Review for Chinese Medicine-Specific Health Management in Middle-Aged and Elderly Patients with Type 2 Diabetes Mellitus - Expert Opinion

Sep 29, 2026

Review evidence-based health management approaches for middle-aged and elderly patients with type 2 diabetes with traditional Chinese medicine (TCM) characteristics. Using evidence-based nursing methods, the study searches major domestic and international databases and applies critical appraisal tools, including AGREE II for guidelines. Results synthesize 10 guidelines, 6 expert consensuses, 3 evidence summaries, and 2 meta-analyses into 35 evidence items across nutrition, exercise, TCM diet, and TCM emotional management.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages15

Reading Time38 min

AccessFree to download

Objective

Methods

Results

Keywords

Introduction

Diabetes, Metabolic Syndrome and Obesity Open Access Full Text Article EXPERT OPINION Review for Chinese Medicine-Specific Health Management in Middle-Aged and Elderly Patients with Type 2 Diabetes Mellitus Rui Yao 1 , Cuixia Lin2 , Shuang Lin 3 , Yanhui Yang 1 , Jie Zhu 1 , Mingqian Jiang 1 , Ran Yang 1 1School of Nursing, Shandong Traditional Chinese Medicine University, Jinnan, 250013, People’s Republic of China; 2School of Health, Shandong Traditional Chinese Medicine University, Jinnan, 250355, People’s Republic of China; 3Ultrasonography Lab, Juye Maternal and Child Health Hospital, Heze, 274900, People’s Republic of China Correspondence: Cuixia Lin, School of Health, Shandong Traditional Chinese Medicine University, Jinnan, 250355, People’s Republic of China, Tel +86 18660199337, Email [breezelinlin@163.com](breezelinlin@163.com) | Objective: To search, evaluate and summarize the evidences of health management in middle-aged and elderly patients with type 2 diabetes with traditional Chinese medicine (TCM) characteristics, so as to provide evidence-based basis for improving patients’participation initiative and implementing personalized health management practice for community medical staff.
Methods: Based on evidence-based nursing methods, The domestic and foreign evidence-based resource databases including UpToDate, Elsevier, Web of Science and Cochrane were searched Library, RNAO, PubMed, Medline, CINAHL, Embase, BMJ British Medical Journal, Medical Pulse Guide Network, Chinese Medical Association, Diabetes Society, CMA Chinese Medical Association, OVID database, JBI evidence-based Health Care Center database, Chinese Traditional Medicine Database, Chinese Biomedical Literature Xian database, Wanfang database, VIP database and China National Knowledge Infrastructure. Two researchers based on the critical appraisal for summaries of evidence, CASE) appraisal of guidelines for research and evaluationII (AGREEII) independently assessed the quality of the included literature, and extracted and summarized the literature evidence that met thecriteria. Results: A total of 10 guidelines, 6 expert consensus, 3 evidence summaries, and 2 Meta-analysis summarized four dimensions, namely nutrition management, exercise management, TCM diet management, and TCM emotional management, with a total of 35 pieces of evidence.
Keywords: middle-aged and older adults, type 2 diabetes, evidence-based nursing, health management, Chinese traditional medicine, TCM, literature review | | --- | | Introduction
Type 2 diabetes mellitus (T2DM), as a group of metabolic diseases characterized by hyperglycemia due to defective insulin secretion or insulin resistance, is often associated with severe systemic tissue and organ insufficiency, which affects the quality of life of patients and even threatens their lives, causing a great deal of direct and indirect economic burden, and has become a public health problem that needs to attract special attention. It has become a public health problem that requires special attention.1 According to the 10th edition of the International Diabetes Federation’s Diabetes Atlas, the number of diabetes cases in China will reach 140.9 million in 2022, ranking first in the world, with more than 90% of the cases being type 2 diabetes, and by 2045, about 783 million people around the globe will be suffering from diabetes, and T2DM is mostly found in middle-aged and older people over 40 years old, and the problem is not cured.2 It is noteworthy that effective health management can reduce blood glucose levels in patients, improve adverse health outcomes, and enhance quality of life.3 Health management refers to the comprehensive control of health risk factors affecting individuals or populations, aiming to shift from passive disease treatment to proactive managed care.4 For middle-aged and elderly patients with type 2 diabetes, the prolonged rehabilitation period makes interventions targeting daily behav

FAQs

What is the objective of this review?

To search, evaluate, and summarize evidence on health management for middle-aged and elderly patients with type 2 diabetes with TCM characteristics, supporting evidence-based personalized health management in community care.

How were the included evidence sources evaluated?

The review used evidence-based nursing methods, searched multiple domestic and international databases, and had two researchers independently assess quality of included literature using critical appraisal approaches and AGREE II for guidelines.

What dimensions of health management are summarized in the results?

The evidence was synthesized into four dimensions: nutrition management, exercise management, TCM diet management, and TCM emotional management, totaling 35 evidence items.

Sep 29, 2026

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