Purpose
Diabetes mellitus has been either the fourth or fifth leading cause of death among Taiwanese adults during 1995–2015. Older adults with diabetes are at higher risk of developing diabetic macro-vascular and micro-vascular complications. The purpose of this study explored the self-management experiences of middle-aged and older adults with diabetes through a focus group.

Methods
Purposive sampling was used to recruit patients with diabetes from the metabolic outpatient clinics of medical centers and regional hospitals in Taiwan. Two focus groups, comprising a total of 23 participants, were employed to collect data, and group discussions were held a total of four times in an education room that was distant from clinical areas.

Results
Three themes were generated from analysis of the collected data: (1) “listening to the voice of the body and observing physical changes,” (2) “re-recognizing diabetes and challenges,” and (3) “self-management implementation dilemmas.” This study provided new insights into the experiences of middle-aged and older adults in Taiwan regarding their self-management of diabetes.

Conclusion
Healthcare teams should be involved in the self-management education of patients with diabetes as early as possible to reduce patients’ anxiety and to develop more patient-centered, culture-sensitive clinical skills. In addition to monitoring patients’ self-management, healthcare professor should pay more attention to patients’ successful adaptation to and coexistence with the disease.