Diabetes has increasingly become a major health problem worldwide. India hasn’t been far behind, having the second highest prevalence of diabetes, in advancing to 72·0 million prevalent cases of diabetes in 2017, as compared with 26·0 million in 1990. The development of complications affects the quality of life in these individuals. Episodes of hypoglycaemia, fear of hypoglycaemia, change in life style and fear of long term consequences may lead to reduced health-related quality of life (HRQoL).  Diabetes mellitus is a chronic disease that can affect all aspects of life. 

Diabetes self-management education (DSME) is recognized as a fundamental component of diabetes care. and it is believed that improving patient self-efficacy is a critical pathway to improved self-management  The goal of DSME is to help patients acquire the knowledge, information, self-care practices, coping skills, and attitudes required for the effective self-management of their diabetes. Several reviews and meta-analyses have found DSME interventions to have a positive impact on diabetes-related health and psychosocial outcomes, specifically increasing diabetes-related knowledge and improving blood glucose monitoring, dietary and exercise habits, foot care, medication taking, coping skills, and glycemic control. 

The proposed study will be conducted in the health centres of the field practice areas under the Department of Community Medicine, Hamdard Institute of Medical Sciences and Research(HIMSR) and the Diabetic clinic, Department of  Medicine, HAHC Hospital, HIMSR.

The proposed study will be a Randomized controlled trial. A total of 200 patients (diagnosed with type-2 diabetes mellitus will be randomized into two groups (100 patients each).

A baseline assessment of knowledge, self care activities (by using SDSCA questionnaire) , Diabetes self-care efficacy( by using Diabetes Management Self-Efficacy Scale (DMSES)), Quality of life ( by using DMQoL questionnaire) and glycemic control (HbA1C).

The intervention group will receive the diabetes self management education package alongwith the routine care while the control group will receive the routine standard care.

Comparison of self care activities, self-care efficacy, quality of life and HbA1C measurements will be done at baseline and at 6 months in both the groups.

If the intervention proves useful, it may be extended to primary health centres and villages where health workers may be trained to provide structured education on diabetes self management.