Introduction: studies have been undertaken in the region concerning diabetes. However, no study was able to provide us with how much info do patients have about the necessity of lifestyle modification in their case and their attitude towards it. We aim in our study to assess knowledge, attitude of patients concerning lifestyle modification necessity their practices and its relation to the progression of their disease. Methodology: The study was quantitative observational cross sectional study conducted in the Primary Care Clinic, King Khalid University Hospital by the research team using a predesigned questionnaire. The study included all Saudi type-2 diabetes patients who are over 18 years of age and excluded patients with congestive heart failure, disabilities, mental and communication problems. The required sample size was 104 and patients were selected using Simple Random Sampling technique Results: Study included 112 respondents, 64 (56.6%) were males. The mean knowledge score was average (8.7/14) and the mean attitude score was very positive for both females (4.79/5) and males (4.48/5). HbA1c levels were generally poor. One hundred study subjects were overweight, 35% believed they were not overweight. Only 23 (20.4%) cases of the 112 were following a specific diet. Eighty eight (77.9%) cases said they practiced exercise out of which 82 (72.6%) specified walking and 2 (1.8%) swimming. Conclusion: our study showed that type 2 diabetes mellitus patients in Saudi Arabia have an average amount of knowledge about required lifestyle changes. Attitude to lifestyle changes was extremely good in almost all cases, however exercise among most study individuals turned out to be not so good. This indicates a lack of will-power for the correct implementation of their knowledge and attitude. As for
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