Diabetes mellitus (DM) is a metabolic disorder which is characterized by hyperglycemia together with metabolic disturbances of carbohydrate, fat and protein resulting from defects of insulin secretion, insulin action, or both. Uncontrolled diabetes due to absence of self-care assessment and non-adherence to medication leads to serious complications. The aim of this study was to assess the self-care practices among TYPE 2 diabetic patients residing in rural areas of Erode district, Tamilnadu. The objective of the study is to estimate the existing self-care behavior and factors influencing the behaviors of patients with type 2 diabetes mellitus and to provide counselling to the diabetic patients regarding the self-care practices. This was a prospective, Observational, community-based study with a period of Nine months (Jan2019-Sept2019).200 Patients were participated in this study. The data collection was done through interview and questionnaire. A revised version of the summary of diabetes self‑ care activities (SDSCA), a standardized, validated questionnaire was used to assess self‑ care activities of diabetic patients. Patients who were younger (<50 years) and those who were treated with insulin were more likely to do blood sugar testing compared to those who were ≥50 years (P = 0.0034) and patients on treatment with oral hypoglycemic agents (P = 0.0057), respectively. Self‑ care activities regarding both general and specific diet were poor in our study. Overall the level of self‑ care activities among diabetic patients in our study was quite low. There is a need for ongoing self‑ management education programs in all hospitals, for patients and caregivers. Peripheral level health functionaries should conduct regular information, education, and communication activities and one‑ to‑ one counseling sessions for diabetic patients.