Diabetes mellitus prevalence has been growing up rapidly. Consequently, physical, psychological, and socioeconomic burdens were increased due to the treatment and diabetes-related complications. Complications are favorable among poorly controlled diabetic patients. To prevent or delay the complications, then, diabetes self-management is an appropriate way to cope these problems. Presently, patient empowerment in diabetes education and self-management is an effective way to increase the adherence to the diabetes treatment. Education means disclose information about their conditions and management-related DM. Diabetes patients have right to receive information regarding their conditions and treatment needed. This right is related to their autonomy to choose and decide their own treatment. Then, it is not fair if we blame them as not adhering when they did not receive any important information regarding their treatment clearly. This study aimed to describe the ethical issue in diabetes self-management engagement.