Abstract:OBJECTIVE To investigate the management status and influencing factors of the middle-aged and the elderly diabetes patients. METHODS Using the China Health and Retirement Longitudinal Study, it studied the diabetes management status and influencing factors of the middle-aged and the elderly diabetes patients. With univariate and multivariate statistical analysis, it analyzed the influencing factors of self-reported control status. RESULTS Totally 1 540 diabetes patients were analyzed. 70.1% of those patients reported that their blood glucoses were under control. But the self-management rate of diabetes was still low. 22.2% and 62.2% did not have their blood or urine glucoses tested in the past 12 months, respectively. More than 80% did not examine fundus oculi or microalbuminuria in the past 12 months. Primary care doctors have a weak role in the diabetes control. In the past 12 months, 80.1% of patients did not examine their diabetes through primary care units. Multivariate logistic regression showed that the more educated had a better self-reported control. People who lived in towns(OR=0.57) or villages(OR=0.73) had a worse control compared with people who lived in cities. Patients those who monitored their blood glucose once or twice monthly(OR=0.64) had an inferior self-reported control. CONCLUSIONS Many patients did not have their diabetes well controlled. Primary care units did not have enough participation in diabetes management. The self-reported control levels were different due to education level and rural-urban disparity. Balanced development of rural-urban primary care units and improvement of diabetes care quality would improve the equity and accessibility for primary care and diabetes management.