Abstract: Objective To investigate and analyze the compliance of self‐blood glucose monitoring and chronic complications of type 2 diabetes mellitus （T2DM） patients under community chronic disease management in Nanning. Methods A total of 1 000 T2DM patients who had established electronic health records in local community health service institutions before 2019 were selected. All of the above cases began to implement community chronic disease management after the establishment of electronic health records. The compliance of self‐blood glucose monitoring and the occurrence of chronic complications were evaluated, and the relationship between them was analyzed. The factors that affect the compliance of self‐blood glucose monitoring and the occurrence of chronic complications in T2DM patients under community chronic disease management were analyzed. Results Among 1 000 T2DM patients under community chronic disease management, 456 patients had poor compliance with self‐blood glucose monitoring （45.60%）, and 544 patients had good compliance with self‐blood glucose monitoring （54.40%）; Chronic complications occurred in 444 cases （44.40%）, mainly including diabetes neuropathy, diabetes retinopathy, and diabetes nephropathy. The results of multivariate analysis showed that the duration of disease ≥ 10 years （OR=4.165）, education level of primary school and below （OR=3.591）, and family monthly income<5 000 yuan （OR=3.522） were risk factors for poor compliance of self blood glucose monitoring of type 2 diabetes patients in community chronic disease management in Nanning. Age 60~78 years old （OR=5.586）, course of disease ≥ 10 years （OR=5.511）, combined chronic disease （OR=4.238）, BMI ≥ 24.0 kg/m² （OR=4.585）, poor self blood glucose monitoring compliance （OR=1.225） were the risk factors affecting chronic complications of type 2 diabetes patients in community chronic disease management in Nanning. Conclusions The T2DM patients under community chronic disease management still have poor compliance of self‐blood glucose monitoring, which has a certain risk of chronic complications. Their compliance of self‐blood glucose monitoring are related to the occurrence of chronic complications.

Key words: Community chronic disease management, Type 2 diabetes mellitus, Compliance of self‐blood glucose monitoring, Chronic complication