Conclusion
Glycaemic control was not associated with DSME in this study, although the reduction in HbA1c was larger in the intervention group compared to usual care. Ideally, DSME equips individuals with skills for decision making and taking action. We thus recommend larger cluster randomised studies, with longer duration of follow-up, which focus on enumerating the effect of structured DSME on glycaemic control, in resource-constrained settings.