| BackgroundDM is one of the most prevalenced disease which is following to the tumor and cerebrovascular disease. The world have been diagnosed with type 2 diabetes reached 130 million, China has more than 40 million people. 2025 patients with diabetes worldwide will exceed 300 million, while the total number of Chinese diabetes probably want more than one hundred million, the absolute number of 50 million people. Each year our country has to spend billions RMB diabetes and its complications on the prevention and treatment. Our diabetes community health education work late, now it is growing by the whole society. Changchun City diabetes community in a job is the initial stage, to be our medical staff, as well as the general importance to society as a whole. Changchun City, how to carry out community work, should also have a favorable external environment and there is a group of quality staff to achieve common.Diabetes prevention and treatment of the key is to control blood sugar in normal range or near normal levels, and blood glucose control should not completely rely on the drug. The so-called diabetes health education, is the point to teach patients with diabetes diabetes knowledge and control of disease and to develop their skills to treat illness right attitudes and behavior so that they can get a good metabolic control and a satisfactory quality of life. Can be seen that diabetes health education non-drug therapy and drug treatment with the necessary basic conditions. Because diabetes is a life-long disease, it will be diabetes health education from the hospital into the community, is to reduce morbidity, reduce complications, reduce the financial burden of an important measure. Community-based diabetes health education to include not only target the general population, diabetic patients and their families, but also including community-based medical personnel.In this study, mainly from the exercise intervention, dietary intervention and psychological intervention, such as some aspects of a comparative analysis of diabetic patients so as to arrive at the best community health education programs.Materials and Methods: Source object in March 2008 to June year-2008 Jida hospital medical medical center crowd. 25-85 at the age between the ages, fasting plasma glucose≥5.6mmol/L (100mg/dL) for selected staff. Selected 96 cases were randomly divided into intervention group and control group, intervention group 48 cases, of which 29 cases of male, female 19 cases, the average age of 60.17±10.63 years old, 48 cases of the control group, one of 27 cases of male, female 21 cases, the average age of 62.04±10.92 years old. Intervention group were given health education, and dietary intervention and exercise intervention. Control group given conventional care. Intervention group with the crowd to sign informed consent form; set up personnel files, including age, sex, height, weight, occupation, ethnicity, education, eating habits, exercise habits, family history, etc; intervention team carry out health education; fill in the medical act questionnaire; lectures by experts, the production of slides, issuing health knowledge missionary manuals; issuance of a variety of measuring, the church crowd Food conversion method and the issuance of the exchange of copies of the Food Act Manual; church crowd how to calculate the standard weight; church groups calculated in accordance with the labor intensity heat; church crowd total heat demand for the conversion method; depending on the crowd's work and living habits to develop personalized programs to obtain the support of individual intervention; set up follow-up system, follow-up of forms, including on-site to answer, answer phone, letters and communicate online form to ensure that the crowd yet to visit.Results:1,Two groups before and after intervention in the medical response to the questionnaire comparedMCMQ medical response to the questionnaire is divided into face, avoiding, yielding three factors analysis. Intervention group and control group to compare the three factors separately, in the face of score comparing the intervention group at significantly increased after the intervention, with statistical significance (p<0.0001), the control group were also slightly elevated (p=0.03), two groups earlier intervention no significant difference (p=0.92), after the intervention compared there were significant differences (p<0.0001); evade score comparing the intervention group significantly decreased after the intervention, with statistical significance (p<0.0001), control group was slightly has increased (p=0.29), the two groups before the intervention showed no significant difference (p=0.97), after the intervention compared the difference was significant (p<0.0001), with statistical significance; yield score comparing the intervention group at post-intervention significantly reduced, with statistical significance (p<0.0001), control group was higher (p=0.009), there is statistical significance. The two groups before the intervention showed no significant difference (p=0.90), after the intervention compared the difference was significant (p<0.0001), with statistical significance.2,Fasting blood glucose compared two groups at pre-intervention was no significant difference (p=0.82), after the intervention there is significant difference (p=0.009), with statistical significance. Intervention group after the intervention groups significantly decreased fasting plasma glucose, before and after intervention there is significant difference (p<0.0001), with statistical significance in the control group a marked increase in fasting plasma glucose groups (p=0.003), the difference is also significant.3,BMI intervention before there is significant difference (p=0.0002), intervention group population BMI index was significantly higher than the crowd, the intervention group after the intervention population BMI index decreased significantly (p<0.0001), statistically Significance of study. The control group population BMI index increased (p=0.24), after the intervention of the two was no significant difference (p=0.16).4,For the intervention group used three different intervention groups, including the simple exercise intervention, a simple dietary intervention, a combination of exercise and diet intervention. Interventions for different forms of intervention effects compared to the three intervention groups at pre-intervention fasting blood glucose was no significant difference (p=0.73), three groups after the intervention compared fasting glucose no significant difference (p=0.64), no statistical Significance of study.5,For three different modes of intervention of the BMI for comparison of results of three intervention groups at pre-intervention BMI was no significant difference (p=0.11), three groups after the intervention compared BMI no significant difference (p=0.06), not statistically significant.Conclusion:1,Through acts of psychological education and health education to help people change unhealthy lifestyle habits and behaviors, so that improved access to education to follow the crowd, and taken to a healthy pattern of behavior and way of life.2,Diet and exercise intervention can interfere with diabetes and high-risk groups of fasting blood glucose levels dropped to normal levels or good control, so effective health education is the prevention and control of diabetes and related diseases, one of the best means.3,Three different modes of intervention by the control is basically the same as the effect of blood glucose, education groups can be the nature of their career, habits, religious beliefs, choose their own way, so easy, convenient and insisted that self-confidence, in order to achieve the desired results.4,As a result of the control diet and increased exercise, so that access to education decreased body mass index groups, the body more body-building to increase individual self-confidence, while reducing the metabolic syndrome and its related diseases in the development, improve the quality of life.5,The prevention of diabetes should be spread to the community, the greatest possible number of people outside the hospital will be able to access to diabetes-related knowledge, expanded access to education groups, raised awareness and Medical rates, so looking to do a preventive effect, timely, effective and reflect the overall continuity of care.
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