Effect evaluation analysis of three years intensive intervention for patients with type 2 diabetes at Xinjiekou Community Center in Beijing

Following the wishes of volunteer patients, 316 cases of type 2 diabetics of our community center in 2008 carried out a three-year intervention from 2008 to 2011 on the basis of rational drug therapy plus the interventions of health education, regular review and lifestyle strengthening. And regular monitoring and recording were performed on the parameters of body mass index (BMI), blood pressure, blood lipids, fasting glucose, 2 h postprandial blood glucose, glycosylated hemoglobin (HbA1c) and liver & kidney function. After intervention, some indicators changed: BMI (25.2±3.5) vs.(25.0±3.3) kg/m2, systolic blood pressure (129.1±11.8) vs. (126.2±7.9) mm Hg (1 mm Hg=0.133 kPa), fasting glucose (7.80±2.81) vs.(7.25± 1.96) mmol/L, 2 h postprandial blood glucose (11.04±4.60) vs. (9.83±3.60) mmol/L, HbA1c (7.39 ± 1.61) vs. (7.17±1.65)%, total cholesterol (5.08±1.21) vs. (4.74±1.35) mmol/L, low density lipoprotein cholesterol (LDL)(3.09±0.87) vs. (2.85±0.83) mmol/L, high density lipoprotein cholesterol (HDL) (1.27±0.33) vs. (1.41±0.32) mmol/L, serum creatinine 65 vs. 72 μmol/L, uric acid 300 vs. 317 μmol/L. And the differences were statistically significant (P<0.05). After intervention, blood pressure compliance rate increased from 72.5% to 88.0%, LDL-C compliance rate improved from 27.2% to 38.6%, HDL-C compliance rate of 54.9% increased to 66.9%. And the differences were statistically significant (P<0.05). The pre-intervention combined compliance rate of 11.4% (n=36) rose to 17.7% (n=56). And there was significant difference (P=0.024). Key words: Diabetes mellitus，type 2; Community health services; Early intervention(education)