Self-care in diabetes has been defined as an evolutionary process of development of knowledge or awareness by learning to survive with the complex nature of the diabetes in a social context[20, 21]. Because the vast majority of day-to-day care in diabetes is handled by patients and/or families[22], there is an important need for reliable and valid measures for self-management of diabetes[23–25]. There are seven essential self-care behaviors in people with diabetes which predict good outcomes. These are healthy eating, being physically active, monitoring of blood sugar, compliant with medications, good problem-solving skills, healthy coping skills and risk-reduction behaviors[26]. These proposed measures can be useful for both clinicians and educators treating individual patients and for researchers evaluating new approaches to care. Self-report is by far the most practical and cost-effective approach to self-care assessment and yet is often seen as undependable. Diabetes self-care activities are behaviors undertaken by people with or at risk of diabetes in order to successfully manage the disease on their own[26]. All these seven behaviors have been found to be positively correlated with good glycemic control, reduction of complications and improvement in quality of life[27–31]. In addition, it was observed that self-care encompasses not only performing these activities but also the interrelationships between them[32]. Diabetes self-care requires the patient to make many dietary and lifestyle modifications supplemented with the supportive role of healthcare staff for maintaining a higher level of self-confidence leading to a successful behavior change[33].