Última actualización 8 de julio de 2026
Key finding
The linkage program group demonstrated significant reductions in the average number of hypoglycemic events (3.81 vs. 4.13, P = 0.015).
A value-based hospital-community-family linkage program improved blood glucose management in elderly patients with type 2 diabetes compared to conventional management.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Risk of bias
Some Concerns
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
A value-based hospital-community-family linkage program improved blood glucose management in elderly patients with type 2 diabetes compared to conventional management.
Improving blood glucose management in elderly patients is crucial to prevent complications associated with diabetes. The findings suggest that integrating community and family support into diabetes care can lead to better health outcomes, potentially reducing healthcare costs and improving quality of life for patients.
The study's effectiveness remains unclear due to limited evidence on some outcomes. Results may not be generalizable beyond the studied population. Sample size and demographic diversity were not specified.
Published in
Publication details and source links for this paper.
Xiaojing Z, Haiyan D, Fafa Y, Maoying W, Yuan C, Jiong W. Value-Based Hospital-Community-Family Linkage Program Improves Blood Glucose Management in Elderly Patients with Type 2 Diabetes. Frontiers in Medicine. 2025;12:1656364. doi:10.3389/fmed.2025.1656364
The linkage program group showed a decrease in hypoglycemic events by 0.32 events (P = 0.015).
Fasting plasma glucose improved by 0.53 mmol/L in the linkage program group (P = 0.013).
Anxiety levels decreased by 15.13% in the linkage program group (P = 0.005).
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Structured multidisciplinary case management and Anxiety score, Average daily dose of antidiabetic medications required by participants, Fasting Plasma Glucose (FPG), and 1 more.
This study contributes evidence to
Primary intervention
Structured multidisciplinary case management
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
2
Related topics
4
Evidence pairs
306
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Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Evidencia principal
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Evidencia relacionada
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Relación de evidencia
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Core evidence
The primary outcomes reported in this study.
Structured multidisciplinary case management → Anxiety score
Structured multidisciplinary case management → Anxiety score
Structured multidisciplinary case management → Average daily dose of antidiabetic medications required by participants
Structured multidisciplinary case management → Average daily dose of antidiabetic medications required by participants
Structured multidisciplinary case management → Fasting Plasma Glucose (FPG)
Structured multidisciplinary case management → Fasting Plasma Glucose (FPG)
Structured multidisciplinary case management → Hypoglycemia events
Structured multidisciplinary case management → Hypoglycemia events
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and Fasting Glucose, Diabetes Self-Management Education and Support (DSMES) Programs and Mental Health.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
All studies measuring Fasting Glucose
Measures Fasting Glucose as a key outcome.
All studies measuring Mental Health
Measures Mental Health as a key outcome.
Latest published studies
Published within the last 2 years.
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2 results
1 results
2 results
2 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Diabetes Self-Management Education and Support (DSMES) Programs may improve Fasting Glucose.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
Fasting Plasma Glucose (FPG)
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is based on 11 supporting studies with generally consistent results and a positive effect signal.
Limitations
Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Mental Health.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
Anxiety score
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 4 supporting studies with consistent results and a positive effect signal.
Limitations
Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Hypoglycemia.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Hypoglycemia events
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Structured multidisciplinary case management appears to improve Average daily dose of antidiabetic medications required by participants.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Average daily dose of antidiabetic medications required by participants
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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