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Conclusions The quality of doctors' communication on DSME in this study was suboptimal. Most adequately informed cases of diabetic behavior associated with self-management have been associated with reduced risk factors and an orientation towards disease. Thus, training of primary care physicians in diabetic self-management is recommended because of the key role that these doctors play in managing diabetes. Conclusions The quality of doctors' communication on DSME in this study was suboptimal. Most adequately informed cases of diabetic be