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Patients’ opinions regarding the continuous glucose monitoring system (CGMS) for self-control in adult patients with type 2 diabetes mellitus
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65–S211
the biggest issues within diabetic patients. There are 2 to 3 activities of Conversation Maps per month, and 60 to 80 minutes each time. 3 to 10 diabetic patients would join for each activity. Diabetes educators will give guidance in the activity, and made patients discuss or shared experiences and found the best answer by themselves based on the different topics. The objective of this study is to improve the effectiveness of glycemic control by Conversation Maps. Including criteria for subjects are newly diagnosed and poorly control diabetic patients (HbA1C >7%). This study has started since Feburary to July in 2014, and there were total 55 participants in the end. We collected subjects’ glycemic and blood lipid data before and after activity to assess the outcome. The results showed the average HbA1C from 9.8% to 7.8% (p < 0.001), fasting blood sugar from 193 mg/dL to 135 mg/dL ( p < 0.001), total cholesterol from 189 mg/dL to 159 mg/dL ( p < 0.01); however, there is no significant difference between low-density lipoprotein cholesterol and triglyceride. Under the leading from diabetes educators, the Conversation Maps are effective diabetes educational tools to help diabetic patients to know more diabetes and behavior change by triggering their motivation. Eventually, diabetic patients have better glycemic control by arranging health eating habits and lifestyle. We still more similar studies to identify our results. PG-24 The results of nutrition education for diabetes patients in a community in Changhua County, Taiwan Pei-Ru HUANG1 *, Yi-Ling CHUANG1, Wen-Hui CHEN1. 1 Nutrition Division, Lukang Christian Hospital, Changhua County, Taiwan, Taiwan There are many remote village and towns in Changhua County, Taiwan, that consisted of mostly elderly patients, where the access to medical care is limited. Due to the insufficient diabetes nutrition education, the Changhua Health Department has contracted Lukang Christian Hospital to perform diabetes nutrition educations at 45 basic clinics in Changhua County. In order to assess the effect of the education, 264 diabetes patients were sampled from the 45 basic clinics, between 2013 and 2015. The patients were assessed according to their dietary changes at 3 to 6 months after the education intervention. The results indicated that most patients have increased their intake of food belonging to the five major food groups. The percent of patients with adequate intake of low-fat dairy, wholegrain and starchy, protein, vegetable and fruit increased from 47.3 to 52.7%, 68.4 to 79.5%, 71.6 to 78%, 67 to 79.2% and 58.3 to 73.5%, respectively. Furthermore, the intake of inappropriate diets such as desserts, surgery drinks, and foods that are high in fat or sodium were reduced. Therefore, it was determined that diabetes nutrition education intervention in a community setting can be utilized to change patient diet behaviors for the goal of diabetes management. PG-25 Patients’ opinions regarding the continuous glucose monitoring system (CGMS) for self-control in adult patients with type 2 diabetes mellitus Michiko GUSHIKEN1 *, Yukiko OMLOR2. 1Department of global health, School of Health Sciences, Faculty of Medicine, University of the Ryukyus, 2University of the Ryukyus Hospital, Okinawa, Japan The aim of this study was to verify the effectiveness of a continuous glucose monitoring system (CGMS) for self-management of type 2 diabetics. Six adult patients with type 2 diabetes used a CGMS (iPro2) for 1 week. Semi-structured interviews were conducted, and the interview data were analyzed using a grounded theory approach. The following two core categories were identified: awareness of unbalanced diets and anxiety over diabetic complications. Graphical
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presentation of continuous glucose levels led patients to realize that their diets were unbalanced, which motivated them to improve their eating habits. As for the second core category, anxiety over diabetic complications, patients expressed regret for not knowing more about diabetic complications. They requested diabetic education that uses plain language instead of technical terms. CGMS is extremely effective in treating patients unaware of hypoglycemia and in controlling daily variations in blood glucose; however, implementation of continuous monitoring in the standard clinical nursing care setting has not yet been established. This research suggests that this new equipment is effective in motivating patients to become aware of an unbalanced diet and to improve their eating habits in self-management among adult patients with type 2 diabetes mellitus. PG-26 The impacts and care trends of type 1 diabetes during the transition phase on patients aged between 16 to 25 Yueh-Tao CHIANG1,2, Hsing-Yi YU1,3, Chi-Wen CHANG1,4 *. 1 School of Nursing, Medicine of College, Chang Gung University, 2 Division of Cardiology, Department of Pediatrics, Chang Gung Memorial Hospital, 3Department of Ophthmology, Chang Gung Memory Hospital, 4Division of Endocrinology, Department of Pediatrics, Chang Gung Memorial Hospital, Taiwan Type 1 diabetes occurs mostly in children and adolescents. For type 1 diabetes patients in the “transition phase” between late adolescence and early adulthood, they are exposed to the four transitional impacts caused by development, changes in interpersonal roles, illness-health and the organizational transition from the child-oriented nursing system to the adult-oriented health care system. Moreover, they witness a transformation in their disease management and different disease control results. Literature review suggests that type 1 diabetes at an age between 16 and 25 tends to worsen during the transition phase, thus making the nursing care of this disease even more important. This paper summarizes the key issues concerning type 1 diabetes during the transition phase, which include the impacts of type 1 diabetes during the transition phase, detectable changes during the transition phase and the current situation concerning the care of type 1 diabetes during the transition phase. The findings can contribute to the improvement of nursing care of type 1 diabetes during the transition phase and lay the foundation for future interventions, thus generating better disease control results and enhancing the quality of patients’ lives. PG-27 Effects and predictors of the diabetes conversation map education tools for maintaining glycemic control in patients with type 2 diabetes Yi-Yu CHEN1 *, Jui-Yu HUNG1, Hsin-Hung CHIANG1, Malcolm KOO2, Bing-Ru GAU3, Pin-Fan CHEN3. 1Health Management Center, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, 2Department of Medical Research, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, 3Division of Endocrinology and Metabolism, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan Purpose: To investigate the effects and predictors of the Diabetes Conversation Map educational tools on glycemic control in patients with type 2 diabetes attending a diabetes self-management education program. Methods: Outpatients with type 2 diabetes and a glycated hemoglobin (A1c) level of 7% or above were recruited from the division of metabolism and endocrinology in a regional hospital in southern Taiwan to enroll in a diabetes selfmanagement education program based on the Diabetes Conversation Map educational tools. Data on A1c and fasting blood glucose (FBG) were collected at baseline, post-
the biggest issues within diabetic patients. There are 2 to 3 activities of Conversation Maps per month, and 60 to 80 minutes each time. 3 to 10 diabetic patients would join for each activity. Diabetes educators will give guidance in the activity, and made patients discuss or shared experiences and found the best answer by themselves based on the different topics. The objective of this study is to improve the effectiveness of glycemic control by Conversation Maps. Including criteria for subjects are newly diagnosed and poorly control diabetic patients (HbA1C >7%). This study has started since Feburary to July in 2014, and there were total 55 participants in the end. We collected subjects’ glycemic and blood lipid data before and after activity to assess the outcome. The results showed the average HbA1C from 9.8% to 7.8% (p < 0.001), fasting blood sugar from 193 mg/dL to 135 mg/dL ( p < 0.001), total cholesterol from 189 mg/dL to 159 mg/dL ( p < 0.01); however, there is no significant difference between low-density lipoprotein cholesterol and triglyceride. Under the leading from diabetes educators, the Conversation Maps are effective diabetes educational tools to help diabetic patients to know more diabetes and behavior change by triggering their motivation. Eventually, diabetic patients have better glycemic control by arranging health eating habits and lifestyle. We still more similar studies to identify our results. PG-24 The results of nutrition education for diabetes patients in a community in Changhua County, Taiwan Pei-Ru HUANG1 *, Yi-Ling CHUANG1, Wen-Hui CHEN1. 1 Nutrition Division, Lukang Christian Hospital, Changhua County, Taiwan, Taiwan There are many remote village and towns in Changhua County, Taiwan, that consisted of mostly elderly patients, where the access to medical care is limited. Due to the insufficient diabetes nutrition education, the Changhua Health Department has contracted Lukang Christian Hospital to perform diabetes nutrition educations at 45 basic clinics in Changhua County. In order to assess the effect of the education, 264 diabetes patients were sampled from the 45 basic clinics, between 2013 and 2015. The patients were assessed according to their dietary changes at 3 to 6 months after the education intervention. The results indicated that most patients have increased their intake of food belonging to the five major food groups. The percent of patients with adequate intake of low-fat dairy, wholegrain and starchy, protein, vegetable and fruit increased from 47.3 to 52.7%, 68.4 to 79.5%, 71.6 to 78%, 67 to 79.2% and 58.3 to 73.5%, respectively. Furthermore, the intake of inappropriate diets such as desserts, surgery drinks, and foods that are high in fat or sodium were reduced. Therefore, it was determined that diabetes nutrition education intervention in a community setting can be utilized to change patient diet behaviors for the goal of diabetes management. PG-25 Patients’ opinions regarding the continuous glucose monitoring system (CGMS) for self-control in adult patients with type 2 diabetes mellitus Michiko GUSHIKEN1 *, Yukiko OMLOR2. 1Department of global health, School of Health Sciences, Faculty of Medicine, University of the Ryukyus, 2University of the Ryukyus Hospital, Okinawa, Japan The aim of this study was to verify the effectiveness of a continuous glucose monitoring system (CGMS) for self-management of type 2 diabetics. Six adult patients with type 2 diabetes used a CGMS (iPro2) for 1 week. Semi-structured interviews were conducted, and the interview data were analyzed using a grounded theory approach. The following two core categories were identified: awareness of unbalanced diets and anxiety over diabetic complications. Graphical
S167
presentation of continuous glucose levels led patients to realize that their diets were unbalanced, which motivated them to improve their eating habits. As for the second core category, anxiety over diabetic complications, patients expressed regret for not knowing more about diabetic complications. They requested diabetic education that uses plain language instead of technical terms. CGMS is extremely effective in treating patients unaware of hypoglycemia and in controlling daily variations in blood glucose; however, implementation of continuous monitoring in the standard clinical nursing care setting has not yet been established. This research suggests that this new equipment is effective in motivating patients to become aware of an unbalanced diet and to improve their eating habits in self-management among adult patients with type 2 diabetes mellitus. PG-26 The impacts and care trends of type 1 diabetes during the transition phase on patients aged between 16 to 25 Yueh-Tao CHIANG1,2, Hsing-Yi YU1,3, Chi-Wen CHANG1,4 *. 1 School of Nursing, Medicine of College, Chang Gung University, 2 Division of Cardiology, Department of Pediatrics, Chang Gung Memorial Hospital, 3Department of Ophthmology, Chang Gung Memory Hospital, 4Division of Endocrinology, Department of Pediatrics, Chang Gung Memorial Hospital, Taiwan Type 1 diabetes occurs mostly in children and adolescents. For type 1 diabetes patients in the “transition phase” between late adolescence and early adulthood, they are exposed to the four transitional impacts caused by development, changes in interpersonal roles, illness-health and the organizational transition from the child-oriented nursing system to the adult-oriented health care system. Moreover, they witness a transformation in their disease management and different disease control results. Literature review suggests that type 1 diabetes at an age between 16 and 25 tends to worsen during the transition phase, thus making the nursing care of this disease even more important. This paper summarizes the key issues concerning type 1 diabetes during the transition phase, which include the impacts of type 1 diabetes during the transition phase, detectable changes during the transition phase and the current situation concerning the care of type 1 diabetes during the transition phase. The findings can contribute to the improvement of nursing care of type 1 diabetes during the transition phase and lay the foundation for future interventions, thus generating better disease control results and enhancing the quality of patients’ lives. PG-27 Effects and predictors of the diabetes conversation map education tools for maintaining glycemic control in patients with type 2 diabetes Yi-Yu CHEN1 *, Jui-Yu HUNG1, Hsin-Hung CHIANG1, Malcolm KOO2, Bing-Ru GAU3, Pin-Fan CHEN3. 1Health Management Center, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, 2Department of Medical Research, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, 3Division of Endocrinology and Metabolism, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan Purpose: To investigate the effects and predictors of the Diabetes Conversation Map educational tools on glycemic control in patients with type 2 diabetes attending a diabetes self-management education program. Methods: Outpatients with type 2 diabetes and a glycated hemoglobin (A1c) level of 7% or above were recruited from the division of metabolism and endocrinology in a regional hospital in southern Taiwan to enroll in a diabetes selfmanagement education program based on the Diabetes Conversation Map educational tools. Data on A1c and fasting blood glucose (FBG) were collected at baseline, post-