Diabetes Research and Clinical Practice - Volume 120 - Supplement 1 - October 2016

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patients, who have started by have fail weight-loss trials, were
conveniently sampled. The survey tools include “weight
management knowledge scale ”, “weight management atti-
tude scale ”, “weight management behavior scale”, “weight
behavior scale”, “ objective exercise management self-efficacy
scale”, “ objective diet management self-efficacy scale”, “self-
esteem scale”, and “social support scale”. The descriptive and
inferential statistical analysis of the data was performed with
SPSS 20.0.
Results: The results in this study indicated that 62.5% of the
obese diabetes patients have actually gained weight after
undergoing weight management. These patients also reported
low social support scores in their surveys. The number of
weight-loss failures and weight management knowledge is
positively and significantly correlated with each other (r = .647,
p < .004). Furthermore, the number of weight-loss failures and
self-esteem scores are correlated negatively, with statistical
significance (r = −0.327, p < .003).
Discussion: The results from this study suggested that other
than health education for weight management knowledges,
the self-esteem and social support for diabetes patients
undergoing weight-loss is also very important. The physio-
logical support for weight-loss and the timely instruction on
weight management strategies can be used for aiding obese
diabetes patients in achieving sustained weight-loss for the
goal of health self-management.
PF-09
Effects of nutritional care to diabetic elderly in the long-term
care settings
Cyong-Huei HUANG 1*, Hui-Chuan HSU2, Pi-Ju YU1,
Yi-Chien CHEN 2, Yun-Wen HUANG1, Frances Chang MA1.
1 Enjoy-Food Nutrition Center, 2Chheng Hok Senior Home,
Taipei, Taiwan
Diabetes mellitus is highly prevalent and increased in
person aged 65 and older. Higher body mass index (BMI)
value is at increased risk of hypertension, dyslipidemia and
hypertension, also has greater relative risk of mortality than
normal-weight diabetes elderly. Despite it is reasonable to set
relaxed glycemic goals for some diabetes elderly, acute
complications may occur in poorly controlled diabetes. This
study evaluated the effect of different BMI value and fasting
plasma glucose (FBG) on nutritional status and glucose-low-
ering medication use in diabetes elderly. Diabetes elderly who
had stayed in a long-term care settings for over 6-months and
≥ 65 years of age were enrolled (n = 71). Exclusion criteria
included with poor kidney function and edema. The mean age
is 81.6 ± 7.8 years old. They were recorded weight and annually
health-checked data. The results showed that after at least 6-
months nutritional care, diabetes elderly had higher albumin
and total protein concentrations in blood, moreover, FBG and
triglyceride (TG) concentrations were significantly improved.
FBG, cholesterol and triglyceride concentrations were all
elevated when the BMI ≥27 Kg/m 2. Those with higher FBG
concentration also had higher TG and cholesterol. In the
comparison of different glucose-lowering medication use,
treated with insulin had higher BMI value, FBG and triglyceride
concentrations. Furthermore, after a period of at least 6-
months nutritional care, originally FBG < 90 gm/dL subjects,
the average FBG concentration significantly increased
from 79.1 ± 7.1 to 92.0 ± 14.5 gm/dL. On the other hand, FBG
concentration between 90 –150 gm/dL and >150 gm/dL sub-
jects, FBG concentration significantly decreased and located
within normal range. In conclusion, although BMI values
correlated with FBG concentration and further increasing the
risk of dyslipidemia, but after professional nutrition care in
long-term care settings, it could significantly enhance the
nutritional status in diabetes elderly and effectively control
FBG concentration, also helped to reduce the risk of hypogly-
cemia and hyperglycemia.
PF-10
The effectiveness of the Steno Balance Cards on
complementary health management of poorly controlled
diabetes patients
Yueh-Chu WU1*, Chien-Ning HUANG2, Sun-Yang YI2. 1Diabetes
Education Center, Chung Shang Medical University Hospital,
2Division of Endocrinology and Metabolism, Department of Internal
Medicine, Chung Shan Medical University Hospital, Institute of
Medicine, School of Medicine, Chung Shan Medical University,
Taichung, Taiwan
Purpose: In this study, poorly controlled type 2 diabetes (T2DM)
patients were investigated. The patients were divided into two
groups based on the modality of psychosocial education, as
follows: traditional Peer Education group (PE group) and the
“Psychological Balance Dialogue” group (PBD group). To
enhance the effectiveness of mental health self-management.
Methods: T2DM patients with HbA1c > 8% were recruited
during September to October, 2015. Ninety-two patients were
randomly assigned to the PBD group (n = 46) and the PE group
(n = 46). The PBD group received instruction about diabetes
knowledge using the “I feel” themed Steno dialogue picture
cards to elicit group dialogue. The Steno dialogue picture cards
were developed by the Danish Steno Diabetes Center. An
illustrated Taiwan version was employed in the present study
with five sub-themes. In the PE group generally receive
instruction using an interactive peer education approach.
Results: In the PBD group, A1c decreased by 1.9% from 8.8 ± 1.7
to 6.9 ± 1.2%, whereas it was decreased by 0.7% in the PE
group from 8.7 ± 1.2 to 8.0 ± 1.33%, with all p < 0.05. The issues
raised in the PBD group were glycemic control factors, mainly
with respect to the themes of challenging relationship and
bodily infirmities. The Challenging Relations topics raised
included that self-monitoring of blood glucose cannot be
easily performed at regular times and is difficult to accomplish
with demands of family life, and so on. The aforementioned
action plan may help to reduce friction with family members.
The Bodily Infirmities topics included in the conversation
sessions were physical discomfort (malaise, frequent urin-
ation, bad temper) complications and psychological concerns
which lead to poor sleep quality. The Action Plan was to meet
the target to control blood sugar, reduce complications, and
improve family relationships.
Discussion and conclusions: Three months after performing
the psychosocial balance of dialogue sessions, the PBD
group and the PE group completed a health-related quality
of life questionnaire (SF-12). In the PBD group, the difference
before and after showed that the psychological balance
physiological score increased by 27.6, the mental component
score increased by 28.6; in the PE group, the physiological
score increased by 10.9, while the mental component score
increased by 11.1. There was a statistically significant
difference between the two groups (P < 0.001). The study
concluded that psychological balance dialogue using Steno
Balance Cards is beneficial for T2DM patients in glycemic
control and quality of life.
PF-11
Diabetes related distress among patients with type 2 diabetes
in Taiwan
Mei Chang YEH1*, Huey-Fen WANG2, Neng-Chun YU3,
Wayne H-H SHEU4,5,6. 1School of Nursing, College of Medicine,
National Taiwan University, Taipei, 2Department of Nursing,
Yuanpei University of Medical Technology, Hsinchu, 3Neng Chun
Diabetes Clinic, Ilan, 4Division of Endocrinology and Metabolism,
Department of Internal Medicine, Taichung Veterans General
Hospital, Taichung, 5School of Medicine, National Yang Ming
University, 6College of Medicine, National Defense Medical Center,
Taipei, Taiwan
Purpose: To understand the quality of life and distress of
patients with type 2 diabetes in Taiwan
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65–S211 S154