshie Mori ’ , Kazumi Oda’. ’ School of Health Sciences, Gunma UniversiQ, Gunma, Maebashi; ‘School Chiba University, Chiba, Japan
of Nursing,
Purpose: The purpose of this study was to analyze combination patterns
Nutrition & Psychosocial
whole data into EPR file. As a result, the system supported one-point advice on diet more effectively for outpatients before their consultation of physicians. Although FileMakerJ can afford to keep a long text in one field, whole record of one hour teaching is too much for the system disk and it is difficult for other staffs to read through. With the above mentioned voice recognition system, about 8% of mis-recognition of Japanese was found. Although the incidence of mis-recognition is not acceptable for medical record to store, the system was helpful for physicians to know what dietitian told beforehand their consultation. Diet regimen is the most important part of diabetes treatment, but dietitians do not have enough time to record what they have taught and what is the problem for each patient to adhere. With the EPR system, they can concentrate their effort in talking to patients, however, further improvement is required to minimize the frequency of mis-recognition.
P1024 From Obesity to Diabetes - A Multimedia Simulation Guide STEPAN SVACINA ’ , Jiri Kofranek 2. ’ 3rd Medical Clinic, IstMedical Faculty Charles University, Prague, Czech Republic: 2 Inst. Pathophysioiogy, 1st Medical Faculty Charles University, Prague, Czech Republic
We have designed a multimedia computer simulation guide to epidemiological, genetical, physiological and clinical aspects of the development from obesity to type 2 diabetes and to therapy of obesity, diabetes and obese diabetic patient. UKPDS results are included. We have created a computer program combining hypertext, multimedia interactive animations and simulation models. We have used developer’s tool kits of Macromedia (director 7) and tools from Mathworks (Matlab and Simulink). For the interaction of multimedia components, hypertext and simulation we have taken advantage of the system called Control Web. Glucose compartment changes, insulin sensitivity changes, insulin receptor and postreceptor events are shown using simulation models. Bergman’s Minimal Model and other glycoregulation models are included. Genetic and therapeutic consultation is possible. The program has following parts - Diagnosis of obesity and diabetes. Epidemiology of obesity and diabetes. Harmon changes in obesity and diabetes. Insulin sensitivity and insulin resistance. The metabolic way from obesity to diabetes. Metabolic syndrome. Polycystic ovary syndrome and other insulin resistant states. Clinical investigation in obesity and diabetes. Therapy of obesity and diabetes. Genetics of obesity and diabetes. Profit of obesity therapy in diabetes. The program is used for teaching students and doctors. Computer presentation will be shown during the congress. Patient oriented part is also prepared.
P1025 Characteristics of Nutritional Behavior in Diabetic Patients: An Epidemiological View from the French Monica Nutritional Survey F?GOURDY ‘, J.B. Ruidavets’, M.C. Tumin ‘, J. Ferrieres2, D. Arveiler3, P Amouye14, C. Simon3, N. Marecaux4, A. Binghams, P. Ducimetiere’, H. Hanaire-Broutin ‘. ’ Diabetology department, CHU Rangueil, Toulouse; 2 MONICA, Toulouse: s MONICA, Strasbourg; 4 MONICA, Lille; 5 INSERM lJ258, Paris, France
A nutritional survey was carried out in 1996-97 in a random sample of 1105 men aged 45-64 yr in the three French regions participating in the WHO MONICA Project (Lille, Strasbourg, Toulouse). Dietary investigation was undertaken by dietitians at home using the three days record method with estimation of quantities by household measures. 112 subjects reported a previous history of type 2 diabetes (insulin-treated subjects excluded) or hyperglycemia(Diabetic group: 10.2%. BMIz28.6f4.0 kg/m’). We compared their dietary habits with those of non-diabetic
Aspects of Diabetes
s245
Care
subjects (n=993, BMI=27.0f3.4). Statistical analysis was performed after adjustment for age, school duration, professional status, and living area. Energy and nutrient (expressed as percentages of calories) intakes were as follow: Diabetics (II = I 12) Energy (kcal/d) Carbohydrates (%)
Fats(S) Proteins(B)
Non-diabetics
(n = 993)
P
2369 39.7 42.3
2414 42.2 40.7
NS
18.0
17.0
<0.05
The percentage of oligosaccharides was reduced in diabetic patients (12.2% vs 15.4%, p
P1026 The Relationship between Nutritional Status and Glyceamlc Status of Urbanised Black Subjects Previously Identified as Glucose Intolerant A.M. BADENHORST, M. Slabber, M. Nel, W.F. Mollentze. Departments of Human Nutrition; Biostatistics and Internal Medicine, University of the Orange Free State, Bloemfontein, South Africa The aim of this was study was to determine the relationship between nutritional- and glyceamic status of urbanised black subjects formerly identified as glucose intolerant. Five years ago a randomly selected sample of Mangaung near Bloemfontein were screened for diabetes mellitus, and 79 subjects were identified as glucose intolerant. These 79 subjects were followed-up five years later to determine the prevalence of diabetes and to establish the possible role of nutrition nutritional status in the etiology of diabetes. Nutrient intake, body composition and serum albumin levels were measures. Nutritional status was compared to glyceamic status. Eleven (14%) of the subjects previously identified as glucose intolerant developed diabetes mellitus (DM), 26 (34%) remained glucose intolerant (GI) and 40 (52%) showed a normal glucose tolerance (NG). Subjects in all three groups showed low intakes of nutrients (~67% of the RDA ‘s). Significantly less subjects in the NG groups showed low intakes of phosphorous (p=O.O5), folic acid (p=O,OO4), ascorbic acid (p=O,O2) and vitamin D (p=O,O5) than the GI group. The GI group showed a significantly smaller fat percentage (p=O,O4) and lean body mass (p&1,04) than the NG group. The mean serum levels of the three groups were very similar: 47.7 (DM), 45.6 (GI), 46.1 (NG). These results suggest that the NG group were better nourished than the GI and the DM group and that optimal nutrition may play a role in the prevention of the development of diabetes mellitus. The most disturbing finding however, were the low nutrient intakes of all groups. The need for better dietary education and improved standards of living in these communities remains a priority to be addressed in health care.
P1027 Combination Patterns of Medical Remedies and Home Remedies for Adults with ‘Qpe 2 Diabetes Mellitus MAYUMI IT0 ’ , Yoshie Mori ’ , Kazumi Oda’. ’ School of Health Sciences, Gunma UniversiQ, Gunma, Maebashi; ‘School Chiba University, Chiba, Japan
of Nursing,
Purpose: The purpose of this study was to analyze combination patterns