Nutrition Education Intervention in Adults With Type 2 Diabetes Mellitus in a Resource Poor Setting

The purpose of this study is to implement a nutrition education programme that was developed for type 2 diabetic adults in a resource poor setting and to evaluate the programme's effectiveness on health outcomes A randomized controlled clinical trial study design will be used. One group (experimental group) will receive the nutrition education while the other group (control group) will receive the usual care. Setting: Two Community health centres in Moretele Health Sub-District, North West Province, South, Africa Effectiveness of the nutrition education will be evaluated for the following outcomes: * clinical * blood sugar control based on HbA1c levels (primary outcome) * lipid profile (total cholesterol, low density cholesterol, high density cholesterol and triglycerides) * blood pressure * body mass index * dietary intake * others -diabetes knowledge, attitudes towards diabetes Outcome measurements- at six and 12 months, this will be compared with the baseline data. Hypotheses: * the experimental group will have a significantly lower HbA1c compared to the control group * the experimental group will have significantly better outcomes for dietary intake, blood lipid profile, blood pressure, body mass index, diabetes knowledge and attitudes towards diabetes and its treatment.