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

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attitude, and diabetes self-efficacy in the patient with T2DM
under insulin control. Descriptive statistics, independent
t-test, χ2, Mann-Whitney U test and Wilcoxon signed ranks
testwereused toanalyze the data. Therewere 72participants in
this study, 35 patients in GP group and 37 in usual care (UC)
group. After 6 months follow-ups, physical measure such
as A1C of patients in the GP group was better improved than
those of patients in the UC group. The score of diabetes
knowledge, diabetes attitude, and diabetes self-efficacy in
GP group were 11.7 ± 2.4 v.s. 16.6 ± 1.6, 47.3 ± 4.1 v.s. 54.2 ± 4.9,
158.9 ± 34.0 v.s. 183.8 ± 16.4. There was a significant difference
in the mean scores of patients ’ knowledge, attitudes and
self-efficacy betweenGP groups (p < 0.05). The score of diabetes
knowledge, diabetes attitude, and diabetes self-efficacy in UC
group were 14.5 ± 3.3 v.s.15.0 ± 2.7, 47.3 ± 4.1 v.s. 52.7 ± 3.9,
158.9 ± 34.0 v.s.183.8 ± 16.4. The study indicates that after 3
monthes group program intervention on the type 2 diabetes
patients with insulin controlled, there is significant improve-
ment of the HbA1C, the scores patients ’ knowledge, patients’
attitudes, and patients’ self-efficacy were also effectively
enhance and improved in GP group than that of UC group.
PG-55
Innovation calendar as an education appliance for self-
management at home
Di-Ya TU1, Ching-Li LIN2, Shih-Tzer TSAI1,3*. 1Department of
Nutritional Therapy, Cheng-Hsin General Hospital, 2Department
of Nursing, Cheng-Hsin General Hospital, 3Department of Internal
Medicine, Cheng-Hsin General Hospital, Taipei, Taiwan
Taiwan is rich in delicacy in traditional festival seasons. The
holiday food containing high carbohydrate is likely to affect
the glycemic control of people with diabetes (PWD) during and
after holidays. To remind PWD diet control in the special
occasion such as Chinese new year, lantern festival, tomb
sweeping day, dragon boat festival and moon festival, we
hosted the group education by using Taiwanese Diabetes
Conversation Map ® at the beginning and introduced the
carbohydrate counting of festival food at the end, expecting
PWD could pay attention to the special delicacy to minimize
the impect of overloading.
To help PWD carry out self-managememt at home, we
designed the 2016 Innovation Calendar containing the infor-
mation of festival food, physical activities and medication.
There are 52 cards of food and exercise, we try to explicit the
equivalent of bowls of rice to festival food and the time needed
to consume 100 kcal for each physical activity. By the end of
2016, the cards of food and physical activities could be
detached and conver to a deck of cards for repeated use. On
the other hand, the information of medication could be
obtained by scanning QR code on the calendar.
From December 2015 through January 2016 at Cheng-Hsin
General Hospital, we distributed 64 calendars, free of charge, to
anyone who was intrested. In April 2016, we telephone
interviewed 30 PWD for satisfaction. 5 patients didn ’t use
calendar much because “the size was too big”, “no place
to hang” and “no intention to control diabetes”. The other 25
patients were satisfied with the design of the Innovation
Calendar and 19 patients are willing to buy the calendar next
time. As to the impact of the calendar on the literacy, self-care
behavier and glycemic outcome are to be investigated.
PG-56
Original diabetes education program including individual self-
care plan “My Goals Sheet” ameliorates long-term glycemic
control in patients with diabetes mellitus
Shinji UENO 1*, Nagaaki TANAKA1, Takeru NAGATA1,
Soudai KUBOTA 1, Saki OKAMOTO1, Yui SAKURAMACHI1,
HItoshi KUWATA 1,2, Kouin WATANABE1, Takanori HYO1,
Chihiro KOUNO 3, Satoko HAMASAKI3, Tomoko MENYA3,
Mayuka SAKAGUCHI 4, Naomi KITATANI4,
Tomoko OKAMOTO5, HIroko HASHIMOTO6,
Yoshikazu HIRASAWA7, Tomoko AWA8, Daisuke YABE1,2,4,
Yoshiyuki HAMAMOTO1,2, Takeshi KUROSE1,2,
Yutaka SEINO1,2. 1Center for Diabetes, Endocrinology and
Metabolism, Kansai Electric Power Hospital, 2Yutaka Seino
Distinguished Center for Diabetes Research, Kansai Electric Power
Medical Research Institute, 3Department of Nursing, Kansai Electric
Power Hospital, 4Center for Metabolism and Clinical Nutrition,
Kansai Electric Power Hospital, 5Department of Pharmacy, Kansai
Electric Power Hospital, 6Department of Clinical Laboratory, Kansai
Electric Power Hospital, 7Department of Rehabilitation, Kansai
Electric Power Hospital, 8Department of Ophthalmology, Kansai
Electric Power Hospital, 9Department of Diabetes, Endocrinology and
Nutrition, Kyoto University Graduate School of Medicine, Japan
Objectives: Diabetologists and health care professionals
usually provide hospitalized Diabetes-educational program
(DEP) for patients with diabetes mellitus in Japan. In our
hospital, we have created a new DEP including lectures,
discussions with patients, diet and exercise instructions,
Diabetes Conversation MapTM provided by diabetes specia-
lists, nurses, dietitians, pharmacists, physiotherapists, labora-
tory technicians and so on. We also developed “My Goals
Sheet” (MG Sheet), which is a self-evaluation tool for declaring
a patient’s goals in his/her life for shorter, intermediate and
longer period and self-directed goal setting in healthy eating,
physical activity, medication and reducing risks addressed
through DEP. The aimof this study is to investigate the efficacy
and validity of the new DEP in glycemic control.
Methods: Retrospective, observational study was conducted
with 51 patients who participated in the new DEP and
completed their own MG Sheet (Group N, male/female = 31/
20, mean ± SD age: 60.5 ± 13.9 years; BMI: 26.8 ± 4.3 kg/m2;
HbA1c: 9.2 ± 1.9%). As a control group, patients who partici-
pated in previously adopted DEP (mainly video lectures) (Group
C, n = 51) were included. Their age, sex, anthropometric factors
and glycemic control were matched with Group N. HbA1c
levels were evaluated until 12months after the admissionwith
DEP.
Results: HbA1c levels after both of DEP decreased during
follow-up period: Group N vs Group C; HbA1c(%)9.2 ± 1.9 vs
9.1 ± 1.6 at baseline; 7.3 ± 0.9% vs 8.0 ± 1.5% in 12 months.
HbA1c in Group N sustained significantly lower level after 12
months (P = 0.0074) compared to Group C. Reduction in HbA1c
from baseline to 12 months was significantly greater in Group
N (Group N vs Group C: −1.9 ± 2.1 vs −1.2 ± 1.6; P = 0.0490).
Furthermore, patients who could set detailed individual goals
in their own MG Sheet (6 or 7 items out of 7 goals) in Group N
achieved greater HbA1c reduction in 9 and 12 months
compared with those in group C (in 9 months, Group N vs
Group C: −2.1 ± 2.5 vs − 1.1 ± 1.6; P = 0.0182, in 12 months, Group
N vs Group C: −2.2 ± 2.4 vs −1.2 ± 1.6; P = 0.0254).
Conclusions: Multidisciplinary and interactive diabetes
education program including declaration of individual goal
setting may help patients with DM achieve better glycemic
control.
PG-57
Dietary survey among type 2 diabetes patients newly enrolling
diabetes shared care
Hui-Yu PENG1, Hui-Chuen CHEN1, Shiu-Fen HUANG2*,
I-Ching WANG 2, Chiou-Shiang WANG2, Chin-Pao CHENG1,
Lee-Ming CHUANG2. 1Department of Dietetics, National Taiwan
University Hospital, 2Department of Nursing, National Taiwan
University Hospital, Taiwan
Background: To evaluate baseline dietary pattern and correlate
each component of dietary intake with glycemic control in
patients with type 2 diabetes.
Methods: Food intakes were surveyed and analyzed in 67
patients (aged 31 to 86 years) with type 2 diabetes from
Diabetes Shared Care System in a Medical Center in Northern
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65–S211 S177