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PG-02
The comparison of different health education tools and their
effects in glucose management for type II diabetes patients
Hsiao-Jung LO
1
*.
1
Wei-Gong Memorial Hospital, Miaoli, Taiwan,
Taiwan
Purpose:
Experts estimated that in 2035, there will be
approximately 5.9 billion diabetes patients worldwide.
Studies have indicated that the primary cause of death for
diabetes patients were cardio vascular diseases and other
comorbidities. Therefore, long term blood glucose manage-
ment has been the target for diabetes patients worldwide, and
many diabetes health education tools have been established
for this same purpose. This study was aimed to investigate the
blood glucosemanagement efficiencies of each of the different
diabetes management conversation tools.
Material and Method:
This study was a randomized controlled
trial that enrolled type II diabetes patients. The participants
were randomly allocated into the
“
conversation map group
”
and
“
steno group
”
, in a 1:1 ratio, with 143 and 150 patients,
respectively. A questionnaire was used for data collection at
pre- and 1 month post-intervention.
Result:
Multivariate linear autoregressive models were used
for comparing the corrected pre-intervention values and their
related factors for the steno and map group. The results
indicated that the steno group had significantly improved
post-intervention glycated hemoglobin (
β
= 0.171) and post-
prandial blood glucose (
β
= 0.136) than the map group.
Additional,
χ
2 test and pair t-test, performed by SPSS 20.0,
determined that post-intervention glycated hemoglobin,
fasting blood glucose, postprandial blood glucose, diet, and
exercisewere all improved for both of the groups. Furthermore,
the steno and map group demonstrated significant (p < 0.05)
glycated hemoglobin (HBA1C) reductions of 2.37% and 1.28%,
respectively.
Conclusion:
The results in this study demonstrated that
both diabetes management conversation tools can be used
to improve patient blood glucose levels and behavior.
Furthermore, the steno group was demonstrated to have has
better HBA1C improvement than the map group. Therefore,
any of the two health education tools can be used to improve
patient blood glucose. However, further investigation is
required to determine the effect mechanisms and the
specificities of each health education tools.
PG-03
Fruit-eating habit in Hong Kong people with diabetes
Pui Sze Grace HUI
1
*, Wing Kai LAI
2
, Hop Chun CHENG
1
,
Yuk Sim CHAU
1
, Sin Chung SIU
1
.
1
Department of Medicine and
Rehabilitation, TungWah Eastern Hospital,
2
Department of Dietetics,
Tung Wah Eastern Hospital, Hongkong
Introduction:
Fruits are rich in carbohydrate, fibre, antiox-
idants, and phytochemicals. Observational studies shown that
high levels of fruit and vegetable intake are associated with
increased psychological well being, reduced risk of CVD and
type 2 diabetes. As a result, many national and international
guidelines recommend at least five portions of fruit and/or
vegetables a day (a portion equates to 80 g). In Hong Kong,
Department of Health has recommended at least 2 servings of
fruits and 3 servings of vegetables daily as part of a balanced
diet. However, such guidelines are not always followed,
especially in patients with diabetes.
Objectives:
This study is to examine the fruit-eating habit in
Hong Kong people with diabetes.
Methods:
An interview based questionnaire was distributed to
consecutive patients attending the diabetic centre of Tung
Wah Eastern Hospital in the first week of January 2016. The
questionnaire included demographic data, fruit-eating habit,
and some basic knowledge about the beneficial effect of fruit.
Results:
Of 374 questionnaires received for evaluation, 52.6%
(197) were male, 47.3% (177) were female, mean age were 63.2
and 64.3 years old respectively.
Less than half (44%) reported eating fruit every day and only
24% (90 patients) knew the correct serving of fruit intake.
Patients had different reasons for not eating fruit daily, 56
patients thought that eating fruit everyday is not necessary, 26
of them said that
“
diabetic patient should not eat fruit
”
. On the
other hand, 28.3% (106 patients) thought that excess fruit
intake would not cause weight gain. Furthermore, many of
them had misconception about the choice of fruit, esp. durian
and water melon.
Conclusion:
As part of healthy diet, 2 servings of fruits daily are
recommended. This study showed that Hong Kong diabetic
patients have some misconception about the choice and
amount of fruit intake. To promote health in patients with
diabetes, the benefit of fruit-eating can be introduced during
consultation, and also through poster, information leaflets
and health talk.
PG-04
Improvement of blood glucose in type II diabetes mellitus after
health education
Shan-Sian YU
1
*, Kun-Der LIN
2
, Yu-Li LEE
2
, Kai-Da CHENG
3
.
1
Department of Nursing, Kaohsiung Municipal Ta-Tung Hospital,
2
Department of Internal Medicine, Division of Endocrine and
Metabolic disease, Kaohsiung Municipal Ta-Tung Hospital,
3
Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Taiwan
Objective:
According to the guidelines of diabetes mellitus
healthcare 2015, medical professionals should do the imme-
diate and right intervention to prevent the complications in
patients with diabetes mellitus. Our study aimed to evaluate
the improvement of blood glucose after intervention of
diabetes mellitus educator.
Methods:
We divided participants with glycated hemoglobin
over 7% to experiment and control groups. The experiment
group received health education by diabetes mellitus educator
face to face every month and health education by telephone
every two weeks. The content of health education included
diet, exercise, self-monitor of blood glucose, symptoms and
managements of hypoglycemia or hyperglycemia. After three
months, we analyzed the effect between the two groups.
Results:
In experiment group, there are 7.8 ± 2.5 times by
telephone and face to face each participant. The times of blood
sugar test were 56.7 ± 42.5. There were fifteen participants
(50%) with hypoglycemia. Nine (60%) of them can do the
immediate managements and others can speak the manage-
ments of hypoglycemia after reeducation by diabetes mellitus
educator. There were six participants (20%) with the diet
record, fourteen (46.7%) participants took the 24-hour recall
record to improve diet and medication adjustment in seven
(23.3%) participants. There was significant improvement in
glycated hemoglobin from9.7 ± 2.0% to 7.4 ± 1.2% (P < 0.05). The
fasting blood glucose was significant improvement from
171.0 ± 66.4 to 126.5 ± 46.6/mg/dL (P < 0.05). The postprandial
blood glucose was significant improvement from 262.0 ± 141.7
mg/dL to 179.9 ± 70.6 mg/dL (P < 0.05). The glycated hemoglo-
bin showed significance between experiment (7.3 ± 1.2%) and
control group (8.8 ± 1.5%) in post-test. The fasting blood
glucose showed significance between experiment (126.5 ± 46.6
mg/dL) and control (182.5 ± 94.3 mg/dL) group.
Conclusions:
There was improvement in glycated hemoglobin
and fasting blood glucose by using face to face and telephone
health education. However, the rate of diet record was low,
there was difficult to manage the abnormality of blood glucose
after 24-hour recall record of diet. Besides, the blood glucose
test strips were consumables, the participants cannot imme-
diate check the blood glucose after the intervention. In the
future, we can calculate the blood glucose test strips by
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65
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