Diabetes Research and Clinical Practice - Volume 120 - Supplement 1

the biggest issues within diabetic patients. There are 2 to 3

activities of Conversation Maps per month, and 60 to 80

minutes each time. 3 to 10 diabetic patients would join for each

activity. Diabetes educators will give guidance in the activity,

and made patients discuss or shared experiences and found

the best answer by themselves based on the different topics.

The objective of this study is to improve the effectiveness of

glycemic control by Conversation Maps. Including criteria for

subjects are newly diagnosed and poorly control diabetic

patients (HbA1C >7%). This study has started since Feburary to

July in 2014, and there were total 55 participants in the end. We

collected subjects

’

glycemic and blood lipid data before and

after activity to assess the outcome.

The results showed the average HbA1C from 9.8% to 7.8% (p <

0.001), fasting blood sugar from 193 mg/dL to 135 mg/dL

(p < 0.001), total cholesterol from 189 mg/dL to 159 mg/dL

(p < 0.01); however, there is no significant difference between

low-density lipoprotein cholesterol and triglyceride.

Under the leading from diabetes educators, the Conversation

Maps are effective diabetes educational tools to help diabetic

patients to know more diabetes and behavior change by

triggering their motivation. Eventually, diabetic patients have

better glycemic control by arranging health eating habits and

lifestyle. We still more similar studies to identify our results.

PG-24

The results of nutrition education for diabetes patients in a

community in Changhua County, Taiwan

Pei-Ru HUANG

*, Yi-Ling CHUANG

, Wen-Hui CHEN

Nutrition Division, Lukang Christian Hospital, Changhua County,

Taiwan, Taiwan

There are many remote village and towns in Changhua

County, Taiwan, that consisted of mostly elderly patients,

where the access to medical care is limited. Due to the

insufficient diabetes nutrition education, the Changhua

Health Department has contracted Lukang Christian Hospital

to perform diabetes nutrition educations at 45 basic clinics

in Changhua County. In order to assess the effect of the

education, 264 diabetes patients were sampled from the 45

basic clinics, between 2013 and 2015. The patients were

assessed according to their dietary changes at 3 to 6 months

after the education intervention. The results indicated that

most patients have increased their intake of food belonging to

the five major food groups. The percent of patients with

adequate intake of low-fat dairy, wholegrain and starchy,

protein, vegetable and fruit increased from 47.3 to 52.7%, 68.4

to 79.5%, 71.6 to 78%, 67 to 79.2%and 58.3 to 73.5%, respectively.

Furthermore, the intake of inappropriate diets such as

desserts, surgery drinks, and foods that are high in fat or

sodium were reduced. Therefore, it was determined that

diabetes nutrition education intervention in a community

setting can be utilized to change patient diet behaviors for the

goal of diabetes management.

PG-25

Patients

’

opinions regarding the continuous glucose

monitoring system (CGMS) for self-control in adult patients

with type 2 diabetes mellitus

Michiko GUSHIKEN

*, Yukiko OMLOR

Department of global

health, School of Health Sciences, Faculty of Medicine, University of

the Ryukyus,

University of the Ryukyus Hospital, Okinawa, Japan

The aim of this study was to verify the effectiveness of a

continuous glucose monitoring system (CGMS) for self-man-

agement of type 2 diabetics. Six adult patients with type 2

diabetes used a CGMS (iPro2) for 1 week. Semi-structured

interviews were conducted, and the interview data were

analyzed using a grounded theory approach. The following

two core categories were identified: awareness of unbalanced

diets and anxiety over diabetic complications. Graphical

presentation of continuous glucose levels led patients to

realize that their diets were unbalanced, which motivated

them to improve their eating habits. As for the second core

category, anxiety over diabetic complications, patients

expressed regret for not knowing more about diabetic compli-

cations. They requested diabetic education that uses plain

language instead of technical terms. CGMS is extremely

effective in treating patients unaware of hypoglycemia and in

controlling daily variations in blood glucose; however, imple-

mentation of continuous monitoring in the standard clinical

nursing care setting has not yet been established. This research

suggests that this new equipment is effective in motivating

patients to become aware of an unbalanced diet and to improve

their eating habits in self-management among adult patients

with type 2 diabetes mellitus.

PG-26

The impacts and care trends of type 1 diabetes during the

transition phase on patients aged between 16 to 25

Yueh-Tao CHIANG

1,2

, Hsing-Yi YU

1,3

, Chi-Wen CHANG

1,4

School of Nursing, Medicine of College, Chang Gung University,

Division of Cardiology, Department of Pediatrics, Chang Gung

Memorial Hospital,

Department of Ophthmology, Chang Gung

Memory Hospital,

Division of Endocrinology, Department of

Pediatrics, Chang Gung Memorial Hospital, Taiwan

Type 1 diabetes occurs mostly in children and adolescents.

For type 1 diabetes patients in the

“

transition phase

”

between

late adolescence and early adulthood, they are exposed to

the four transitional impacts caused by development, changes

in interpersonal roles, illness-health and the organizational

transition from the child-oriented nursing system to the

adult-oriented health care system. Moreover, they witness a

transformation in their disease management and different

disease control results. Literature review suggests that type 1

diabetes at an age between 16 and 25 tends to worsen during

the transition phase, thus making the nursing care of this

disease even more important. This paper summarizes the key

issues concerning type 1 diabetes during the transition phase,

which include the impacts of type 1 diabetes during the

transition phase, detectable changes during the transition

phase and the current situation concerning the care of type 1

diabetes during the transition phase. The findings can

contribute to the improvement of nursing care of type 1

diabetes during the transition phase and lay the foundation for

future interventions, thus generating better disease control

results and enhancing the quality of patients

’

lives.

PG-27

Effects and predictors of the diabetes conversation map

education tools for maintaining glycemic control in patients

with type 2 diabetes

Yi-Yu CHEN

*, Jui-Yu HUNG

, Hsin-Hung CHIANG

Malcolm KOO

, Bing-Ru GAU

, Pin-Fan CHEN

Health

Management Center, Dalin Tzu Chi Hospital, Buddhist Tzu Chi

Medical Foundation,

Department of Medical Research, Dalin Tzu Chi

Hospital, Buddhist Tzu Chi Medical Foundation,

Division of

Endocrinology and Metabolism, Dalin Tzu Chi Hospital, Buddhist Tzu

Chi Medical Foundation, Taiwan

Purpose:

To investigate the effects and predictors of the

Diabetes Conversation Map educational tools on glycemic

control in patients with type 2 diabetes attending a diabetes

self-management education program.

Methods:

Outpatients with type 2 diabetes and a glycated

hemoglobin (A1c) level of 7% or above were recruited from the

division of metabolism and endocrinology in a regional

hospital in southern Taiwan to enroll in a diabetes self-

management education program based on the Diabetes

Conversation Map educational tools. Data on A1c and fasting

blood glucose (FBG) were collected at baseline, post-

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

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