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Diabetes seriously affects the health of middle-aged and elderly. What we can do is to suppress the progression and avoid complications of diabetes. The aim of this study was to evaluate the prevalence, management and influencing factors in middle-aged and elderly diabetics. The data used in our study came from the follow-up survey (2015) of China Health and Retirement Longitudinal Study. After all the questionnaire data of participants was acquired, the first screening step was conducted and the participants without blood glucose or glycosylated hemoglobin test results were excluded. In the second screening step, participants without self-reported diabetes, age <45 were excluded. After data screening, STATA 16.0 software (StataCorp, USA) was used to conduct statistical analysis. Multiple logistics regression was used to analyze the influencing factors of diabetes in middle-aged and elderly. After data screening, A total of 9738 participants were enrolled in the survey of the China Health and Retirement Longitudinal Study in 2015, including diabetes 1965 and control 7773. The prevalence of diabetes in age >60 (22.20%) was significantly higher than that in age 45 to 60 (16.60%). Age, residence, physical activity, drinking, smoking and body mass index were key influencing factors according to the results of logistics regression. 46.92% diabetics were diagnosed in hospital, 22.14% were diagnosed by community medical care. 1298 among 1965 diabetes patients had standardized medication to control blood glucose, the rate was only 66.01%. The awareness rate of diabetes was only 28.75%, and the monitoring, treatment and accepting medical advice rates were 68.32%, 66.01% and 56.99% separately. The follow-up rate of diabetes was only 14.16%. Diabetes is widely prevalent in the middle-aged and elderly with the prevalence of 16.60% in the participants with age 45 to 60. The rate of self-rated diabetics underestimated the true prevalence of diabetes. Age, residence, physical activity, drinking, smoking and body mass index are key influencing factors to diabetes. Although a national diabetes health management model has been established, the awareness of diabetes was only 28.75%. Standardized diabetes registration and regular follow up should also be strictly implemented.

Ten development tendencies and strategies of acupuncture in the 21st century were discussed in the paper. Legislation is the trend in the development of internationalization of Chines medicine and acupuncture. The reform in the theory of Chinese Medicine, Herbal Formulas, and Clinical practice is the trend in the internationalization of Traditional Chinese Medicine. Standardization of Chinese Medicine and acupuncture will seek common ground while reserving differences. There will be more and more experienced TCM practitioners overseas The integration and expansion of Overseas TCM institutions. Protection of Chinese Medicine and Acupuncture intellectual property will be taken seriously. Diverse development of oversea TCM acupuncture education. The non-substitutability of the inheritance of TCM acupuncture manipulation techniques. The internet, digital media technologies, and risk investment will promote the globalization process of TCM and acupuncture. China as the cradle of Acupuncture and Chinese Medicine boosts the globalization process of TCM acupuncture.