Globally, the prevalence of diabetes mellitus (T2D), impaired glucose tolerance (IGT) and obesity have been gradually increasing during the last three decades. The role food plays in both the prevention and management of diabetes. Attempt to control these disorders, healthcare workers try to manipulate the quality, quantity, and variety of carbohydrates in the diet in an effort to control diabetes in patients. However, many patients and health professionals do not seem to appreciate the

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... ties of carbohydrates and a verity of issues related to glycemic control in patients with diabetes. WHO aims to stimulate and support the adoption of effective measures for the surveillance, prevention and control of diabetes and its complications, particularly in low and middle income countries by implementing its global strategy on diet and physical activities.Management of diabetes at the initial stage and prevention of future onset could be easily achieved by dietary management.Nutrition counseling should be sensitive to the personal needs, willingness to change and ability to make changes of the individual with pre diabetes or diabetes.The glycaemic response, index and the load of foods and effective drinking time of water are not incorporated in dietary management among diabetic patients. Generating the knowledge on these will be importance in managing diabetes.