Objective To study the current situation of blood glucose control of population with high risk of stroke combined with diabetes mellitus in some communities of Fengtai District,Beijing,and to analyze the characteristics of symptoms and syndromes of TCM among them. Methods In 2015,a total of 870 cases of high-risk population of cerebral apoplexy were screened from Beijing Fengtai Dahongmen Community Service Center and Tieying Community Service Center,including 266 patients with diabetes,their demographiccharacteristics,medical history,drug information and symptoms based on TCM four diagnostic information were recorded,and the fasting blood detection serum glucose（ GLU）,glycosylated hemoglobin（ Hb A1 c）,high-density lipoprotein（ HDL-C） and low density lipoprotein（ LDL-C）,triglyceride（ TG）,total cholesterol（ TCHO） level were tested. According to the fact whether Hb A1 c was less than6. 3%,they were classified into standing reaching group and not up to standard group,the two groups of blood glucose,blood lipids and other control conditions and the difference between the drug administration,and the symptoms of TCM syndrome characteristics in the patients with high risk of cerebral apoplexy combined with diabetes mellitus were analyzed. Results The incidence of diabetes in population with high risk of stroke was about 30. 6%,drug treatment was about 66. 9%,the coupon rate was about 45. 1%,among them,119 cases in Hb A1 c standard control group,the success rate was 44. 7%. Bad living habits such as smoking in not up to standard group was obviously higher than that in stand reaching group（ P < 0. 05）,stroke and TIA history were significantly higher than that in standard reaching group（ P < 0. 05）,total cholesterol levels in blood lipid test was higher than that in standard reaching group（ P <0. 05）. TCM symptoms in this population was mainly manifested as thirsty,insomnia,dizziness,which were more than half of the total number. The analysis of TCM syndromes: phlegm dampness syndromes accounted for 65. 4% of the population,qi deficiency syndrome51. 5%,interior fire syndrome 49. 2%,blood stasis syndrome 45. 9%,and Yin deficiency syndrome 35. 0%. Conclusion The incidence of diabetes in population with high risk of stroke is much more increased than in the general population,and the success rate of blood sugar control is lower,blood sugar control in not up to the standard group is worse,the incidences of stroke and TIA are more increased than that in successful blood sugar control group significantly; the use of hypoglycemic drugs in primary communities basically conforms to the standard. The syndromes of deficiency of spleen and kidney qi,interior obstruction of phlegm and dampness,and excessive fire due to yin deficiency are prominent in this group of people. The clinical treatment should base on differentiation of syndrome.