A review of policies and implementation of DSME in South Africa. The audit involved a review of policy documents and questionnaires with 44 providers and experts. Documents were analysed with reference to the IDF International Standards for Diabetes Education. Three guidelines for Type 2 diabetes and two for chronic diseases were retrieved, but none were specifically dedicated to DSME. Five structured programs and 22 ad-hoc interventions were identified. DSME is mostly provided by doctors, nurses and dieticians and not consistently linked to other initiatives such as support groups. DSME in South Africa is limited in scope, content and consistency. National curricula and materials for diabetes education need to be developed and adapted to the socio-economic context, culture and literacy levels. It is recommended that DSME would be addressed in national policies to guide the development and implementation of standardised programs.