Background: aging is a gradual physiological degradation that causes organ system function to deteriorate and physiological reserves to dwindle, causing challenges to elderly people functional activity, this study outlines the challenges that the elderly experience while seeking health-care services at

Background: Management of diabetes requires a complex treatment plan and lifestyle changes to enhance patient adherence toward treatment. However, in patients with type-2 diabetes, living with the disease faces various obstacles. If these obstacles are not recognized, noncompliance with recommended self-care treatments and complications may occur as a result. Aim: To determine the coping obstacles among type 2 diabetic patients. Methods: A cross-sectional research design was conducted at diabetic outpatient clinics affiliated to El Mahalla El Kubra general hospital. Sample: A purposive sample of 570 patients were included and data collected by interviewing questionnaire to assess socio-demographic, clinical data and diabetes obstacles questionnaire for 5 months from beginning of October 2021 to end of February 2022. Results: The studied subjects had obstacles with medications subscales, self-monitoring, and knowledge & believe, diagnosis, life style and coping subscales with mean score 5.17± 6. 09, 3.53± 3.47, 5.03± 4.76, 4.38± 5.18, 3.44± 5.66 and 4.14± 3.69 respectively. On the other side, the studied subjects didn't experience obstacles in receiving guidance or supporting and relationship with health care sub-scales with mean scores -5.08± 7.10 and -2.73± 6.02 respectively. Conclusion: There are several obstacles faced by patients with type 2 diabetes, the total mean scores of the obstacles were influenced by educational level, occupational status, smoking habit, follow-up, practicing exercises, dietary compliance, diabetes complications, and duration of disease. Recommendation: Expanding in the application of the educational programs for diabetic patients which include health information and practical skills to cope with their disease and lifestyle changes.