Study and effectassessment of the hierarchical chain management model of type 2 diabetes

：Objective To explore thehierarchical chain management model of type 2 diabetes and determine its evaluation.MethodBased on the hierarchical chain management of the three community health serviceinstitutions and Dahua hospital in Shanghai Xuhui district,215 cases of type 2 diabeteshad been involved in the study.Results Compared with the baseline beforemanagement,lasting blood glucose (FBG),2 h postprandial glucose (2hPBG),glycosylatedhemoglobin (HbA1c),low density lipoprotein cholesterol (LDL-C),systolic blood pressure(SBP) and diastolic blood pressure (DBP) of the diabetes after 12 months' managementdeclined [(8.50 ±2.81) mmol/L,(11.09 ±4.01) mmol/L,(8.56 ±2.41)% ,(3.31 ± 1.06)mmol/L,(139.06 ±20.68) mm Hg (1 mm Hg = 0.133 kPa),(78.20 ± 12.11) mm Hg vs.(7.41 ±2.04)mmol/L,(9.03 ±2.46) mmol/L,(7.34 ± 1.59)% ,(3.00 ± 1.06) mmol/L,(135.48 ± 17.82) mmHg,(77.27 ±11.83) mm Hg],and the differences were statistically significant(P＜0.01);control rate of FBG,2hPBG,HbA1c,LDLC,SBP,DBP had improved significantly [19.5%(42/215),20.9% (45/215),24.7%(53/215),20.0%(43/215),27.4%(59/215),30.2%(65/215)vs.50.7%(109/215),53.0%(114/215),54.0%(ll6/215),42.3%(91/215),47.0%(101/215),45.6%(98/215)](P＜0.01).Conclusion Primary andsecondary-care hospital based hierarchical chain management model is valid and can beimplemented for type 2 diabetes. Key words: Diabetes mellitus,type 2;  Hierarchical chain managementmodel