The ancestral medicine believes that the seven internal emotions are the main cause of the onset of thirst. Modern medical research results show that excessive stress plays an important role in the development and treatment of diabetes, and even affects the prognosis of patients. Therefore, psychological rehabilitation has become an important and indispensable part of diabetes treatment and must be given high priority. Our clinical experience is discussed as follows: I. Excessive stress is an important trigger for the development of diabetes. Numerous clinical cases and experimental observations have proved that diabetes is a psychosomatic disease. As early as in the Spring and Autumn and Warring States period, the classic work of medicine “Ling Gou? Five Changes” said: “anger is the gas upward rebellion, chest accumulation, Qi and blood rebellious stay …… blood vessels do not work, and turn to heat, heat is eliminated skin, so for the elimination of disease”; the Jin-Yuan period, Liu Heshan’s “three elimination theory” is that: “thirsty people, the In the Ming dynasty, Dai Sigong said in the “Essentials of Treatment”: “If the mind is excessive and causes the heart to become inflamed, so it is an extinction disease”; in the Qing dynasty, Ye Tianshi’s “Clinical Guide to Medical Cases” also said: “The mind is sad and depressed, and the internal fire The “Clinical Guide to Medicine” by Ye Tianshi of the Qing Dynasty also says: “The heart is sad and depressed, and the internal fire ignites, which is a major illness. The seven emotions that ancient Chinese medicine refers to as internal injuries are all related to the stressful events that modern society refers to. With the accelerated pace of life, various competitive pressures, such as employment, work worries, lack of welfare protection, various natural disasters, traffic accidents, accidental injuries resulting in family members’ quarrels and illnesses, divorce and widowhood, death of relatives or personal character defects, competitive, lack of proper understanding of diseases and accidents, poor social adaptability, resulting in interpersonal tension, excessive life stress and The development of diabetes is an important environmental factor. Modern medicine believes that: along with mental tension, emotional excitement, psychological stress and sudden trauma can cause an increase in the secretion of growth hormone, norepinephrine, pancreatic glucagon, adrenaline, adrenocorticotropic hormone and other hormones that antagonize insulin in the body, which can increase blood glucose. Stress can also affect the expression of various cytokines and aggravate islet cell damage, as well as reduce the local antioxidant capacity of the islets, leading to direct damage to islet cells. It causes abnormalities (disorders) of lipid metabolism, decreases insulin sensitivity and forms insulin resistance syndrome. Therefore, it is said that a poor psychological state is an important factor in the development of diabetes. The analysis of the general rules of psychological changes and the formulation of psychological adjustment methods are one of the important elements of clinical treatment for endocrinologists. For normal individuals, the temporary increase of blood glucose during stress is only a normal physiological reaction to maintain their own balance. For people with diabetic tendency (such as diabetic susceptibility gene holders, diabetic family history and huge fetus delivery history) and other risk groups, a slight stress may cause significant blood glucose elevation due to the abnormal glucose response to endogenous adrenergic nerve stimulation. Long-term stress hyperglycemia can have a toxic effect on insulin secretion and cause the development of diabetes. Different diabetic patients also have different psychological changes, and the following are common in clinical practice: 1. Refusal and disobedience: Some patients have a refusal psychology for the diagnosis of diabetes at the early stage (or for a long time). They do not acknowledge or believe in the hospital’s examination or the doctor’s diagnosis, and they refuse to seek medical treatment. As a result, they are afraid to let others (including family members and units) know that they have the disease, do not cooperate in adjusting their diet, refuse to change their bad lifestyle, and continue to overeat and drink, resulting in the aggravation of diabetes and the occurrence of complications. 2, blame and blame: after the doctor’s diagnosis and explanation, patients have recognized the symptoms and hazards of diabetes, some patients either blame their parents heredity, blame their family members wrong way of life, or blame themselves and worry about themselves. Of course, if they turn self-blame and self-sin into strength and change their diet and lifestyle from then on, it may be beneficial to control diabetes. 3, anxious and impatient: clinical findings, with type A personality or in the family in the unit of the most troublesome and tiring, the most responsibility to contribute the most people are more likely to develop diabetes. He (she) often psychological pressure, everything must be done, the pursuit of perfection. They are also more likely to be anxious and impatient after the disease. Often get angry and quarrel with people, when things do not go well, anger is made. Like to believe in hearsay, to the rumors of “cure diabetes”, “do not need to control the diet” of the single recipe, advertising drugs convinced, so repeatedly deceived, resulting in aggravation of the disease, higher blood sugar, complications iterative. 4, pessimistic disappointment: some patients are affected by the negative rumors of diabetes in society, prone to emotional depression, discouragement, frustration and autism, h avoid interaction, alienation of friends and relatives. Especially after the treatment effect is not good or with complications of combined disease, suffering from financial, life difficulties, a great feeling of life as a year, life is worse than death. They may become depressed with delayed thinking, difficulty in association, passive life, etc. They may even develop suicidal thoughts and behaviors, which may cause serious adverse consequences. The above psychological changes can occur in isolation or in combination. Some patients may first refuse to disobey and then complain and blame, or at the same time appear anxious and impatient and pessimistic disappointment. The results of a statistical survey of the etiology and behavior types of thousands of diabetic patients show that 76% of patients have a type A personality and 48% of patients have relapses aggravated by bad moods, family conflicts or social events. The prevalence of depression is three times higher in diabetic patients than in healthy people. And major depressive disorder is the result of an interaction of biological and psychosocial factors and is not due to a single etiology. Dietary control and insulin therapy alone are not sufficient, but need to be considered together at the biological, psychological and sociological levels to meet the requirements of the modern medical model. Therefore, if stressful situations are not treated correctly and these negative psychological activities persist, the treatment of diabetes is bound to be affected. This will lead to a vicious circle, the so-called “depression causes disease” and “disease causes depression”, and the condition will be aggravated, thus paying a greater price. Psychological rehabilitation measures and methods Psychological rehabilitation is an important part of physical and mental health. The World Health Organization defines health as a state of physical, mental and social well-being, not just the absence of physical illness or disability. While some of the environmental factors that contribute to diabetes, such as stressful events, are unchangeable, people’s psychological conditions are modifiable. The psychological rehabilitation of diabetic patients is an important foundation for physical rehabilitation. As the “Ancient and Modern Medicine” says: “Whenever you first feel dry and thirsty, you should clear your mind and reduce your thoughts and desires, and then you can be cured”. In line with the concept of “everything for the patient, for all patients, for all patients”, we proposed the method of “love, confidence, care and persistence” to carry out the prevention and treatment of diabetes, and received good results. 1. Love: The best nutrient for mental health is love. The patient’s family, unit and society all have an impact on the patient’s psychological activities. And the special nature of the health care profession may play a greater role. Therefore, we have to have a deep benevolent heart for patients, scientifically and correctly explain to patients the causes of diabetes, treatment methods and various measures. The attitude should be kind, the language should be cordial, and the action should be gentle and accurate. We should tell the patients that under the current medical development, most diabetes is still a chronic disease that needs lifelong treatment, and although it cannot be cured completely, it can still be prevented early without disease, treated early with disease, prevented with disease, prevented from changing, economically and cost effectively, improve the efficacy of treatment, and prolong life with disease. In the process of preventing and treating diabetes, people can still make a big difference. We often invite the patient’s family members together to provide specific help guidance and careful care to the patient, rather than blame blame blame and boredom. Even when there are concurrent comorbidities in critical condition, it is not appropriate to make too many negative comments in front of the patient. Because in this case, patients are mostly sensitive, any word, a look, an action will give the patient a great impact, there is no hope that the language and expression will have a fatal blow to the patient’s psyche. As long as we start from love, moving with emotion, reasoning, most patients can overcome the bad mood, with the treatment. 2, confidence: the limitations of the society’s understanding of diabetes, the lack of previous treatment methods for diabetes, making people terrified of having diabetes. Because diabetes itself has three characteristics (chronic, progressive, systemic) determines the control and treatment of diabetes long-term, complex, but also easy to produce emotional impatience or loss of confidence. Therefore, it is more important to improve the confidence of diabetic patients and their families in preventing and treating the disease. We organize fellowship meetings for diabetic patients, distribute various educational brochures, explain prevention and treatment knowledge, and make patients believe in science and doctors. Especially with the recent breakthroughs in new technologies such as long-acting insulin, gene therapy, diabetes vaccine and pancreatic (islet) transplantation, there is great hope to overcome diabetes in the near future. We help them to establish the concept of self-confidence, self-respect, self-love and control of their own destiny. After patients communicate with each other and participate in various cultural and sports activities, singing and dancing, reading and chanting poems, watching comedy skits and comic jokes, patients’ wishes are understood, they have the courage to live again, their psychological pressure is reduced and their emotions are stabilized, so that they can develop a sense of trust and security, take their medication at ease and cooperate with treatment. 3, careful: diabetes is not terrible, the trouble is that it has a variety of possible complications, comorbidities, affecting the quality of life and healthy life of patients. We often tell and help patients to have regular comprehensive physical examinations, such as blood sugar, blood pressure, blood lipids, urine routine, electrocardiogram, liver and kidney function, chest X-ray, examination of the five senses, teeth, skin and toes, and other timely detection and prevention of complications. We also make detailed diet and exercise plans for each patient according to their age and condition, nature of work, weight and weight, and tell their family members to help implement and supervise them, to prohibit smoking and limit alcohol, and to arrange weekly recipes to be as tasty and nutritious as possible, which is beneficial to their health. Even more, our hospital and medical staff’s phone numbers are written in the patient’s medical record or in the phone book, which is open 24 hours a day for timely contact and guidance. 4, perseverance: with the love of family and society, the confidence of patients has increased, the prevention and treatment measures developed by medical staff, three days and five days to do, ten days and half a month can also be adhered to, but rare is the long-term unremitting, we need to persevere. Some patients are difficult to adhere to the taboos after their condition has stabilized and their blood sugar has been adjusted to normal. They are resistant to “eating sick food for the rest of their lives”, and it is even more difficult for them to accept “daily injections and medication”. They mistakenly believe that the injection and medication will be “addictive”, and find various reasons to resist. Or three days to fish, two days to sunbathe, the thought of taking medication, fear of injection, said “forget”, can not adhere to the standard reasonable treatment. We make use of the opportunity of diabetic fellowship activities every month to instruct patients’ family members to find out the first signs in time and to publicize and educate them at any time. We also register home addresses and communication methods for patients, and call them when appropriate to give greetings. Especially at the time of festivals, we remind patients to control their diets, adjust their medications and provide timely treatment, which has gained the understanding of patients and their families and achieved good treatment effect and social influence, and has been well received by patients. In conclusion, diabetes mellitus is a systemic chronic disease, which is aggravated by excessive stress induced and can also improve insulin secretion function by psychological stress reduction, and requires comprehensive treatment in many aspects. We do our best for our patients through publicity and education, diet control, cultural and physical activities and medication, together with psychological rehabilitation methods. The work done to protect the physical and mental health of the sick people and improve their quality of life is still preliminary. It is to be further strengthened and explored in the future for the full recovery of diabetic patients.