ObjectiveTo explore the effect of a new diabetes management model by analyzing the changes of diabetes management indicators before and after the implementation of the Qingpu District Diabetes Score System.
MethodsA series of diabetics were studied who actively participated in the anaysis in Xujing Town and Zhujiajiao Town, where pilot projects of integrated system management had been carried out since February 2016.The series of 824 diagnosed diabetics were as focus subjects, who signed a contract to participate in the integrated system management and the standardized follow-up.They were investigated and studied for the variation of their blood glucose and glycosylated hemoglobin, in comparison with those obtained 2 years previously before and after the management.
ResultsAfter the integral system management was carried out, the number of active participants in self-management of diabetes increased from 2 182 to 3 274, the blood sugar detection rate increased from 56.74% to 76.27%, and the glycosylated hemoglobin detection rate increased from 0.73% before the management to 57.57% after the management.The mean fasting blood sugar of the 824 patients who participated in the standardized management of integral system decreased from 8.196 mmol/L before management to 7.745 mmol/L after management.The difference was statistically significant (t=4.904, P < 0.01), and the control rate of blood sugar increased from 35.9% to 40.93%.The difference was statistically significant (χ2=39.782, P < 0.01).The control rate increased from 39.80% before management to 45.99% after management, and the difference was statistically significant (χ2=6.193, P < 0.01).
ConclusionThe integral system management model can enhance the initiative of diabetic patients to participate in self-health management, effectively improve the control level of blood sugar and glycosylation, and is conducive to the development of diabetes management, which can be generalized.
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