Effectiveness of comprehensive preventive and control system for type 2 diabetes in communities
Shi Lingyan
Jin Da
Chang Sanshuai
Du Xin
Zhang Hongjia
Abstract：Objective To establish a comprehensive preventive and control system for type 2 diabetes in communities.effectiveness.Methods The residents of 19 communities in Jinrong street,Beijing were randomly selected.The comprehensive prevention and control of type 2 diabetes was performed through timely and systematical healthy education for diabetes,popularizing diabetic knowledge,guiding rational use of drugs,regular examination,reasonable diet and appropriate physical exercise,patient communication and self-management.The diabetic related risk factors were obtained from questionnaire and physical examination and compared before and after comprehensive prevention and control measures.Results Totally 1 498 residents were enrolled.After performing comprehensive prevention and control system for type 2 diabetes,the frequency of physical exercise was increased [＞5 d/week:40.8％ (611/1 498) vs 35.9％ (538/1 498),2-3 d/week:33.4％ (500/1 498) vs 17.8％ (266/1 498),≤1 d/week:5.7％ (85/1 498) vs 5.7％ (85/1 498),non-exercise:20.2％ (302/ 1 498) vs 40.7％ (609/1 498)] and the diet structure was also improved [well-balanced between vegetable and meat:83.9％ (1 257/1 498) vs 77.2％ (1 156/1 498),mainly meat:4.7％ (71/1 498) vs 8.4％ (126/ 1 498),mainly vegetable:9.0％ (134/1 498) vs 10.8％ (162/1 498),high salt,sugar and oil diet:2.4％ (36/1 498) vs 3.6％ (54/1 498)] (P ＜0.05) ; no changes on proportions of smoker and drinker were found (P ＞0.05).After this comprehensive prevention and control system for type 2 diabetes,the systolic pressure,fasting blood glucose,2 h postprandial blood glucose,hemoglobin A1 C,triglyceride and low density lipoprotein cholesterol were significantly reduced [(121 ± 25) mmHg vs (127 ± 27) mmHg,(5.1 ± 0.7) mmol/L vs (5.6±1.3) mmol/L,(6.7 ±2.3) mmol/L vs (7.3 ±3.1) mmol/L,(5.5 ±3.1)％ vs (5.7 ±3.9)％,(1.5±0.6) mmol/Lvs (2.1 ±0.9) mmol/L,(2.8±0.7) mmol/Lvs (3.1 ±1.1) mmol/L] (P＜0.05); heart rate,body mass index,waistline,diastolic pressure,creatinine,total cholesterol and high density lipoprotein cholesterol had no changes (P ＞ 0.05).Conclusion Establishment of comprehensive prevention and control system in community for type 2 diabetes can effectively reduce the diabetic related risk factors,promote lifestyle modification,which is an effective management of chronic disease.
Keywords：Diabetestype 2Community health servicesComprehensive preventive and control system
Publication Date：2015-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：6( 1305-1310 )