This qualitative ethnographic study explored barriers and facilitators of diabetes self-management among Vietnamese Americans (VA). Semi-structured interviews were conducted with a convenience sample of 23 VA with type 2 diabetes ages 43 to 83. The interviews were audio-recorded and transcribed verbatim. NVivo 8 software was used for content analysis. Data revealed participants face many barriers including: low diabetes literacy, limited English proficiency, unhealthy eating habits, lack of time and motivation, fear of pain, cost of monitoring supplies, side effects of medicines, beliefs of fatalism, and lack of transportation. Facilitators included witnessed sufferings, peer advice, family assistance, and self-reliance.