Abstract:Objective To explore the effect of a health management program based on the concept of normalizing on glycemic control and psychological state in patients with type 2 diabetes mellitus, and to provide reference for shifting the focus from "disease ma-nagement" to "integrating the disease into daily life". Methods A total of 71 patients admitted from February to September 2023 were assigned to the control group, receiving routine nursing care, and 71 patients admitted from February to September 2024 were served as the intervention group, receiving a health management program based on the concept of normalizing.The intervention lasted one year.The fasting plasma glucose (FPG), 2-hour postprandial blood glucose (2 h PG), and glycosylated hemoglobin (HbA1c) were measured.The Connor-Davidson Resilience Scale (CD-RISC), the Type 2 Diabetes Stigma Assessment Scale (DSAS-2), the Perceived Social Support Scale (PSSS), and the Summary of Diabetes Self-Care Activities measure (SDSCA) were utilized to measure the effect. Results A total of 68 patients in the control group and 69 in the intervention group completed the intervention.After the intervention, the FPG, 2 h PG, and HbA1c levels in the intervention group were significantly lower than those in the control group (all P<0.05).The intervention group had significantly higher scores for CD-RISC, SDSCA, and PSSS, whereas lower DSAS-2 score compared to the control group (all P<0.05). Conclusion Health management program based on the concept of normalizing can achieve better glycemic control in patients with type 2 diabetes mellitus, enhance their self-management behavior, resilience and perceived social support, and reduce stigma.