RESUMO
Objective To investigate optimum pathway of community based management for diabetes. Methods The optimum pathway was based on service of health examination, clinical follow-up, and health education. Between A and B community based management,we compared the difference in frequency of doctors' office visiting in one year, fasting blood glucose and blood fat, the diabetes knowledge, improvement of life style and patient's willingness. Results ①The frequency of doctors' office visiting in one year in observation group were significantly higher than that of the control group, but were lower than control group in over Second-class Hospital and high-risk patients. ②The fasting blood glucose and blood fat in observation group were significantly lower than that of the control group(P<0.05). ③The awareness rate about the blood glucose level, diabetes diet,chronic complications and blood sugar monitoring in in ob-servation group were significantly higher than control group(P<0.05);In improvement of life style and patient's willing-ness,the observation group was better than control group of blood checks,diet control and medication(P<0.05). Conclu-sion Because of the optimum pathway of community based management for diabetes,the diabetes patient has more knowledge in diabetes , positive attitude and healthy behavior,so at last, it is good for treatment.