本文介绍对４６０名糖尿病患者饮食治疗现状的调查，包括：①患者对饮食治疗重要性的认识；②饮食治疗的方法；③饮食治疗的具体知识和行为；④饮食治疗中来自生物—心理—社会方面的障碍。为饮食治疗的社区护理干预提供依据：①强调饮食治疗的重要性；②选择饮食治疗的方法为食品交换法；③确定饮食治疗的内容（纠正不正确的知识和行为、饮食治疗和血糖尿糖监测相结合）、形式（授课与个别指导相结合）和“工具”；④排除饮食治疗中来自生物—心理—社会方面的障碍。 This article presents a survey of the current status of dietary therapy in 460 diabetic patients, including: (1) patients’ awareness of the importance of dietary therapy; (2) dietary therapy; (3) specific knowledge and behavior in dietary therapy; (4) Obstacles. Provide the basis for community-based intervention in diet therapy: ① emphasize the importance of diet therapy; ② choose the method of diet therapy for food exchange; ③ determine the content of dietary therapy (correct incorrect knowledge and behavior, dietary therapy and glycemia Monitoring combined), form (combining instruction with individual guidance) and “tools”; ④ exclude from the biological - psychological - social barriers to diet therapy.