JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v10i7.15850ArticleDiabetes Self-Management in Community-Dwelling Older Adults: Status Assessment and Targeted Intervention Strategieshttps://artdesignp.com/journal/JCNR/10/7/10.26689/jcnr.v10i7.15850WuChunling,ChenXuefeng,DengShixuan,YangYi20261072026-07-31Objective: To assess self-management behaviors and service needs among older adults with diabetes in Guojicun Community, Yuzhong District, Chongqing, and to provide empirical evidence for improving community-based diabetes care. Methods: A cross-sectional survey was conducted among eligible older community-dwelling adults with diabetes. Data were collected using a standardized self-management scale and a service-needs questionnaire, and analyzed descriptively with supply-demand matching. Results: Overall self-management was low to moderate and uneven across domains. Medication adherence and fruit and vegetable intake were relatively better, whereas exercise, prescribed blood glucose monitoring, and foot care remained weak. Patients reported substantial needs for home-based glucose monitoring and complication prevention, whereas community service coverage remained limited; psychological support was particularly underprovided. Health education relied mainly on offline lectures, with predominantly one-way delivery and limited interaction or individualized feedback. Conclusion: Older adults with diabetes in this community had relatively weak self-management capacity, and current service provision was structurally misaligned with actual needs. Primary care should adopt assessment-based, stratified interventions, prioritize home monitoring and psychological support, improve interactive and context-sensitive health education, and integrate family, community and policy resources to strengthen chronic disease management.

National Health Commission of the People’s Republic of China, Chinese Center for Disease Control and Prevention, 2025, Report on Nutrition and Chronic Diseases of Chinese Residents (2025). Beijing.

National Center of Gerontology, Geriatrics Branch of Chinese Medical Association, Diabetes Professional Committee of China Elderly Health Care Association, 2021, Chinese Guideline for the Diagnosis and Treatment of Diabetes Mellitus in the Elderly (2021 Edition). Chinese Journal of Diabetes Mellitus, 13(1): 14–46.

Li Z, Fang J, Lin K, 2024, Analysis and Prediction of the Disease Burden of Type 2 Diabetes Attributable to High Body Mass Index in China from 1990 to 2019. Chinese General Practice, 27(9): 1126–1133 + 1148.

Zhou Y, Liu J, Zhao Z, et al., 2025, The National and Provincial Prevalence and Non-fatal Burdens of Diabetes in China from 2005 to 2023 with Projections of Prevalence to 2050. Military Medical Research, 12(1): 28.

National Health Commission of the People’s Republic of China, 2024, Healthy China Action: Implementation Plan for Diabetes Prevention and Control (2024–2030).

Yu P, Xiao X, Wang L, et al., 2013, Correlation Between Self-Management Behaviors and Blood Glucose Control in Patients with Type 2 Diabetes Mellitus in the Community. Journal of Central South University (Medical Science), 38(4): 425–431.

Chinese Diabetes Society, 2021, Guidelines for the Prevention and Treatment of Type 2 Diabetes in China (2020 Edition) (Part 2). Chinese Journal of Practical Internal Medicine, 41(9): 757–784.

Wang J, Kong X, Wang L, et al., 2025, Qualitative Study on the Prevention and Treatment Experiences of Elderly Patients with Cardiovascular and Cerebrovascular Diseases and Primary Healthcare Workers in Mountainous Areas—Taking Two Counties in Yunnan and Guizhou as Examples. Journal of Nurses Training, 40(12): 1311–1316.

Xing J, Chen T, Mi Y, et al., 2024, Analysis of Factors Influencing the Vulnerability of Chronic Disease Self-Management System for the Elderly in Shandong Province. Chinese General Practice.

Li Y, Chen W, Xu W, et al., 2011, Reliability and Validity Test of Revised Summary of Diabetes Self-care Activities Scale for Patients with Type 2 Diabetes. Modern Hospital, 11(3): 148–150.

Yang N, He S, Song G, et al., 2021, Correlation of Self-management, Dietary Compliance and Psychological Burden with Glycemic Level in Patients with Type 2 Diabetes Mellitus. Practical Preventive Medicine, 28(7): 774–779.

Huang S, 2025, Application of Continuous Nursing Based on ADOPT Problem-solving Model in Patients with Diabetic Foot. Medical Equipment, 38(7): 150–153.

Li G, Zhou Y, Tian X, et al., 2026, Interpretation of the ACLM Clinical Practice Guideline: Lifestyle Interventions for the Treatment and Remission of Type 2 Diabetes and Prediabetes in Adults. Chinese General Practice, 29(22): 3086–3093.

Yao N, Dong C, Yu F, 2023, Application of Triangle Stratified Management Combined with LEARNS Model in the Management of Diabetes Nursing Outpatient Service. Chinese Journal of Practical Nursing, 39(6): 401–405.

Diabetes Prevention and Control Committee of Chinese Preventive Medicine Association, 2025, Chinese Diabetes Behavior and Lifestyle Intervention Guidelines (2024). Chinese General Practice, 28(7): 777–796.

Haile K, Habte M, Fenta G, 2026, Effect of a Peer Support Group Intervention on Medication Adherence, Self-care Practices, and Diabetes Knowledge Among Patients with Diabetes in Northern Ethiopia: A Randomized Controlled Trial. BMC Primary Care.