摘要： 糖尿病及其并發(fā)癥為當(dāng)前嚴(yán)重威脅公眾健康的慢性非傳染性疾病之一，其發(fā)病率逐年上升。糖尿病前期是由正常糖代謝進(jìn)展為糖尿病的高危階段，在此階段進(jìn)行有效干預(yù)是預(yù)防和延緩糖尿病發(fā)生的關(guān)鍵。本文在現(xiàn)有慢性病管理模式的基礎(chǔ)上將自我管理、家庭參與式管理、社區(qū)群組管理、中醫(yī)特色管理及新技術(shù)聯(lián)合手段的管理方式進(jìn)行歸納整理，對(duì)比分析各型管理方式所存在的優(yōu)勢(shì)與不足，以進(jìn)一步探討當(dāng)前行之有效的糖尿病前期患者的管理方式。本文內(nèi)容提示多形式綜合糖尿病前期管理可降低其轉(zhuǎn)化為糖尿病的發(fā)生率，應(yīng)用前景廣泛，而未來(lái)健康管理師加入社區(qū)健康管理團(tuán)隊(duì)將會(huì)是慢性病有效管理的一大突破。

關(guān)鍵詞: 糖尿病前期, 社區(qū)模式, 健康管理, 協(xié)同護(hù)理, 治未病, 綜述

Abstract: Diabetes and its complications are currently one of chronic non-communicable diseases that seriously threaten public health，showing an increasing incidence rate year by year. Prediabetes is a high-risk stage for normal glucose metabolism to develop into diabetes，and effective interventions received in this stage is the key to lowering the occurrence of diabetes. To identify a better management model feasible for prediabetes，we selected five representative ones（self-management，family participatory management，community-based group management，TCM management，and management with combined new technologies） from the available prediabetes management models，and performed a comparative analysis of their strengths and limitations. We recommend the management with multiple forms of interventions，which may effectively reduce the possibility of developing diabetes from prediabetes，with a broad application prospect.In addition，the management by a community health team including at least a health manager may be an innovative model for effectively managing prediabetes in the future.

Key words: Prediabetic state, Community model, Health management, Collaborative nursing, Cure not ill, Review

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