Objective The main objective of the project is to assess effects of DSME on behavioral (self-care practice including nutrition and activity, medication adherence and healthcare utilization), clinical (glycemic control as measured by HbA1c, BP, BMI, and WC) and psychosocial (HRQoL, depression, anxiety, self-efficacy and diabetes knowledge,) outcomes among adults with T2D in Ethiopia, and particularly in Jimma zone.