Abstract: Objective To investigate the demand and utilization of "disease prevention" service among community residents of high-risk diabetes, and analyze this influencing factors, provide better services of traditional Chinese medicine "disease prevention" for them. Methods Self-made questionnaire was using to inquiry 874 residents of high-risk diabetes in 10 neighborhood committee in Zhoujiadu districts. The content of the questionnaire included basic situation, and cognition, demand and utilization in traditional Chinese medicine "disease prevention". Results Among respondents, there were 71.9% heard about the concept of traditional Chinese medicine "disease prevention", and ranked in turn:friends(family), hospital, media. There were 67.2% received traditional Chinese medicine "disease prevention" service, and select the intervention project for itself in turn:cupping therapy, acupuncture for treatment, cream formulae,chose medical institutions in turn:Chinese medicine hospital, comprehensive hospitals, community hospitals. The community residents of high-risk diabetes with different ages, education background and occupation were significantly different in the proportion of being willing to utilize the service(P<0.05). Conclusion The community residents of high-risk diabetes in utilization service is not high, therefore there is a broad development space, need to increase the publicity effort of the concept of traditional Chinese medicine "disease prevention" in society; strengthen the service ability in county; follow the rules of residents' life to create opportunities for service and provide sustainable high-quality service.