近些年来,由于膳食结构不合理,运动量减少,使得慢性病的发病率不断攀升,并很有可能成为未来医疗保险支出中最大的组成部分。对患有这类疾病的病人来说,单纯依靠吃药来改善病情,显然是不够的,然而对待糖尿病人如何合理饮食、加强运动这样的问题,医生通常只能讲“管住嘴、迈动腿”这样的大道理,病人每天的能量摄入应该是多少?运动强度应该有多大?并没有一个定量的、个性化的指导标准。针对这个问题,从2005年5月开始,北京市西城区宏汇园社区卫生服务站在市劳动与社会保障局以及国家医学教育发展中心的共同推动下,开展了一项社区慢病干预方式的新的尝试。几个月过去了,他们的收获如何呢? In recent years, due to the unreasonable dietary structure and reduced exercise volume, the incidence of chronic diseases has continued to climb, and is likely to become the largest component of future medical insurance expenditures. For patients suffering from this kind of disease, it is obviously not enough to rely solely on taking medicine to improve the condition. However, for people with diabetes who have a reasonable diet and exercise, doctors usually can only talk about “controlling the mouth and moving.” What is the principle of “legs”? How much should the patient’s daily energy intake be? How strong should the exercise intensity be? There is no quantitative and individualized guideline. To address this issue, starting in May 2005, the Xihui District of Beijing City, Honghuiyuan Community Health Service Station, under the joint promotion of the Municipal Labor and Social Security Bureau and the National Center for Medical Education Development, launched a community chronic disease intervention method. New attempt. A few months have passed. How are their gains?