Inclusion Criteria:  age between 18 to 65 years have been diagnosed with Type 2 Diabetes Mellitus Patients treated with insulin injections for at least 1 year on either basal insulin, basal plus prandial or basal bolus insulin HbA1c between 8 % and 15%  Exclusion Criteria:  do not understand Malay language or illiterate have severe diabetes complications such as chronic kidney disease, heart failure recurrent hypoglycemia or hypoglycemia unawareness body mass index (BMI) ≥ 40kg/m2