Nineteen million adults are living with diabetes in Africa, out of which 4.6 million are in South Africa. As it is in several other African countries, type 2 diabetes mellitus (T2DM) in South Africa is generally a poorly controlled condition warranting innovative interventional measures. Diabetes self-management education and support (DSMES) is very beneficial in improving diabetes outcomes and feasible in resource-limited settings. Nutrition education support is particularly important in T2DM, a condition associated with unhealthy lifestyles and obesity with consequent insulin resistance and faulty metabolism of macronutrients. With good self-management, people living with diabetes can have a quality of life and a reduced risk for diabetes complications. Effective diabetes self-management can help to prevent hospital admissions or reduce the number of hospital visits for whatever reason, and a better experience when they do.