The situation of diabetes management in China is serious. To set up hierarchical medical system is necessary, though there was no mature or effective diabetes management model in the mainland. To explore a new path for hierarchical medical system, we would localize the share care model of diabetes management in Taiwan. Diabetic experts, diabetic educators and community doctors would use interactive information platform and self-glucose monitor with application on mobile phone to manage diabetic patients together. The model will be applied in six diabetic centers, and patients we will be managed in the new model and followed, and at the same time patients that managed in the conventional model in the real world, the differences of proportion who achieve a composite goal will be compared yearly for 5 years.
Study Type
OBSERVATIONAL
Enrollment
3,500
Beijing Ruijing Diabetes Hospital
Beijing, Beijing Municipality, China
HbA1c
control rate of HbA1c\<7.0%
Time frame: 1 year
blood pressure
control rate of blood pressure\<140/90 millimetres of mercury
Time frame: 1 year
LDL-C
control rate of LDL-C\<2.6mmol/L
Time frame: 1 year
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