Diabetes Research and Clinical Practice - Volume 120 - Supplement 1

Planning: Help survey diabetic populations particularly vul-

nerable in disaster events, develop a special care program.

Addressingneeds: Evaluate the qualityand quantityofmedical

resources for diabetic care, establish guidelines for coordinat-

ing the donation of equipment and medicine from other

countries. Communications: Regularly preview with relief

organisations (such as the Red Cross) and various government

agencies, Conduct periodic rehearsals.

Response during disaster:

Provide information to people with diabetes, caregivers, and

the media and direct patient medical care, Contact relief

organisations to obtain information and statistics and ascer-

tain the type of assistance required, Contribute to identifying

resources of medication supplies, Assist to organise multidis-

ciplinary medical teams.

Resolution and recovery:

Review and

discuss diabetes management strategies for diabetic people

during and after a disaster, and revise the guideline programas

necessary. In 2014 WPR council meeting in Singapore,

members met to hear the synthesis of the program and a

decision was made to review the guideline after 3

–

5 years, and

individuals who prepared the original sections were invited to

review and update their section taking into consideration new

evidence and new treatments. This initiative need further

steps to be taken. As a follow up, we need to look for resource

persons, creating teams to prepare workshop topics and

organising training centres regionally, and financial supports.

The suggestion is that it could be organised after the next IDF

WPR meeting in Taipei 2016. People with diabetes, health

providers, and official emergency departments should always

be prepared, and by way of such preparedness the impact an

emergency may have on their condition will be lessened.

SP04-3

Disasters and patients with diabetes

–

an endocrinologist

’

experience in missions in Africa and the Philippines

Vivien LIM

International Diabetes Federation Western-Pacific

Region Disaster Program

Diabetes is termed the modern epidemic of our times and

plaques not only developed countries but also developing

ones. It is predicted to increase exponentially in the next

couple of decades, especially in Asia. Healthcare systems to

combat diabetes are suboptimal in many places, not only

with regards to prevention but also its detection and manage-

ment of the disease itself and its complications. What is

worse, many of such places might themselves be affected by

disasters

–

man-made or natura

–

and this would impact on

the already weak health infrastructure to further detriment

diabetic patients and their treatment. This talk touches on the

reality of such situations, drawing on experience in missions

in both Africa as well as in Asia, namely the Philippines. It

showcases a field worker

’

s take of the situation, who happens

to also be an endocrinologist.

Integration of Diabetes Management in

Taiwan

S39-1

Overcoming difficulties and pursuing excellence

Shi-Yu CHEN

Tri-Service General Hospital, Taipei, Taiwan

The aim of the present study is to provide practical guidance

on improving diabetes care through highlighting the need for:

(1) increasing patients

’

understanding of type 2 diabetes and

reaching glycemic goals (2) sharing responsibility/common

philosophy for achieving glycemic goals, and (3) building a

multidisciplinary team approach to treating type 2 diabetes.

In order to overcome the barriers of achieving good glycemic

control and share better understanding andmutual agreement

regarding good glycemic control among members in the

multidisciplinary team, establishing a good rapport with the

patients and motivating them to achieve and maintain gly-

cemic control are extremely essential. The methods of moti-

vating and supporting patients to change their lifestyle are

carried out by: (1) providing practical and realistic advices on

implementing and sustaining lifestyle changes; (2) discussing

steps that can be implemented punctually; (3) involving, where

possible, othermembers of the diabetes care team, particularly

family and friends; and (4) emphasizing the role of the multi-

disciplinary team. There are two key functions of the multi-

disciplinary team. The first is to provide continuous, accessible

and consistent care focusing on the needs of individuals

with type 2 diabetes, including collections of information

concerning diagnosis of conditions and continually there-

after, agreements of care standards, discussions on rational

therapeutic suggestions, monitoring guideline adherence in

accompany with short-term outcomes, and avoiding early

complications or providing timely intervention to decrease

diabetes-related complications. The second is to enable

patients

’

long-term self-management. A multidisciplinary

team can reduce 62% annual cost of treatment. Other than

this, the benefits of amultidisciplinary teamapproach to type 2

diabetes care include: (1) improving glycemic control, (2)

increasing patient follow-up, (3) lowering riskof complications,

(4) improving quality of life, (5) increasing patients

’

sense of

satisfaction

and (6) decreasing healthcare costs.

S39-2

Diabetes case management: Improvement measures at

Changhua Christian Hospital

Shang-Ren HSU

Division of Endocrinology & Metabolism,

Changhua Christian Hospital, Changhua, Taiwan

With an ever-growing population of people with chronic

diseases, it is estimated that Taiwan now has over 1.5

million diabetic patients. The crippling burden of diabetes on

health expenditure is felt in healthcare institutions large

and small as well as in governmental levels. At our hospital, a

tertiary care medical center in central Taiwan, well over 10,000

patients are regularly treated for diabetes. With the majority

of the patients enrolled in a diabetes share-care program, it

has been a constant challenge to deliver comprehensive care

to the patients while complying with the regulations and

requirements of national health insurance reimbursement

and meeting the quality standards imposed by the share-care

program. Fortunately, with the full support of the hospital

’

administrative office, much resource and planning have been

invested in diabetes case management at our hospital. Under

constant supervision, various improvement measures have

also been implemented to facilitate casemanagement over the

years. Indispensable among them are a constantly evolving

information system which not only keeps comprehensive

patient information in a robust, easy to access database but

also provide physicians and case managers helpful guidance

and reminders to guard against errors and oversights, a

patient-friendly environment and arrangements that make

each visit as hassle-free as possible, and various communica-

tion and standardized procedures to ensure coordinated and

integrated teamwork in the delivery of care. Such efforts have

earned us much recognition for the present. However, the

growing burden of diabetes and the increasing complexity of

its treatment and management will undoubtedly demand

continual evolvement of our case management system.

S39-3

Experience of diabetes management in an integrated

polyclinic of Taiwan

Yau-Jiunn LEE

Lee

’

s Endocrinology Clinic, Pingtung, Taiwan

Diabetes a lifelong condition that is essentially need self-

managed but requires regular monitoring. The standard of

care in diabetes includes emphasis on self-management

Speech Abstracts / Diabetes Research and Clinical Practice 120S1 (2016) S1

–

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