ABSTRACT

Diabetes Federation [6]. In addition, epidemic studies have shown that the age of diabetes onset has decreased and it is not only prevalent in developed and developing countries, but in low and middle income countries [1, 10]. The huge population of diabetes patient has created a great financial burden on the medical system, family and society. For the health expenditure on diabetes, the overall disease spending is estimated to cause at least 548 billion United States dollar (USD) in 2013 that account for 10.8% of total health expenditure worldwide. It’s expected to excess 627 billion USD by 2035 [6]. The key approaches for improving DM self-management to relieve the load have become the market demanded. An eective management of health care may not only prevent diabetes complications, reduce the overall disease cost and family’s burden but improve patients’ quality of life also.