OBJECTIVES: To determine diabetes control status among community pharmacy users with diabetes. METHODS: This is a cross-sectional observational study analyzing the Medical Expenditure Panel Survey (2005), a survey nationally representative of non-institutionalized civilians. The study population was community pharmacy users older than 17 with diabetes. Using a chi-square test, this study compared the proportions of the study population with complications and without complications meeting the diabetes control standards of the American Diabetes Association (ADA). A logistic regression was employed to compare between the 2 groups the likelihood of incurring drug costs over $4000 in 2006 dollars, the cost criterion for being eligible for mediation therapy management (MTM) services. Community pharmacies were defined as pharmacies other than mail-order and online pharmacies. RESULTS: In 2005, 95.27% of patients with diabetes filled prescriptions through community pharmacies. There were gaps between their diabetic control and the ADA standards, especially in the use of preventive services: e.g., ADA recommends weight control, but the proportions of overweight or obese were 84.09% and 89.42% among patients without complications and those with complications, respectively (P=0.312 for the group comparison). Patients with complications have higher likelihood of meeting the cost criterion for MTM services even after adjusting for confounding factors (P=0.005). CONCLUSIONS: The room for improvements in diabetes control among community pharmacy users in this study present pharmacists with opportunities for improving diabetes management.