Diabetes Research and Clinical Practice - Volume 120 - Supplement 1

participants with depressive symptoms alone were less likely

to adhere to exercise (Adjusted Odds Ratio [AOR] = 0.63; 95%

CI = [0.39

–

0.99]). Participants combined with cognitive impair-

ment and depressive symptoms were less likely to adhere to

exercise (AOR = 0.39; 95% CI = [0.21

–

0.71]), to healthy diet

(AOR = 0.30; 95% CI = [0.15

–

0.61]), and to self-monitoring of

blood glucose (AOR = 0.46; 95% CI = [0.21

–

0.99]).

Conclusion:

Our results highlight the combined presence of

depressive symptoms and cognitive impairment was preva-

lent in older adults with diabetes. Furthermore, this combin-

ationwas associatedwithworse self-care behaviors, especially

exercising, healthy diet, and self-monitoring of blood glucose

for older adults with diabetes. These findings highlight the

importance of improving depressed mood and cognitive

function in older to performing self-care behaviors for older

adults with diabetes.

PF-15

Psychological benefits of peer support: Implications for peer

support programs and diabetes self management and support

in China

Muchieh COUFAL

*, Edwin FISHER

, Wei CHEN

, Zilin SUN

Li YAN

Asian Center for Health Education,

Peers for Progress,

Department of Health Behavior, University of North Carolina at

Chapel Hill, United States of America;

Peking Union Medical College

Hospital,

Department of Endocrinology, Zhongda Hospital, Institute

of Diabetes, School of Medicine, Southeast University,

Second

People

’

s Hospital of Guilin, China

Peer support is an effective strategy to initiate and sustain

healthy behaviors and improve diabetes management. Peer

support may also enhance psychological and emotional well

being. With the huge need for basic diabetes education,

however, thinking about peer support may overlook how it

may benefit psychosocial status and how this may contribute

to behavior change and improved health. Peers for Progress

(PfP), developed to promote peer support worldwide, has been

facilitating the adaptation of peer support programs for people

with diabetes in China since 2009. Collaborative workshops

with the Chinese Diabetes Society and Zhongda Hospital in

Nanjing have trained over 500 physicians and nurses who have

established more than 30 programs. Drawing from this

experience and specific programs of the Beijing Diabetes

Prevention and Treatment Association, Zhongda Hospital,

and the Second People

’

s Hospital of Guilin, three themes

have emerged that highlight the psychosocial impact of peer

support. First, peer support helps participants reduce negative

emotions such as fear, distress, and feeling hopeless about

their conditions. . Some participants particularly shared that

because of the program they were no longer afraid of having

diabetes. Second, by connecting with others

“

like them

”

participants often find a sense of belonging. They feel they

are not alone anymore. In a group setting, some even referred

to their groups as

“

families

”

. Third, people gain happiness

from finding others with whom they can share the journey of

managing diabetes. Notably, participants reported that the

happiness and feeling of acceptance were important motiva-

tors for them to engage in healthy behaviors and continue

participation in the programs. Quantitative data reported by

the programs support these qualitative findings. For example,

despite being in a low-resource setting, the program in Guilin

maintained an average of 90% participant attendance over a 2

year period. The programs in Beijing and Nanjing found

improvements on measures of depressed mood as well as

metabolic status. What program participants revealed not

only illustrates the psychosocial benefits of peer support but

also has important implications for peer support programs.

Although peer support programs frequently is to emphasize

building diabetes knowledge and self management skills, it

also important to address rapport building among participants

and other features that lead to psychological benefits.

More generally, these observations from peer support under-

score that relationships with others and quality of life are

important features of diabetes management and key health-

behaviors.

PF-16

The effect of mental disorders on glycemic control of patients

with type 2 diabetes

Yu TAKEUCHI

1,2

, Akahito SAKO

*, Tadayuki KONDO

Hisayuki KATSUYAMA

, Hidetaka HAMASAKI

, Yoriyasu UJU

Toshihiko ITO

, Tetsuro ENOMOTO

, Tatsuro HAYAKAWA

Hidekatsu YANAI

Department of Psychiatry, Kohnodai. Hospital,

National. Center for Global. Health and Medicine,

Department of

Internal Medicine, Kohnodai Hospital, National Center for Global

Health and Medicine, Japan

Objective:

The relationship between mental illness and

glycemic control in diabetic patients is largely unknown.

We aimed to compare the characteristics and glycemic

control in diabetic patients with and without mental illness,

and to clarify the factors to achieve good glycemic control

(HbA1c < 7.0%) 1 year after the first visit.

Methods:

We retrospectively reviewed the patients with type 2

diabetes who visited outpatient department of internal

medicine for the first time between December 2011 and April

2013. We investigated the patient background, history of

diabetes and mental illness, and laboratory data at the time

of the first visit, and the glycemic control after 1 year. We

compared patients with mental illness and patients without

mental illness, and also compared patients who achieved good

glycemic control with patients who could not achieve by chi

square test and t test. We analyzed the factors associated with

the achievement of good glycemic control by logistic regres-

sion model.

Result:

Among 186 eligible cases, 58% were male. Mean age

was 62.5 years old, mean HbA1c was 8.4%, and mean duration

of diabetes was 5.6 years. Of the 69 cases with mental illness,

27 had schizophrenia, 21 had mood disorder, and 8 had

dementia. Patients with mental illness had significantly

younger age (58 vs 65), higher BMI (28 vs 25) and shorter

duration of diabetes (3.8 vs 6.6 year) than thosewithout mental

illness. There was no significant difference in mean HbA1c.

The patients who could not achieve HbA1c < 7% after 1 year

had significantly higher insulin usage rate before first visit (24

vs 7%) and longer duration of diabetes (9.4 vs 3.6 years). The

patients with mental illness tended to have better glycemic

control 1 year after the first visit. Logistic regression analysis

showed longer duration of diabetes was significantly asso-

ciated with lower rate of good glycemic control 1 year after the

first visit (odds ratio 0.92 per annum, 95% confidence interval

0.88, 0.96, p < 0.01).

Conclusion:

Our study showed the existence of significant

differences in clinical characteristics of diabetic patients

with and without mental illness, and also indicated patients

with mental illness could achieve good glycemic control by

appropriate treatment.

PF-17

Characteristics of type 2 diabetes patients with low aerobic

exercise capacity

Ryosuke MATSUKI

1,2

, Yoshikazu HIRASAWA

1,2

, Akira HOTTA

HiroshiYAMAMOTO

,MasahikoKUSABA

, ToshihikoEBISU

1,2

Department of Rehabilitation, Kansai Electric Power Hospital,

Osaka,

Yutaka Seino Distinguished Center for Diabetes Research,

Kansai Electric Power Medical Research Institute, Osaka, Japan

Introduction:

Indicators of aerobic fitness such as oxygen

uptake (VO2) at anaerobic threshold (AT) are often used for

functional evaluation of various populations. In patients

with type 2 diabetes mellitus (T2DM), VO2 at AT (ATVO2) is

decreased in comparison with that of a healthy population.

Decrease in aerobic fitness reduces the effect of exercise

Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65

–

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S156