OBJECTIVES: Objective of study is to assess present knowledge, attitudes, and practices of diabetic patients towards the management of diabetes. METHODS:  400 (DM) patients were enrolled in this survey based cross-sectional study and assessed through semi structured questionnaire. RESULTS: As 253 (63.2%) patients were from urban so they were illiterate (N=135, 33.8%) while a few were graduate (N=75, 18.8%) and only 11 (2.8%) were post-graduated and also 236 (59%) were having positive family history of disease. Majority of the participants i.e. 377 (94.2%) had poor knowledge about disease. Only 131 (32.8%) patients were having knowledge about random blood sugar level. Most of the participants (N=363, 90.7%) reported that oral hypoglycemic agents and/or insulin is necessary for management of diabetes but they were unable to differentiate their use during either type of diabetes. Majority of the patients, 377 (94.8%) agreed that controlled and planned diet should be followed to control diabetes. Only 185 (46.2%) agreed that upon control of diabetes, the medicines can be stopped immediately while other’s response was neutral/disagree and p-value was 0.002. Most of the participants (N=339, 84.8%) agreed that diabetic education programs are necessary for disease management. Regardless of having sufficient knowledge about disease, patient’s practice was poor as 265 (66.3%) patients were going for follow-up regularly to physician, 228 (57.0%) reported that they exercise regularly. Only 297 (74.3%) followed a controlled and planned diet while others did not. CONCLUSIONS:  The study showed low levels of diabetes awareness but positive attitudes towards the importance of DM care and unsatisfactory diabetes practices in Pakistan. Training programs for health professionals and diabetic patients should be conducted in order to improve their management toward the disease.