There are many patients who come to see me and ask: “Doctor, please help me to prescribe some Chinese medicine to regulate and adjust”. My reply is: “I am not a conditioner, I am a diabetes specialist, first of all, I am a doctor, the purpose is to cure the disease and save people; secondly, I am a Chinese medicine doctor, I think Chinese and Western medicine is not contradictory, make full use of the strengths of both, master the modern medical knowledge, highlight the characteristics of Chinese medicine, and better serve the patients”. The treatment of diabetes is a long-term process, especially the need for patients themselves to strengthen the learning and improvement of diabetes knowledge, patients and doctors work together to achieve a better treatment effect, the highest treatment goal for diabetic patients is – healthy life, like a healthy person life; secondary treatment goals are The secondary treatment goals are – good blood glucose, blood pressure, lipid and weight control, anti-platelet aggregation, smoking cessation, early screening, early detection, early treatment of various complications and comorbidities, and control of further development of the disease. The lesser treatment goal is also the one that many patients want to achieve the most and are most willing to be misled about is lowering blood glucose (this is something I strongly oppose, because there is no blood glucose that cannot be controlled, only how to achieve the best results with the least amount of money and difficult to control complications and comorbidities, see my article “Notes for diabetic patients (For more information, please refer to my “Notes for Diabetic Patients”). Therefore, I may be a little slow in seeing patients who come to me, so please be patient and thank you for your cooperation and understanding. The purpose of consultation and treatment for diabetic patients should include three aspects: first, to systematically evaluate the condition and physical status; second, to optimize the treatment plan (reasonable treatment plan continue, unreasonable treatment plan and make adjustment and optimization of treatment plan according to the evaluation); third, to enhance the learning of diabetes knowledge, raise awareness and take less detours. For example, know how to perform regular review of diabetes, screening for complications and comorbidities, positive effects and side effects of drugs used, how to evaluate treatment efficacy, how to make lifestyle adjustments such as diet and exercise, etc. Purpose: The main causes of disability and death in patients with diabetes are chronic complications of diabetes and diabetes-related diseases, such as blindness due to diabetic fundopathy, death due to chronic renal failure or cardiovascular and cerebrovascular disease. Most of the chronic complications of diabetes are preventable and treatable, and many of them can be slowed down by effective treatment. The key to reducing diabetes disability and mortality is the early detection and treatment of diabetic complications. Screening for complications is a proven tool for early detection of diabetes complications. The significance of screening for diabetes complications Screening for diabetes complications is the use of reliable and rapid methods to screen patients with diabetes to detect diabetes complications as early as possible. New onset type 1 diabetes should be screened annually after 5 years of onset. Patients with type 2 diabetes should be screened as soon as diabetes is diagnosed and then, depending on the results, every 1-2 years for those without diabetes complications. For those with existing complications, further screening or review may be indicated as appropriate, and treatment may be intensified in a more targeted manner. Diabetic complications usually affect multiple systems, such as the nervous system, cardiovascular system, kidneys, brain, fundus and other multiple systems or organs, so screening should include the diabetes specialty itself, as well as ophthalmology, cardiology, nephrology, neurology and others. Check the visual acuity, lens and fundus to understand whether there is diabetic fundus lesion and whether it needs active treatment; check the electrocardiogram and standing blood pressure to understand whether there is diabetic vegetative neuropathy and hypertension, heart disease; check the shape of the foot and vascular pulsation to understand whether there is diabetic foot lesion; check the urine albumin to understand whether there is diabetic nephropathy; check the carotid artery vessels to understand the vascular condition; check the relevant blood biochemical Check the biochemical parameters of blood to understand the control of hyperglycemia and hyperlipidemia and the ability of the pancreas to secrete insulin. Oral examination for diabetic periodontal lesions. Other: nutritional survey, treatment survey, diabetes knowledge survey. Benefits of screening for diabetic complications Screening is a means of detecting complications in a timely manner, and in turn is a prerequisite for ensuring that patients receive timely, scientific and comprehensive treatment. Some patients are already receiving treatment and through screening, it is possible to observe whether this treatment is effective. Screening for diabetic complications is socially and economically beneficial. In terms of social benefits, patients without diabetic complications can put down their mental baggage, lighten up and work, live or study better. For those with complications, timely treatment can save a considerable number of patients from disability and death, and can save considerable medical costs. We wish every diabetic patient to achieve the highest treatment goal – to live a healthy life, to live like a healthy person; secondary treatment goals – good blood glucose blood pressure blood lipid weight control, anti-platelet aggregation, quit smoking, etc., early screening, early detection, early treatment of various complications and comorbidities, and Control the further development of the disease.