Clinical Efficacy of Continuous Nursing Plus Shared Outpatient Care on Remission of Type 2 Diabetes Mellitus

AIMS/BACKGROUND: Type 2 diabetes mellitus (T2DM) is one of the most prevalent chronic metabolic disorders with a gradually increasing global incidence, imposing healthcare burdens on patients. Effective long-term management strategies are crucial for improving patient outcomes and promoting disease remission. Therefore, this study aims to evaluate the efficacy of continuing care services combined with the shared outpatient management model in patients with T2DM. METHODS: This retrospective cohort study included 119 patients with T2DM who received treatment and follow-up consultation at Cangnan Hospital of Wenzhou Medical University between January 2024 and December 2024. According to the different nursing methods used, patients were divided into a control group (n = 60, conventional T2DM management) and an observation group (n = 59, conventional T2DM management combined with continuous nursing and shared outpatient management). Continuing care service refers to follow-up and health education that extends from the hospital to the home. At the same time, the shared outpatient management model involves regular group visits that facilitate experience sharing and peer support among patients under multidisciplinary guidance. Clinical indicators, such as fasting blood glucose, 2-hour postprandial blood glucose, fasting C-peptide, 2-hour postprandial C-peptide, body mass index (BMI), glycated hemoglobin A1c (HbA1c), and disease remission rate, were compared between the two groups. Self-management behavior skills were evaluated across five key domains, including exercise, diet, foot care, blood glucose monitoring, and medication adherence. RESULTS: = 0.029). CONCLUSION: The continuing care service combined with a shared outpatient management model can effectively improve the blood glucose control, islet function, and metabolic indicators in T2DM patients, and enhance their self-management ability, highlighting a positive clinical value of this integrated approach in promoting diabetes remission rates.