Cities Changing Diabetes in Shanghai is collaborating with local city
stakeholders to strengthen the capacity of the city’s health system to
prevent, diagnose and manage diabetes.
Standardising diabetes management
Shanghai Sixth People’s Hospital was designated as the city’s
official diabetes prevention and treatment centre under Shanghai’s
three-year action plan (2015 – 2017). The hospital collaborated with
Shanghai CDC, Shanghai Eye Disease and Treatment Center and Shanghai
Laboratory Center to carry out its mandate.
The system was put in place to ensure that all residents had access
to a comprehensive system of diabetes prevention, intervention and
treatment and covers 240 community health centres in the city’s 16 districts.
A model for managing NCDs
Between 2016 and 2017, the number of people living with diabetes
under standardised management rose from 685,000 to 749,000. By March
2018, the city had completed a diabetes risk assessment for one
million people. During this process:
- 37,000 people were diagnosed with diabetes
people were made aware that they were living with prediabetes
- 220,000 people living with diabetes were screened for
The model used to transform diabetes management in Shanghai could
potentially be used as a model for the management of other chronic
diseases in urban communities across China. It has ensured the
upskilling of healthcare professionals at the primary care level, made
large-scale diabetes screening possible and improved the referral
system in Shanghai.
" The dynamics driving diabetes in Shanghai are complex:
growing wealth, changing lifestyles and an ageing population,
alongside a rising number of younger people getting the disease.
Also, fast-paced working lives can stand in the way of diabetes
management. Through in-depth learning and connecting our knowledge,
Cities Changing Diabetes can help us to improve even further the
effectiveness of taking on diabetes in our city."
— Professor Jia Weiping, Shanghai Institute of Diabetes
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