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

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In conclusion, dietary intervention was effective in T2DM
patients who could not succeeded in losing weight with
dapagliflozin. Having large meal and frequent drinking
alcohol were undesirable eating habits which could affect
higher intake of calories especially in men, but these might
have been corrected after dietary intervention and led to
losing weight. Dietary intervention and individually-tailored
advice could lead an additive effect on body weight loss of
dapagliflozin.
PG-45
The effect of “ Diabetic dialogue cards” accompanying peer
support for diabetic control
I-Ching WANG 1*, Chiou-Shiang WANG1, Hsiu Fen HUANG1,
Hui-Yu PENG 2, Hui-Chuen CHEN2, Lee-Ming CHUANG3.
1 Department of Nursing, National Taiwan University Hospital,
2 Department of Dietetics, National Taiwan University Hospital,
3 Department of Internal Medicine, National Taiwan University
Hospital, Taipei, Taiwan
Purpose: To evaluate the effect of interactive group education
of “Diabetic dialogue cards” accompanying peer support on
diabetic control and adaptation.
Method: We trained nine patient experts first. The health
education activities of “Diabetic dialogue cards” were held
twice in a month. Each time we invited about seven diabetic
patients who had an HbA1c level higher than 7.5% to
participate. All patient experts have to participate these
activities for two times to serve as volunteers and telephone
interviewers afterwards.
Results: We held group education of “Diabetic dialogue cards”
for 18 times during June 2015 to March 2016. Out of 135
registered patients, 97 (72%) patients have participated in our
activities. There were 23 patients completing three courses on
diet, exercise and medication, respectively. The question-
naires before and after the courses were collected for the 23
patients. The main results are showing as follows:
a. Self-monitoring of blood glucose (SMBG) and exercise
behavior: the rate of SMBG, at least 1–2 times per week,
increased from 65% to 69%n; the rate of exercise, more than 3
times per week, increased from 70% to 70%. The differences
were not statistically significant.
b. Life experience and daily living state: there was improve-
ment in aspects of “subjective health condition comparing
present state to half a year ago” , “subjective health condition
comparing with persons of the same age” and “global living
satisfaction as compare to half a year ago ”. There were also
decreased rates of “ trouble with taking medication”, “trouble
with diet control ”, “nervous and anxious”, “tearing for feeling
sad”, “feeling sad and depressed”, “feeling angry”, and “feeling
worry and fear”.
c. Improvement in A1C and fasting plasma glucose (FPG):
there were significant improvement in A1C (from 9.7 ± 1.9% to
8.2 ± 1.4% in 3 months, P < 0.001) and FPG (from 201 ± 60 mg/dL
to 140 ± 42 mg/dL, P < 0.001).
Conclusion: The group education program of “Diabetic dia-
logue cards” accompanying peer support is effective for
diabetic control and psychological and social adaptation.
PG-46
Effects of diabetic education onmetabolic parameters in type 2
diabetic patients using insulin
Ahmet KAYA 1*, Mustafa KULAKSIZOGLU1, Fatma OZDAMAR2,
Melek CAGLAYAN 3. 1Endocrinology and Metabolism Division,
Meram Medical Faculty, Necmettin Erbakan University,
2 Endocrinology and Metabolism Division Diabetes Nurse, Meram
Medical Faculty, Necmettin Erbakan University, 3Department of
Internal Medicine, Meram Medical Faculty, Necmettin Erbakan
University, Turkey
Patients using insulin treatment were hospitalised due to poor
glycemic control. Patients were selected from last 6 months in
2015 from Endocrinology inpatient clinic. 46 males (46.6%) 57
females (55.33%) totally 103 patients were recruited in the
study. Mean ages were 57.9 ± 12.2 (27– 76). All patients were
Type 2 diabetic patients and using insulin treatment. Initial
mean fasting plasma glucose levels were 248 ± 95.28 mg/dL
(82–568). Mean HbA1c percentage was 9.44 ± 2.22 (5.9–14.5).
Total cholesterol was 198.06 ± 43.11 mg/dL, LDL cholesterol
was 120.65 ± 41.94 mg/dL, triglycerides 181.06 ± 132.77 mg/dL.
After hospitalisation no change in insulin medication was
done, instead changing daily activities, increasing physical
activity, improving dietary adharence and education was done
for 5 consecutive days. After 6 months of discharge mean
fasting plasma glucose was 168.15 ± 69.53 mg/dL (80–411) p <
0.001, HbA1c 7.8 ± 1.74 (4.9–10.9) p < 0.001, total cholesterol
193.09 ± 53.92 mg/dL (96–366) p < 0.05, LDL cholesterol
111.30 ± 41.82 p < 0.05, TG 155.06 ± 53.92.
As a result, in chronic diseases like diabetes ellitus, lifestyle
interventions such as increasing physical activity, improving
dietary adharence can result in good control on various
metabolic parameters so education shuold be repeated and
lifelong.
PG-47
Who should give insulin education?
Ahmet KAYA1*, Mustafa KULAKSIZOGLU1, Fatma OZDAMAR2.
1Division of Endocrinology and Metabolism, Meram Medical Faculty,
Necmettin Erbakan University, 2Endocrinology and Metabolism
Division Diabetes Nurse, MeramMedical Faculty, Necmettin Erbakan
University, Turkey
In patients with Type 2 Diabetes Mellitus using insulin;
injection techniques such as rotation, needle insertion angle,
using skinfold, waiting for 10 seconds inside the skin
are important determinants of glycemic regulation. In the
inpatient clinic of Endocrinology and Metabolism of
Necmettin Erbakan University, Meram Medical Faculty,
patients who took insulin education between August 2015–
February 2016 were recruited into the study. Totally 278
patients were educated between these dates. 169 (60.70%)
patients were educated by diabetes nurse where as 109 (39.2%)
were educated by someone else (doctor, pen educator,
pharmacist). Effect of diabetes nurse education was studied
retrospectively. Among patients educated by diabetes nurse,
70 (41.4%) patients reported that they use rotation method, 99
(58.6%) patients reported that they did not rotate insulin
injection sites. 155 (91.7%) patients reported that they waited
for at least 10 seconds after insertion of the needle where as 14
(8.3%) were not aware of it. 27 patients (15.97%) were using 4 or
5 mmneedle length, 25 (14.79%) were using 6 mm, 117 (69.23%)
were using using 8 mm needle length. Among 27 patients
using 4 mm, 20 (74.07%) reported that they insert needle at a
90° angle where as 7 (29.92%) patients were using skinfold
tecnique. Among 6 mm users 14 (56%) were using 90° angle
method, 11 (44%) were using skinfold technique. Among 8 mm
users, 74 (63.24%) were using skinfold where as rest 43 (36.75%)
patients were using 90° angle. 109 patients who were educated
by someone else other than diabetes nurse, 91 (83.48%) were
not rotating injection areas, 18 (16.51%) were rotating. 63
(57.79%) patients were waiting for 10 seconds, 46 (54.54%) were
not waiting. Among 11 patients using 4–5 mm needle users, 6
(54.54%) were using 90°angle method, 5 (45.45%) were using
skinfold tecnique. Among 24 patients using 6 mm needle
length, 13 (54.16%) were using 90° angle method, 11 (48.83%)
were using skinfold. Among 74 patients using 8 mm length, 35
(47.29%) were using 90° angle method, 39 (52.70%) were using
skinfold tecnique.
According to the data that we presented, one of the reason of
poor glycemic control is injection techniques. Patients who
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65–S211 S174