The incidence of diabetes has been increasing year by year, and the management of type 2 diabetes has been included into the basic community health services as an important disease in China. However, at present, there is still a gap in the standard management of diabetes at the grass-roots level, especially in quality and ability.

To understand the current situation of diabetes management in Shanghai community health institutions and conduct systematic quality evaluation, and to put forward corresponding optimization suggestions for existing problems.

The research was conducted in May 2022, and the target population included, (1) community health service centres: all community health service centres in 16 administrative districts of Shanghai, with a total of 249 institutions; and (2) community general practitioners: 3 875 community general practitioners were selected by simple random sampling according to the proportion of 50% of the registered population. The questionnaire for medical institutions and the questionnaire for general practitioners were designed to investigate the implementation of diabetes management in community health centres and the implementation of standardized diagnosis and management of diabetes by community general practitioners.

A total of 249 questionnaires concerning diabetes management in primary healthcare institutions were distributed, with 249 valid responses collected, representing a 100.00% response rate. Additionally, 3 875 questionnaires assessing standardised diabetes diagnosis, treatment, and management practices among community general practitioners were distributed, yielding 3 874 valid responses, corresponding to a 99.97% response rate. HbA_1c test was available in all community health institutions in Shanghai, but the screening program for diabetes complications was insufficient, and only 16.9% of community health service centercould test nerve conduction velocity. The types of oral hypoglycemic agents are relatively complete, but the types of insulin are single, and only 7.6% of community health service center are equipped with the new hypoglycemic drug glucagon-like peptide-1 receptor agonist. 57.4% of community health service center have set up diabetes clinics. Community general practitioners have a high degree of recognition for the standardized management of diabetes and have a good grasp of the guidelines for the basic management of diabetes, but they have a poor grasp of the basic knowledge of diabetestreatment drugs, and the correct rate of the application knowledge of oral hypoglycemic drugs and insulin is only 27.9% and 29.0%. When the blood sugar of newly diagnosed diabetic patients is high and the diagnosis of diabetic nephropathy is confirmed, the community general practitioners are more inclined to refer the patients directly to the superior hospital specialty.

The results of this survey showed that the infrastructure, equipment and drugs of diabetes management service in Shanghai community health service center have basically met the quality requirements; Gaps in knowledge of drug use; It is necessary to further improve the diabetes management quality and medical capacity of primary medical and health institutions by increasing the examination and testing items related to the screening of diabetes complications, increasing the types of new hypoglycemic drugs and insulin, strengthening the construction of diabetes specialized clinics, improving the diagnosis and treatment level of general practitioners, and standardizing the diagnosis and treatment behaviors of general practitioners.