Abstract: To implement the healthy China strategy, we need to change the traditional concept of health, establish the concept of "great health", and turn the treatment of diseases into the people's health as the center. Health initiative is an important measure to promote a healthy China, which is an effective way of coping with all sorts of health risks. Highlighting and giving full play to the advantages of traditional Chinese medicine (TCM) is an important aspect of active health. Currently, the incidence of diabetes in the world shows a sharp rise. Diabetes produces a huge threat to the people's healthy and causes a serious burden to the country and people. Community-based diabetes health management is an effective way of prevention and cure of diabetes. Based on how to take full advantages of TCM in the prevention and treatment of diabetes in community combining with realizing the diabetes prevention and treatment of "strategic forward, pass forward", this paper expounds the application of active health and medical treatment in the prevention and treatment of diabetes, analyzes the strategic position of the community in the prevention and treatment of diabetes and the unique advantages of Chinese medicine. This paper argues that: ①the insufficient service ability of TCM in communities restricts the exertion of the advantages of TCM in diabetes prevention and treatment; ②The model of community diabetes health management involving traditional Chinese medicine has not been improved; ③Diabetes community TCM prevention and treatment initiative health and science and technology response is weak. Based on the existing practice, this paper puts forward some suggestions and strategies. They include: ① explore the establishment of a government-hospital-community integrated diabetes TCM service network; ②to build a comprehensive prevention and control system of diabetes mellitus in community; ③ build a platform for community application and promotion of TCM diabetes prevention and treatment key technologies; ④enhance the community of traditional Chinese medicine diabetes prevention and treatment collaborative innovation and science and technology ability.