Abstract: Objective: To evaluate the effect of the Internet+ three-level linkage management model on the dietary structure and patient's blood glucose in diabetic family. Methods: From April to July 2016, 43 families of type 2 diabetes (including 43 patients with type 2 diabetes and 43 family numbers) diagnosed in the Endocrinology Department of a tertiary grade A hospital and with poor blood glucose control were recruited. The International+ three-level linkage management model was applied to the subjects for 18 months. Data on dietary structure and changes in blood glucose in diabetic patients were collected at preliminary screeing, 3, 6, 9, 12, and 18 months respectively, and compare with the recommended amount. A single set of time series was used for ANOVA of repeated measuring. The trend of family lifestyle sedatives and of blood glucose changes were observed. Results: Through the 18-month intervention, six repeated ANOVA results of diabetes patient's animal products, aquatic products and edible oil were statistically significant (P<0.05). There were significant statistical differences in family member's staple food, vegetables, fruits, aquatic products, eggs, soy products, and edible oil (P0.05). The fasting blood glucose of the patients decreased from 8.23±1.95 mmol/L to 7.91±2.02 mmol/L at 18 months of intervention. Conclusion: The Internet + three-level linkage management model can urge diabetic families to improve their current lifestyles, helping diabetic patients control blood sugar better.

Key words: Internet; three-tiered linkage; diabetes family; lifestyle