Purpose: This study aimed to analyse a caring situation and develop health care model for pre-ageing and older adult with diabetes.
Method : This Phenomenological qualitative design . A study were collected by The Chronic Care Model, semi-construction interview, medical cards, observation, group discussion. Participants total 45 persons were patients 17 persers, care givers17 persons, health care teams 7 persons and community leaders 4 persons. Content analysis was conducted