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

摘要： 糖尿病及其并发症为当前严重威胁公众健康的慢性非传染性疾病之一，其发病率逐年上升。糖尿病前期是由正常糖代谢进展为糖尿病的高危阶段，在此阶段进行有效干预是预防和延缓糖尿病发生的关键。本文在现有慢性病管理模式的基础上将自我管理、家庭参与式管理、社区群组管理、中医特色管理及新技术联合手段的管理方式进行归纳整理，对比分析各型管理方式所存在的优势与不足，以进一步探讨当前行之有效的糖尿病前期患者的管理方式。本文内容提示多形式综合糖尿病前期管理可降低其转化为糖尿病的发生率，应用前景广泛，而未来健康管理师加入社区健康管理团队将会是慢性病有效管理的一大突破。

关键词: 糖尿病前期, 社区模式, 健康管理, 协同护理, 治未病, 综述