Abstract: Over the past few decades, diabetes turns out to be a progressively more and serious health problem worldwide. It has been reported that increasing number of people are getting affected and living with this disease with a significant rise. Diabetes Specialist Nurse work completely in diabetes care their support is considered vital in offering excellent patient care and advocating effective management. They will also offer training and support to other nurses on general practices and diabetes management. The responsibilities in the management of diabetes and patient care involves guidance on disease control & prevention, advocating behavioural modifications and health training. Other important roles include early assessment of Type II diabetes, fostering self-care, creating awareness on the importance of mental health and monitoring urine, blood and glucose levels. Diabetic specialist nurses have a major positive impact when counselling diabetes patients on self-management especially when merged with pre-emptive care.