Diabetes Research and Clinical Practice - Volume 120 - Supplement 1

were not educated by diabetes nurse, used wrong techniques

that may lead to ineffective insulin absorbtion. Not only

education of patients but also education of educators must be

repeated regularly.

PG-48

Effectiveness of the Diabetes Conversation Map education

tools on diabetes-related parameters of outpatients with

diabetes

Hsiao-Chun LIN

*, Chung-Mei OUYANG

, Yuh-Lin LIU

Ching LU

Dept. of Dietetics, National Taiwan University Hospital

Hsin-Chu Branch,

Dept. of Nursing, National Taiwan University

Hospital Hsin-Chu Branch,

Dept. of Internal Medicine, National

Taiwan University Hospital Hsin-Chu Branch, Taiwan

Objective:

Diabetes Conversation MapTM Tools are interactive

instruments for health education invented by International

Diabetes Federation. With groups

’

brainstorming as well as

visually learning methods, these tools have better effects on

education than the traditional ones. In order to help diabetes

patients to have better control of their blood sugar, they need

to acquire more knowledge and understanding about their

diabetes self-care. In this study, we examined the changes of

patients on diabetes-related parameters after receiving the

conversation map classes.

Materials and methods:

We provided two-hour Conversation

Map health education classes 1 to 2 times per month hosted by

registered dietitian or diabetes educator and 3

–

8 participants

joined it each time since February 2014. Blood glucose, HbA1c,

weight data, knowledge, exercise frequency, scores of Diabetes

attitude, wishes and needs (DAWN) and health-related quality

of life(HRQL) short-form 8 (SF-8) questionnaires were collected

before and after classes.

Results:

Eighty-four participants had joined the study which

included 15 times of group education. Blood sugar controlling

had significantly improvement. The fasting blood sugar

had decreased from 151.3 ± 53.4 mg/dL to 132.5 ± 42.9 mg/dL

(p = 0.033). Postprandial blood sugar had also declined from

187.1 ± 42.7 mg/dL to 167.8 ± 52.8 mg/dL(p = 0.028), and HbA1C

decreased from 8.2 ± 2.1% to 7.2 ± 1.1%(p = 0.001). Average

weight and BMI had slipped from 68.0 ± 12.1 kg to 67.6 ± 12.1 kg

(p = 0.275) and 25.9 ± 3.7 kg/m

to 25.8 ± 3.6 kg/m

(p = 0.232)

respectively. The average percentage of knowledge was

improved from 63% to 73%. With regard to the self-manage-

ment, the portion of people exercising more than 150 minutes

per week had increasing 23%. The physical component score

(PCS) and the mental component score (MCS) from SF-8 were

increased 20% and 22% respectively, which were assumed

better performance on their quality of life. Also, noteworthy is

a fact that knowledge about the diabetes and insulin was

improved.

Conclusion:

This study showed that the diabetes small-group

education classes effectively improved patients

’

blood glucose,

HbA1c, weight data, self-management behaviors and quality

of life through the structural and interactive tools (Diabetes

Conversation Map).

PG-49

Study on the effect of three kinds of food in diabetic patients

with hypoglycemia

Xueyan LIU

, Peiru ZHOU

*, Hui LIANG

, Jiewei HUANG

Qingling CHEN

, Shenling HU

The First Affiliated Hospital of

Jinan University,

Guangzhou Army General Hospital, China

Objective:

To explore the simple and effective methods for

treating hypoglycemia in diabetic patients and evaluate the

satisfaction of the dietary treats such as sugar, cookies, and

yogurt. Method 126 cases of diabetic hypoglycemia were

divided into three groups according to the time of admission:

group 1 ate three and a half of sugar, group 2 ate a bottle of

yogurt (250 mL), group 3 ate four pieces of biscuit, three kinds

of foods all contain 15 grams of glucose or carbohydrate. To

monitor the blood glucose of each group after they ate the

corresponding food and to evaluate the degree of satisfaction

with diffence dietary treats.

Result:

The mean blood glucose values of the three groups of

patients were greater than 3.9 mmol/L after they ate food 15

minutes. The retest blood glucose level had no statistically

significant difference between group 1 and group 2 (P > 0.05).

The retest blood glucose value of group 3 was lower than the

other two groups (P < 0.05).

Conclusion:

Three kinds of food all can correct hypoglycemia,

yogurt and sugar have the same effect in correcting hypogly-

cemia. Biscuit glycemic index is lower than the other two kinds

of food, yogurt tastes good, biscuit can bring a sense of

fullness, which can also be carried and buied relatively

convenient, the patients can accept all the three kinds of food.

PG-50

Knowledge, attitudes and practices and its association with

glycemic control among type 2 diabetes mellitus patients in a

tertiary hospital

DonnahBless LUMANLAN

1,2

*, SuzetteQUIAOIT-ALEGARBES

1,3

Southern Philippines Medical Center, Philippines;

National

University Hospital, Singapore;

Davao Doctors Hospital, Philippines

Introduction:

Patient education is the cornerstone of diabetes

care. This study was conducted to determine the knowledge,

attitudes and practices (KAP) among patients with type 2

diabetes mellitus and find out if these factors are associated

with glycemic control.

Objectives:

This cross-sectional analytic study aims to identify

the demographic profile of the subjects and assess their level

of Knowledge, Attitude and Practices (KAP) towards diabetes

mellitus (DM). It also aims to determine the association

between the patients

’

KAP and glycemic control of DM

among patients in a diabetic clinic.

Methods:

Type 2 DM patients were recruited using the

convenient sampling method from a diabetes clinic. KAP

were assessed using a 54-item structured KAP questionnaire

and control of DM was evaluated from the most recent HbA1C

levels.

Results:

A total of one-hundred sixty-eight patients (168) with

type 2 DM participated. In this study, we found out that the

level of knowledge, attitude and practices among patients

following up in a diabetes center in a tertiary hospital is

adequate, achieving 56%, 66% and 91%, Good KAP is found in

majority of females, above 60 year old, overweight, high waist-

to-hip ratio, at least high school level, unemployed, with

family history of DM, less than 10 years diabetic, those who

attended DM classes, and without smoking history. However,

these results were found not be statistically significant except

for educational attainment for knowledge domain, female

gender for attitude domain and unemployment status for the

practice domain. There was a strong association between

knowledge and attitude, but not with knowledge and practice

(P > 0.05). No significant association was noted between good

KAP and glycemic control.

Conclusion and recommendation:

This is study showed

that good KAP is not associated with good glycemic con-

trol. Other plausible factors like socioeconomic constraints

and lack of resources to facilitate medication adherence must

also be identified and addressed to achieve better disease

control. This study also emphasizes that providing patient

education through diabetes classes and the presence of an

integrated multidisciplinary team is important for enhancing

patient KAP.

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

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