Abstract: In recent years，the prevalence of diabetes among adults in China has continued to rise，reaching as high as 11.9%，with with type 2 diabetes mellitus（T2DM）being the main type，accounting for more than 90% of the diabetic population，and the onset of the disease is becoming increasingly younger. China has now entered the stage of comprehensively building a Healthy China，and exploring the construction of a chronic disease management path with the integration of healthcare and prevention as the core has become an important trend. This specification，based on the existing content and process of the integration of healthcare and prevention services for T2DM，formulates standardized diagnostic and treatment specifications for the integration of healthcare and prevention services for T2DM. The content of the specification mainly includes basic requirements for service provision，content of services，and service processes，aiming to optimize the primary diagnosis and treatment and health management process of T2DM，control the incidence and mortality rate of T2DM through early detection and comprehensive management，and reduce and delay the occurrence of complications，thereby effectively building a primary prevention and treatment line for chronic diseases.

Key words: Diabetes Mellitus, Integration of healthcare and prevention, Specification, Group standards

摘要： 近年来我国成人糖尿病患病率呈现持续上升状态，已高达11.9%，其中，2型糖尿病占比超过90%，同时，糖尿病发病群体也日趋年轻化。我国现已进入全面建设“健康中国”阶段，探索构建以医防融合为核心的慢病管理路径成为重要趋势。本规范以现有2型糖尿病医防融合服务内容与服务流程为基础，制定2型糖尿病规范化服务诊疗规范，规范内容主要包括服务提供基本要求、服务内容、服务流程等，旨在优化基层2型糖尿病的健康管理和诊疗流程，通过早期发现和综合管理，控制2型糖尿病的发病率与死亡率，并减少和延缓并发症的发生，从而有效构筑基层慢病管理防治线。

关键词: 糖尿病, 医防融合, 规范, 团体标准