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

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intervention, and three months post-intervention. Logistic
regression analyses were used to assess baseline factors
associated with achieving A1c < 7% three months post-
intervention.
Results: A total of 79 patients (54% males) with a mean age
( ± standard deviation) of 63.9 ± 9.8 years completed the
intervention and 72 patients completed the three months
post-intervention follow-up. The mean baseline and post-
intervention A1c levels were 9.2 ± 2.1 and 7.8 ± 1.3, respectively,
with a significant difference of 1.4 ± 2.0 (p < 0.001). The mean
baseline and post-intervention FBG levels were 187.3 ± 70.6
mg/dL and 157.8 ± 62.6 mg/dL, respectively, with a significant
difference of 29.5 ± 69.7 mg/dL (p < 0.001). The mean differ-
ences between three months and baseline levels of A1c
(1.3 ± 2.4, p < 0.001) and FBG (30.4 ± 84.0 mg/dL, p = 0.003) were
also significant. Results of the logistic regression analyses
showed that exercise regularly (>5 days a week, with >30
minutes each time) at baseline compared with no exercise
were significantly associated with an A1c level of <7% post-
intervention (odds ratio [OR] = 4.43, 95% CI = 1.22 –16.17, p =
0.024). Regarding the results three months post-intervention,
patients who had changed from oral antidiabetic therapy to
insulin therapy after the intervention showed a trend of
association with an A1c level of <7% three months post-
intervention (OR = 3.03, 95% CI = 0.87–10.61, p = 0.082), com-
pared with those who had not changed. Conversely, a body
mass index of >27 versus <24 at baseline (OR = 0.29, 95%
CI = 0.08 –1.11, p = 0.07) were less likely to be associated with an
A1c level of <7% three months post-intervention.
Conclusions: Completion of an education program based on
the Diabetes Conversation Map educational tools was able
to significantly improve both A1c and FBG levels at least
three months after the intervention. Patients who had a body
mass index >27 at baseline and had not change to insulin
therapy after the intervention were less likely to achieve the
desirable A1c goal of <7 three months post-intervention.
Additional efforts should be focused on these patients in
future interventions.
PG-29
Investigating the results of utilizing diabetes conversation
map for patient blood glucose management
Yu Hsuan HUANG 1*. 1Changhua Christian Medical Foundation
Yuanlin Christian Hospital, Taiwan
Purpose: Investigate the effectiveness of utilizing diabetes
conversation map for blood glucose management.
Methods: The study subjects consisted of patients in commu-
nity hospitals in the southern Changhua County in Taiwan,
between March 1st and Oct. 31st, 2015. This study was of a
quasi-experimental design that consisted of pre- and post-
intervention testing of the same group of patients. The
patients were purposely sample, and consisted of 30 type II
diabetes patients who have received basic insulin treatment
(once a day, long or medium-long acting) for at least three
month; with fasting plasma glucose (FPG) of <150 mg/dL and
HbA1Cof >7%. The study tool “what is diabetes” and “living
with insulin” is a diabetes educational conversationmap and a
total of 10 educational seminars were organized. The partici-
pants were also required to participate in all seminars (at least
once) such as “healthy diet and exercise”, “feet nursing care”,
“ comorbidity and risk factors”. A total of 18 seminars were
organized, with 6 –15 participants per session. The results of
the diabetes educational conversation map intervention was
assessed at 6 month after intervention, with self-established
surveys that included “insulin knowledge and attitudes”, “diet
knowledge and attitudes ”, and “simple exercise”.
Results: A total of 30 participants were enrolled in this study
(male N = 16, 53%; female N = 14, 47%). The average age of the
participants were 64.7 years, and the average education level of
the participants was elementary school or lower (43%). The
participants had an average diabetes diagnosis for 7.00 ± 5.64
years, and their pre-intervention average HbA1C was at
0.4 ± 2.45%.
1. At six months follow-up, the patients’ average HbA1C was
significantly reduced from 10.4% to 7.1% (average reduc-
tion of 3.3%; P < 0.05).
2. The fasting and postprandial blood glucose exhibited
reductions of 4.9% (254.5 ± 99.60 mg/dL to 127.7 ± 22.53
mg/dL) and 2.7% (314.4 ± 98.68 mg/dL to 229.4 ± 51.88 mg/
dL) after the educational intervention, respectively.
3. In terms of diet behavior improvements, all scores were
significantly improved post-intervention (P < 0.001); the
scores for glycemic food increased from 2.5 ± 1.39 to
4.4 ± 0.50; the ability to discern food groups increased
from 1.80 ± 1.00 to 4.4 ± 0.50; the understanding of simple
diet replacement increased from 2.16 ± 1.17 to 4.28 ± 0.58;
portion control increased from 1.93 ± 1.01 to 4.47 ± 0.51;
and avoiding sugary drinks increased from 4.47 ± 0.51 to
5 ± 0.
Discussion: The “Diabetes Conversation Map” exercise can be
utilized in small groups for proving a visual learning experi-
ence. The patients will be also motivated in taking responsi-
bility for their conditions in achieving the optimal blood
glucose management goals.
PG-30
Utilizing simplified nutrition screening short form for
investigating the nutrition and blood glucose management of
elder patients
Shin-Wen CHANG1*, David C. JUNE2, Judith Han-Hsin CHANG3,
Tai-Sheng LUAN4. 1Deptment of Nutrition of Shun Tian Hospital of
Shun Tian Medical Foundation, 2Deptment of Internal Medicine of
Shun Tian Hospital of Shun Tian Medical Foundation, 3School of
Nutrition Chung Shan Medical University, 4Deptment of Medical
Laboratory of Jen-Teh Junior College of Medicine, Nursing and
Management, Taiwan
Malnutrition is a common problem for the elderly in institu-
tions and communities. Therefore, an efficient and easy to use
nutrition assessment tool is required for the regular nutrition
asse this study, a simplified nutrition assessment short form
and diet log were used for understanding nutrition and blood
glucose management among elderly patients with diabetes.
The study was performed from June to Dec, 2014. The
participants were purposely sampled from elderly outpatients
that have participated in the “Diabetes medical care benefits
improvement program” . A total of 70 patients were enrolled.
The study data include demographic information, physical
measurements, nutritional assessment-short form (MNA-SF),
blood biochemistry, urine test, daily dietary record, and diet
health education. The results from this study indicated the
followings. In terms of nutrition screening, there were 18
patients (25.71%) who had MNA-SF total of ≦11, which could
indicate possible malnutrition. The patient MNA-SF scores
were determined to be significantly related to patient waist
size, calf circumference, hemoglobin, and serum albumin
levels (p < 0.001). In terms of diet, the daily intake of calories
and protein (1,683.4 ± 234.6 kcal/day and 59.9 ± 13.5 g/day)
were higher than those suggested by the nutritionists. The
male patients’ diet exhibited the lack of dairy and vegetable
intake, while having too much protein and fat. The female
patients were determined with insufficient dairy, vegetable,
and fruits, while having toomuch fat intake. In terms of elderly
diabetes management markers, there were 49 patients (70%)
with glycated hemoglobin (HbA1c) of <7.5; 38 patients (54.29%)
were determined with blood pressure (BP) of <140/80 mmHg;
and 31 (44.29) patients were shown with low density lipopro-
tein (LDL) -C of <100 mg/dL. Furthermore, there were 41
(58.57%) patients that were diagnosed with nephropathy
during the renal screening. Due to the regular care and
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65–S211 S168