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Endocrinology and Metabolism, College of Medicine, The Catholic
University of Korea, Korea
Food cravings defined as an intense desire or urge to eat a
specific food could lead to a failure of weight control in
connection with overeating or binge in obese subjects. Our
research team developed the food craving management tool
to treat and manage of obesity in adolescent using mobile
application. It supports the subjects endure the desire to eat
about 5 minutes through calling the subject
’
s attention to
various contents of application when cravings occur. We aim
to assess the effectiveness of the food craving management
tool by applying to Korean adolescents. This study was
performed over 3-weeks as a randomized clinical trial in
Chung-ju city. A total of 60 female middle-school students
were included and randomly assigned to intervention or
control groups. The subjects belonged in intervention group
used the mobile application when they experienced food
cravings during study period. To assess food craving status at
entrance and 3-weeks later, general-food cravings question-
naire (G-FCQ-T) were investigated. A 2(group: intervention,
control) by 2(time: baseline, after intervention) mixed model
ANOVAwas done to compare the change of the G-FCQ-T score.
The mean (S.D.) age and BMI percentile of subjects were 13.4
(0.5), 71.8 (18.8) respectively. At entrance, there was no
significant difference of G-FCQ-T score (intervention: 73.6,
control: 79.2) between two groups. The subjects in intervention
group reported using the application for 60% of food craving
episode, and decrease of craving degree they felt subjectively
after using. There was a significant interaction between group
and time (F: 4.96, p: 0.029). In intervention group, G-FCQ-T
score significantly decreased from 73.6 ± 19.6 to 61.6 ± 18.6
(p: <.001) whereas that of the control group did not show
significant difference (p: 0.096). These findings show that
effective management of food cravings will be available by
using food craving management tool and furthermore, it is
expected to help weight control for obese adolescents through
intake reduction specific food occurs cravings.
PG-21
Association relationship between periodontal disease severity
of periodontal bone loss and clinical features in type 2 diabetic
patients
Shi-yu CHEN
1
*, Chang-Hsun HSIEH
1
.
1
Tri Service General
Hospital, Taiwan
Introduction:
Diabetes mellitus is currently considered as an
established risk factor for periodontitis and contributes to
increased prevalence, severity and progression of periodon-
titis. In According to some previous reports in diabetic
patients, in addition to glucose control, the age and diabetic
duration are correlation to the risk factor of periodontitis
severity. the risk factors of periodontitis severity are not only
glucose control but also age and diabetes duration in diabetic
patients. But there are some different results in the young type
1 diabetes research. In this our study, we try to know the
association between the determine whether severity of
periodontitis are associated with and the correction factors
(glucose control, clinical features, biochemical variables and
pro-inflammatory markers) in our type 2 diabetic patients.
Methods:
We recruited A total of 66 adult type 2 diabetic
patients were recruited from our outpatient clinics and all
collected general and biochemical data (Age, Sex, Diabetes
history, BMI, WHR, BP, lipid profiles, creatinine), blood glucose
(Fasting glucose, HbA1c) and oral X-ray. (for C/A, missing tooth
evaluation)
Results:
Our data showed that there is no significant associa-
tions between glucose control (fasting glucose and HbA1c) and
periodontal bone loss (C/A value). But the results revealed
significantly positive correlation between periodontal bone
loss, and age, hsCRP and missing teethes. The multiple logistic
regression analysis also demonstrated age, hsCRP and missing
teethes were associated with periodontal bone loss. Finally,
the stepwise regression analysis showed age and hsCRP were
the major risk factors of the severity of periodontal bone loss
in our type 2 diabetic patients.
Conclusions:
Previous reports are indeed associated with poor
blood glucose control and periodontitis of high severity in
diabetic patients. Our study find age and systemic inflamma-
tory condition might have play more significant important
roles than glucose control in periodontitis severity in our
type 2 diabetic patients.
PG-22
Diversified creative diabetes education in Mackay Memorial
Hospital, Taiwan
Chun-Chuan LEE
1
*, Mei-Chen CHANG
2
.
1
Diabetes Center,
Department of Endocrinology and Metabolism, Mackay Memorial
Hospital, Taipei Branch,
2
Diabetes Center, Department of
Endocrinology and Metabolism, Mackay Memorial Hospital, Taipei
Branch, Taiwan
Traditional health education is mostly conveyed in a setting
that resembled classrooms. However, this setting can bore the
patients and hinder their learning interests. Therefore, a
diversified creative education model was used in the planning
of diabetes education for increasing the patient
’
s interest as
well learning results. The Mackay Memorial Hospital in
Taiwan has adopted the following creative education models
in 2015: (1) live action videos that teaches about the correct
insulin injection procedures, hypoglycemia education, and
proper feet hygiene for the clarification of patient care process;
(2) establish specific education topics that can be utilize in a
small group setting that encourages interactions among the
participants; (3) a vibrant point based reward system was
establish to make the quizzes feel like games and encourage-
ment; and (4) establish special group education that targets the
needs of the elderly and young patients. This type pf education
activity can satisfy the health education requirements of the
current aging and birthrate declined society.
It is with hope that the aforementioned four types of creative
education model can represent our goals of Innovation,
resilient, outreach, distinction, and effectiveness. This diver-
sified education model is current being developed among
many medical centers and diabetes promotion institutions in
Taiwan. The goal of the education model development is to
utilize limited human resources, with mutual collaborations
and learning, for creating more interesting ideas for improving
diabetes health education.
PG-23
Application of intensive diabetes management program by
conversation maps on poor controlled insulin naïve type 2
receiving insulin injection
Shi-yu CHEN
1
*, Su-Chiung LIN
1
, Chang-Hsun HSIEH
1
.
1
Tri Service General Hospital, Taiwan
The effect of glycemic control by utilizing diabetes educational
tools
–
Conversation Maps in diabetic patients.
“
Conversation Maps
”
are diabetes educational tools by inter-
acting with diabetic patients, peer effectiveness, and achieving
the goals of applying the related knowledge to life. There are
seven topics in ConversionMaps, include Living with Diabetes,
How Diabetes Works, Healthy Eating and Keeping Active,
Starting Insulin Treatment, Diabetes and Caring for Your Feet,
Understanding the Many Factors of Managing Diabetes, Living
in a Family with Type 1 Diabetes. In this study, wewill focus on
the two topics
–
Healthy Eating and Keeping Active, and
Starting Insulin Treatment. According to our clinical experi-
ences, it is hard to accept insulin therapy for diabetic patients.
As long as diabetic patients would like to try insulin treatment,
most of them will face the body weight gain problem. That is
why we would like to focus on these two topics to resolve
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65
–
S211
S166