Glycemic control and treatment of diabetes should start with
lifestyle modification (LSM). Because self-care behaviors such
as exercise and dietary habits are recognized as important tools for the maintenance of LSM, diabetes self-management educa
tion (DSME) needs to be emphasized for patients with diabetes
[1]. The benefits of DSME have been demonstrated by a number of successful studies. DSME is associated with improved
diabetes knowledge and self-care behavior, improved clinical