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

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nutritional education received from the medical care team,
most of the elderly diabetes patients exhibited good blood
glucose, BP, and blood lipid management. Further improve-
ment in the nutritional intake of dairy, vegetable, and fat still
required for patients with nephropathy. However, there is a
25.71% of patient that were determined by MNA-SF to be
malnutrition. Therefore, it was demonstrated that MNA-SF can
be included in the outpatient screening for elderly diabetes
patients to identify malnutrition.
PG-31
Improvement of glycemic control in Taiwanese patients using
modified Diabetes Conversation Map® tools
Ching-Li LIN1, Di-Ya TU1, Shih-Tzer TSAI1*. 1Cheng Hsin General
Hospital Taipei, Taiwan
The landmark studies demonstrated the importance of good
glycemic control in the prevention of diabetes-related compli-
cations while self-management of diabetes is essential for
achieving and consolidating the metabolic goals.
The trick to maintain proper lifestyle and optimal glycemic
control lies in the development of patients ’ literacy and the
availability of on-going education and support.
Conventional methods for diabetes education include lectures
and one-to-one interaction between the patient and the
diabetes educators.
However, there has been an increase in execution of group
education programs, such as Diabetes Conversation Map® , to
yield the social support and reinforce the peer communica-
tion. Due to the busy life of some patients, it is difficult for
them to participate in the diabetes classes. To overcome these
barriers, IT and e-tools are used to recruit group instead of
individual patient for shared education.
Here in, we reported our experience in the practice of tradi-
tional Chinese character version of Diabetes Conversation
Map® at Cheng Hsin General Hospital. From February to
December 2015, a total of 31 type 2 diabetes patients were
randomized to two groups, i.e. line group diabetes education
(LG) and conventional group education (CG) approaches. The
demographics and the changes in metabolic outcomes over a
mean of ten months were as follows. Patients’ mean age in the
LG group and in the CG group was 46.8 ± 7.7, and 67.4 ± 13.4
respectively. The duration of patients with T2DM was 6.8 ± 5.2
years in the LG group, and 7.1 ± 5.1 years in the CG group. 1% of
HbA1C reduction (P < 0.05), 17.3 mg/dL of FPG reduction
(P < 0.01) and 60.2 mg/dL of PPG reduction (P < 0.01) were
found in the LG at ten month, which were respectively 0.89%
(P < 0.05), 25.7 mg/dL (P = 0.09) and 20.2 mg/dL (P < 0.05) in the
CG group. In addition, the reductionof HbA1C and PPGwere not
significant difference between the LG group and the CG group
(P > 0.05). Interestingly, the reductionof FPG in the LGgroupwas
better than in the CG group (P < 0.05).
Our findings confined the useful materials of Diabetes
Conversation Map® tools in improving the glycemic control
in Taiwanese patients, and it was similarly affected through
conventional and Line-platform approaches.
PG-32
Nurse-led training and education program on insulin pump
therapy in Japan
Seiko YAMADA 1*, Kumiko NAKASHIMA1, Kentaro ABE1,2,
Hiroko MORISAKI 1,2, Jun ITO1,2, Naoichi SATO 1,3, Makoto IDE1,
Naoki SAKANE 4. 1Iizuka Hospital, 2Kyushu University, 3Kitakyushu
Municipal Medical Center, 4National Hospital Organization Kyoto
Medical Center, Japan
Objective: Insulin pump therapy is a diabetes management
tool that can significantly aid children, adolescents and adults
with type 1 diabetes mellitus (T1D) in achieving treatment
goals. These goals include optimal glycemic control, lifestyle
flexibility, quality-of-life improvement, and independent self-
care management.
However, the incidence of T1D is low and the percent of use of
continuous subcutaneous insulin infusion (CSII) is also low.
There are two reasons why insulin pump user is low is that the
manufacturer is not allowed to send insulin pump trainers to
hospitals. The other is diabetes educators are unfamiliar to
insulin pump therapy because diabetologist mainly initiate
patients to insulin pump therapy. The aim of this study is to
evaluate the effect of nurse-led training and education
program of insulin pump therapy on knowledge, skills, and
confidence of handling insulin pump in diabetes educators.
Method: Fourteen diabetes educators (7 registered nurses, 2
registered dieticians, 2 pharmacists, and 3 medical doctors)
participated in this program. The structured program con-
sisted of 14 sessions (one session is 30–60 min lecture and
handling an insulin pump practically). The program included
“introduction to the insulin pump”, “practical skills in
handling an insulin pump”, “adjusting insulin dosage accord-
ing to blood glucose and estimated carbohydrate intake”, “let’s
use bolus calculator”.
The analysis on outcome of T1D diabetic patients was
performed by evaluating glycemic control (HbA1c) and 6 ques-
tions of the Diabetes Treatment Satisfaction Questionnaire
(DTSQ).
Results: The percentage of attendance on this program was
86.5%. The knowledge, skills, and confidence of insulin pump
in diabetes educators were significantly increased. During 3
years after the end of the program, 15 T1D patients were
initiated of insulin pump therapy using the team approach in
our outpatient clinic. The average number of initial education
sessions on insulin pump for patients was 4–6 times. Diabetes
educators provide pump technical support and keep educating
patients to improve their lifestyle flexibility. The data of HbA1c
levels and DTSQ scores were significantly improved after
intervention. (HbA1c:8.04 ± 1.03 to 7.06 ± 1.21(%) and DTSQ:
16.25 ± 8.66 to 30.5 ± 5.20).
Conclusion: We developed the nurse-led structured training
and education program on insulin pump therapy in diabetes
educators. Further research is required to motivate diabetes
educators and introduce a new system such as sensor-
augmented pump (SAP) therapy.
PG-33
The metabolic effect of diabetic education frequency
Ying-Chuen LAI1,2, Tien-Jyun CHANG3, Yi-Die JIANG3,
Yi-Hsuan CHEN3, Chiou-Siang WANG5, Yi-Jing WANG5,
Siou-Fen HUANG5, Huei-Yu PENG6, Huei-Jyun CHEN6,
Lee-Ming CHUANG2,3,4*. 1Department of Internal Medicine,
National Taiwan University Hospital Yun-Lin Branch, 2Graduate
Institute of Clinical Medicine, National Taiwan University,
3Department of Internal Medicine, National Taiwan University
Hospital, 4Institute of Preventive Medicine, College of Public Health,
National Taiwan University, 5Department of Nursing, 6Department
of Dietetics, Taiwan
Diabetes self-management education (DSME) and diet
education improves glycemic control in adults with diabetes
mellitus. However, the benefit declines over time. The purpose
of this population-based propensity score-matched longitu-
dinal follow-up study was to evaluate the metabolic effect of
diabetic education frequency.
This is a 3-year follow-up study of 413 patients with type 1 and
type 2 diabetes, who had received intensified education more
than 2 years. A total of 91 diabetic patients was enrolled in the
group of non-intensified education, in which the education
frequency decreased from 4 times per year to once per year.
We used a logistic regression model that includes A1c, and
years of DSME and diet education as covariates to compute the
propensity score. The group of intensified education consisted
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65–S211 S169