Abstract:

Objective To evaluate the effects of community management on blood glucose control in patients with type 2 diabetes mellitus (T2DM) in Shanghai. Methods A total of 1 671 patients with T2DM randomly selected from 6 community health service centers with T2DM management in Shanghai were surveyed with questionnaires, and were divided into management group 1(poor in glucose control, n=725) and management group 2 (good in glucose control, n=946）. Influencing factors of fasting blood glucose (FBG) and postprandial 2 hours blood glucose（PBG）in two groups were analysed by multivariate Logistic regression analysis. Results FBG and PBG of patients in management group 1 were (8.62±2.93) mmol/L and (11.51±3.95) mmol/L respectively, those in management group 2 were (6.77±2.24) mmol/L and (9.22±2.88) mmol/L respectively, and both were significantly different from reference standard (7 mmol/L for FBG and 10 mmol/L for PBG)（P<0.001）. Logistic regression analysis revealed that duration of disease, frequency  of health education, design of exercise program and adjustment of diet and exercise were influencing factors on FBG or PBG of patients in management group 1, and duration of disease, two-way referral and administration of diet program were influencing factors on FBG or PBG of patients in management group 2. Conclusion Blood glucose of patients with T2DM may be under control in community, and community health service centers should conduct diet and exercise intervention and follow-up among patients with T2DM, especially for those with poor blood glucose control.

Key words: type 2 diabetes mellitus, blood glucose, management of community, effectiveness evaluation, Shanghai