Abstract: Objective To investigate the effect of multi-dimensional collaborative management based on frailty risk assessment on blood glucose control and health promotion behavior in elderly patients with type 2 diabetes mellitus(T2DM) complicated with frailty risk. Methods A total of 128 elderly T2DM patients with frailty risk who were treated in the Department of Endocrinology, General Hospital of Eastern Theater Command of Chinese People’s Liberation Army from January to December 2024 were selected as the research subjects. The patients were divided into intervention group (n=64) and control group (n=64) by randomized methods.The 2-hour postprandial plasma glucose (2hPG), fasting blood glucose (FPG), glycosylated hemoglobin (HbA1c), total score of frailty score (FP), pace, grip strength, health promotion behavior scale (HPLP-Ⅱ) score, diabetes distress scale (DDS) and diabetes self-management behavior scale (SDSCA) were compared between the two groups before intervention and 3 months after intervention. Results There were no significant differences in 2hPG, FPG and HbA1c between the two groups before intervention (P>0.05). After intervention, the levels of 2hPG and FPG decreased in both groups, especially in the intervention group(P<0.05). There were no significant differences in total score of FP, grip strength and pace between the two groups before intervention (P>0.05). After intervention, the total score of FP, grip strength and pace of the two groups were improved compared with those before intervention, especially in the intervention group (P<0.05). There were no significant differences in the scores of each dimensions of HPLP-Ⅱ between the two groups before intervention (P>0.05). The scores of each dimensions of HPLP-Ⅱ in the two groups after intervention were higher than those before intervention, especially in the intervention group (P<0.05). There were no significant differences in DDS and SDSCA scores between the two groups before intervention (P>0.05). After intervention, the DDS scores of the two groups decreased, the SDSCA scores increased, especially in the intervention group (P<0.05). Conclusions The multi-dimensional collaborative management based on frailty risk assessment can effectively improve blood glucose control, reduce diabetes-related psychological pain, enhance self-management ability, and promote the comprehensive optimization of health behaviors in elderly patients with T2DM complicated with frailty risk.   

Key words: type 2 diabetes mellitus, frailty risk assessment, multi-dimensional collaborative management, blood glucose control, health promotion behavior, aged