Objective　To explore a new model of diabetic education for young and middle-aged patients

and improve their ability of disease management. Methods　120 young and middle-aged patients with diabetes who visited our endocrinology department from Dec. 1st

2013 to June.30th

2014 were randomly divided into two groups

the Wechat intervention group (n=59) and the control group (n=61). The control group guided their own medicine

controlled diet

exercised

and monitored the blood glucose according to the doctor. WeChat intervention group on the basis of control group was sent WeChat by WeChat education group through WeChat platform on a regular basis

to be guided about their diet

exercise and medication

and at the same time got help to solve the problems through WeChat feedback. The intervention lasted 6 months. Two independent sample t tests were used to compare the two groups of patients' self management ability and blood glucose

blood pressure and other indicators after 3 months and 6 months respectively. Results　After intervention for 3 months

WeChat group' self-management ability (15.3±2.35 vs. 11.46±3.25) and fasting plasma glucose (7.23±0.69 vs. 8.40±0.99)

blood sugar 2 hours after meal (9.76±1.28 vs. 11.41±1.73)

glycosylated hemoglobin (7.46±0.59 vs. 8.06±1.00)

systolic blood pressure (126.56±10.24 vs. 130.39±10.44)

diastolic blood pressure (75.41±7.73 vs. 79.88±9.48) are better than the control group. Compared with inter-vention for 3 months

after intervention for 6 months patients' self-management ability (19.53±2.62 vs. 15.3±2.35) further improved

the fasting blood glucose (6.62±0.70 vs. 7.23±0.69)

postprandial 2 hours blood glucose (9.00±0.85 vs. 9.76±1.28)

glycosylated hemoglobin (6.92±0.72 vs. 7.46±0.59)

systolic blood pressure (123.05±8.82 vs. 126.56±10.24)

diastolic blood pressure (72.27±5.97 vs. 75.41±7.73) continued to improve. Conclusion　The Wechat intervention

as a new model of health education

can improve the ability of self-management for young and middle-aged patients with diabetes

and has great advantage on blood glucose and blood pressure control of

and has popularizing value.