糖尿病已成为全球重大的公共卫生问题。截至2021年，我国约有1.41亿例糖尿病患者，是世界上糖尿病患者人数最多的国家，其中未能确诊者占三分之二，这一现状给糖尿病及其并发症的防控工作带来严峻挑战。为应对这些挑战，所制定的策略不但要全面，还需要开展多部门合作的全面预防策略，包括全民初级预防、高危人群一级预防和糖尿病患者二级预防。针对全民，应通过健康教育、政策引导和技术资源支持，推广健康生活方式；针对高危人群，应强调糖尿病筛查的重要性，并采取生活方式干预和药物治疗相结合的措施；对于糖尿病患者，应重点进行心血管并发症的泛危险因素监测和管理。我国开发的全新糖尿病管理模式——国家标准化代谢性疾病管理中心，通过为网络内医生提供结构化的培训和教育，推行糖尿病管理标准化、一站式的解决方案，减少了不同区域间的糖尿病管理差异，有效提高了对糖尿病及其并发症的诊断和治疗效率。为实现“健康中国2030”行动计划目标，需要政府、部门、社区和个人等多方面的共同努力，提高糖尿病的知晓率、规范化管理覆盖率、治疗率和控制率，降低糖尿病及其并发症的发生，为提高民众健康水平，共建共享健康中国奠定重要基础。

Diabetes has become a major global public health issue. As of 2021， China had approximately 141 million diabetic patients， with 2/3 remaining undiagnosed， making China the country with the highest number of diabetes globally. This current status poses severe challenges to the prevention and control of diabetes and its complications. To effectively address these challenges， strategies must be comprehensive and involve multi-sectoral collaboration， including nationwide primary prevention， primary prevention for high-risk groups， and secondary prevention for diabetic patients. For the general population， it is critical to promote healthy lifestyles through health education， policy guidance， and technical resource support. For high-risk groups， emphasis should be placed on the importance of diabetes screening， coupled with combined measures of lifestyle interventions and pharmacological treatments. For diabetic patients， the focus should be on the monitoring and management of pan-risk factors associated with cardiovascular complications. China has introduced a new model for diabetes management—the National Metabolic Management Center （MMC）. By providing structured training and education for physicians within its network， the MMC promotes standardized， one-stop management solutions for diabetes， reducing regional disparities in diabetes management and effectively improving the diagnosis and treatment efficiency of diabetes and its complications. To achieve the goals of the "Healthy China 2030" initiative， concerted efforts from governments， sectors， communities， and individuals are required to raise diabetes awareness， expand standardized management coverage， and improve treatment and control rates， while reducing the incidence of diabetes and its complications. These efforts will lay a solid foundation for improving public health and building a healthy China for all.