Objective To explore a brand new community management model in which family members actively involved for patients with type 2 diabetes in rural areas of Deqing county. Methods Adult patients with type2 diabetes were randomly selected by clustering method from 9 villages of Deqing county and were divided into intervention group（patients from 4 villages）and control group（patients from 5 villages）.Patients in control group were managed in the traditiona manner,and those in intervention group were managed through a new management model in which diabetic specialists worked as instructors,community physicians acted as manager and family members involved as supervisors for a year.Blood samples were collected prior and post intervention for the measurement of fast blood glucose（FBG）and hemoglobin A1 c（HbA_（1C））. Results A total of 525 patients were recruited into this study,including 267 in the intervention group and 258 in the control group.The mean serum FBG level and HbA_（1C）level decreased from（7.58±2.24）mmol/L to（6.98±1.97）mmol/L（t=4.063,P=0.000）and from（7.21±1.57）% to（6.99±1.37）%（t=2.198,P=0.029）,respectively after one year intervention with the FBG control rate increasing from 49.81% to 68.16%（χ~2=18.586,P=0.000）and the HbA_（1C）control rate from 46.44%to 59.55%（χ~2=11.670,P0.01）.The change of HbA_（1C）level was more statistically significant among patients in intervention group compared with controls（t=4.226,P=0.000;χ~2=38.900,P=0.000）. Conclusions Family member-involved community management model for patients with type 2 diabetes from rural areas of Deqing county works better than the traditional one in the controlling of serum levels of FBG and HbA_（1C）,which may be adopted widely by rural communities to manage patients.
China Preventive Medicine