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

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is to identify early indicators of success, discuss opportunities
to strengthen the learning experience and apply lessons
learned before a national scale-up of the SRCC. Diabetes-
related knowledge and clinical reasoning skills will be
measured before and after course participation and change
will be measured at the individual and cohort level. Changes
in diabetes attitudes will also be measured before and
after participation. Pre-participation test data suggests that
knowledge of clinical diabetes care is low to moderate,
particularly among participating primary care nurses where
the average score on the pre-test was 42% of all questions
answered correctly. Post-course testing will be completed in
April 2016.
Visits to all participating clinics have been completed.
The major learning points from these visits highlight
the importance of teamwork in approaching the learning
materials and motivating and supporting each other through
the clinic-based learning process. The Family Medicine
Specialists were also found to play a major role in providing
the necessary enabling environment to maximize the learning
experience. These invaluable learning points will provide
input to further refine the implementation of future SRCC
classes.
PG-15
Combining community resources and utilizing creative
health education for improving diabetes support group
functions
Chi Fang TU 1*, Jia Ru LIN1, Siou Ru YANG1. 1Metabolism
Endocrinology, Kaohsiung Municipal Feng Shan Hospital, Taiwan
Purpose: Diabetes is the number four leading cause of death in
Taiwan, in 2014. Thus we can see the impact of diabetes can
have on the health of an individual. In 2015, there were 3,336
diabetes patients in our hospital, where 53.7% of the patients
had HbA1C >7%, indicating further improvement is needed
in blood glucose management for the patients. In 2011,
“ Fongshan medical diabetes workshop”, a diabetes support
group was established by our hospital. The establishment of
this support group enabled the patients to understand more
about sugar management and to improve daily living self-
management for achieving blood glucose level targets and
reducing diabetes complication and mortality.
Methods: The “Fongshan medical diabetes workshop” dia-
betes support group is an extra-institutional group that
combined the efforts of the neighboring basic clinic, Fonshan
community center, farmers union home economics classes,
and other community care facilities for organizing many
innovative diabetics related classes to encourage high risk
individuals and diabetes patients in joining the support group.
A social network website was also established for the
“ Fongshan medical diabetes workshop” support group.
Results: The support group members increased from 43 to 79.
The patients who performed weekly blood glucose monitor-
ing, at least once a week, increased from 20 to 56. The patients
who exercised for at least 150 mins (weekly) increased from 18
to 43. Significant differences were observed in the average
glycated hemoglobin levels (8.28% to 7.12%; P < .05) and
average patient weight (65.7 kg to 63.1 kg). The support
group and the patients were awarded National Health
Department model diabetes support group, diabetes patient
improvement award, and diabetes support group weight loss
champion in 2015.
Conclusions: Interventions through the diabetes support
group, with brainstorming efforts of the medical team, and
with entertaining interactive activities, the members shared
encouragement and support for each other, in changing their
self-management behavior for achieving the improved results
of blood glucose monitoring, regular exercise, reduce glycated
hemoglobin, and weight loss.
PG-16
Using healthy diabetes plate for inadequate glycemic control
among patients with type 2 diabetes
Ting-Wen CHIA1, Edy KORNELIUS2, Chien-Ning HUANG2 ,
Yi-Sun YANG2*. 1Department of Nutrition, Chung Shan Medical
University Hospital, 2Department of Endocrinology and Metabolism,
Chung Shan Medical University Hospital, Taiwan
Purpose: The aim of the present study was to examine the
effects of consumption of foods using a healthy diabetes plate
in patients with type 2 diabetes mellitus (T2DM).
Method: A total of 43 patients with T2DM were randomly
assigned to the intervention of healthy diabetes plate diet
group (n = 20), or to control group (n = 23). Both groups followed
the same instructions of diet provided by a registered dietitian
(RD). However, for the health y diabetes plate group, we used
the plate format to teach participants about the type
and amount of foods they should consume at each meal,
the education emphasized on the concept of substituting
carbohydrate quantity with the usage of quantitative plate;
and for control group, we used a standard pamphlet nutrition
education to teach the participants about the diabetes
nutrition management. The parameters were obtained at the
third month. The treatment was unchanged during this 3
months period.
Results: Participants’ mean age was 49.64 (±12.06) years,
hemoglobin glycated A1c (A1c) 9.84 (±1.86)%, diabetes duration
of 4.3 (±0.2) years. After 3 months of intervention, The A1c
reduction was greater in healthy diabetes plate than control
group, from 9.95 ± 2.25 to 7.01 ± 0.67% in healthy diabetes
plate group; from 9.73 ± 1.81 to 7.80 ± 1.55% in control group
(p < 0.05). Both group a significant reduction in A1c after
nutrition intervention, but with a greater magnitude in
healthy diabetes plate.
Conclusions: From our study results, the benefit in pursuing a
healthy diabetes plate in these patients showed greater
improvement in their glycemic control. Using healthy diabetes
plate control carbohydrate amount may be is a strategy for
diabetes self-management.
PG-17
A pilot study on a diabetes link-nurse program to enhance
nurse confidence and competence in diabetes care
Shan Shan Christina HUI1*, Ching Yee Eva KAN1,
Mei Wan Winnie CHENG1, Chau Wan YEUNG1, On Lan CHUI1.
1Queen Elizabeth Hospital, Hongkong
Background: Diabetes is a common chronic disease. About 30–
50% of hospitalized patients have diabetes, and with a higher
percentage in Medical Wards. To enhance quality diabetes
care to these patients, nurses with update diabetes nursing
knowledge and skills are crucial. Diabetes specialist nurses
should therefore influence diabetes care in a larger group of
nurses in order to improve the quality of diabetes care as a
whole. Therefore, we designed and implemented a Diabetes
Link-nurse Program.
Objectives: The program was aimed to train nursing staff to
become Diabetes link-nurses, and enhance their i) profes-
sional knowledge and skills in diabetes care, ii) confidence in
providing diabetes care and education, iii) communication
with the diabetes specialty nurse team, and iv) effective use of
the diabetes education kit provided.
The overall effectiveness of the program was evaluated based
on the change in Diabetes link-nurses’ self-confidence in
diabetes education and their participation in educating
patients and staff on diabetes.
Methods: The program was conducted from November 2014
to December 2015 in an acute hospital. The program provided:
i) 8 structured educational seminars; ii) scenarios manage-
ment discussion; and iii) joint-consultation to assist link-
nurses to discuss actual clinical problems with the diabetes
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65–S211 S164