目的:探讨药物治疗联合饮食和运动疗法治疗社区糖尿病的疗效。方法:选择我院2015年2月至2016年2月治疗的90例社区糖尿病患者,患者分为药物+饮食+运动疗法治疗(研究组)和药物治疗组(对照组)。检测指标包括总胆固醇、甘油三酯、糖化血红蛋白、空腹血糖、餐后2h血糖,对疗效进行客观评价。结果:研究组和对照组在治疗前的各项生化指标测定,差异均无统计学意义(P>0.05)。治疗后,研究组患者的总胆固醇、甘油三酯、糖化血红蛋白、空腹血糖、餐后2h血糖均显著降低(P<0.05),并且测定值显著低于对照组(P<0.05)。两组患者的疗效差异有统计学意义(P<0.05),研究组的显效和有效比例显著较高。结论:药物治疗联合饮食和运动疗法治疗社区糖尿病,可取得较为满意的结果,值得在社区糖尿病的治疗中加以推荐。 Objective: To investigate the efficacy of drug therapy combined with diet and exercise therapy in the treatment of community diabetes mellitus. Methods: Ninety patients with community-based diabetes who were treated in our hospital from February 2015 to February 2016 were selected and divided into two groups: drug + diet + exercise therapy (study group) and drug treatment group (control group). Test indicators include total cholesterol, triglycerides, glycosylated hemoglobin, fasting blood glucose, 2h postprandial blood glucose, the objective evaluation of the efficacy. Results: There was no significant difference in the biochemical indexes between the study group and the control group before treatment (P> 0.05). After treatment, the total cholesterol, triglyceride, HbA1c, fasting blood glucose and 2h postprandial blood glucose in the study group were significantly decreased (P <0.05), and the measured values ​​were significantly lower than those in the control group (P <0.05). The difference between the two groups of patients was statistically significant (P <0.05), the study group markedly effective and effective significantly higher. Conclusion: Drug therapy combined with diet and exercise therapy for community diabetes mellitus can achieve satisfactory results and is worth recommending in the treatment of community diabetes mellitus.