OBJECTIVES:  To assess the impact of good management practices on real world healthcare resource use and diabetes control in people with type 2 diabetes (T2DM). METHODS:  Data on diabetes-related healthcare resource consumption were obtained from the fifth wave of the International Diabetes Management Practice Study which included patients from Africa, Eurasia, Middle-East, South-Asia and Turkey. Good management practices and desirable resources were defined using international guidelines and based on frequency of HbA1c, blood pressure and blood lipid monitoring, diabetes education, screening for complications and blood glucose self-monitoring in the past year and the number of GP/specialist visits in the past 3 months. Avoidable resources were defined as emergency rooms visits and hospitalisations due to diabetes or its complications. Diabetes control was based on HbA1c, blood pressure and blood lipid values. Descriptive statistics and logistic regression models were conducted. RESULTS:  A total of 8,209 T2DM adults were analysed, 53% were females; mean age was 57; mean diabetes duration was 9 years. Most had at least one HbA1c, blood lipid and blood pressure measure in the past year (87%, 93% and 86% respectively); 85% and 33% had GP and specialist visits in the past 3 months, respectively; 22% received diabetes education, 40% were screened for complications and 29% of patients treated with insulin were self-monitored. 16% of patients experienced a hospitalisation. Overall, 41% of patients were considered as “well-managed” and 16% as “controlled” for their diabetes. Well-managed patients were significantly more likely to control their diabetes (OR[95% CI]: 1.96[1.64; 2.35]) and had significantly less hospitalisations (0.67[0.55; 0.82]) than not well-managed patients. CONCLUSIONS:  Our study suggests that good management practices are associated with a reduction in avoidable resource consumption as well as improved diabetes control. This suggests that following established clinical recommendations could ensure not only good outcomes but also beneficial resource allocation.