AimThe study described diabetes selfâmanagement (DSM), diabetes knowledge, family and friendsâ support, healthcare providersâ support, belief in treatment effectiveness and diabetes management selfâefficacy, and explored DSM's associations among Vietnamese adults with type 2 diabetes mellitus (T2DM).DesignA crossâsectional design was applied.MethodsThe study used selfâreport questionnaires to collect data from 198 participants. Descriptive statistics and structural equation modelling (SEM) was used for data analysis.ResultsVietnamese adults with T2DM performed DSM limitedly in certain aspects. They had strong belief in treatment effectiveness, good family and friends support, limited diabetes knowledge, healthcare professional support and selfâefficacy. Their DSM was directly associated with diabetes knowledge, family and friendsâ support, healthcare providersâ support, belief in treatment effectiveness and diabetes management selfâefficacy. Their DSM was indirectly associated with diabetes knowledge and family and friendsâ support through their belief in treatment effectiveness and diabetes management selfâefficacy.