en ● Psychosocial Health مقاله اصيل پژوهشي Orginal Article <div style="text-align: justify;"><strong>Background</strong>: Diabetic patients must be managed comprehensively to normalize blood sugar levels for a long time, as it has an&nbsp;impact on diabetes distress. Self-management is an essential intervention to keep the patient&rsquo;s blood glucose levels stable. Moreover, people with diabetes who have poor self-acceptance may develop a negative view of themselves, which can affect diabetes self-management. Thus, this study aimed to determine the relationship between self-acceptance and self-management of diabetes distress among patients at Roemani Semarang Hospital.&nbsp;<br> <strong>Methods</strong>: This quantitative study used an observational approach. The sample consisted of 52 respondents who were treated at the Roemani Semarang Hospital, in&nbsp;Indonesia. The sampling technique used was consecutive sampling. Self-acceptance was measured by the acceptance of illness scale (AIS), which consists of eight questions developed by Felton with a Cronbach&rsquo;s &alpha; of 0.861. Self-management was measured by the diabetes self-management questionnaire (DSMQ) developed by Schmitt, which consists of 16 questions with a Cronbach&rsquo;s &alpha; 0.628. Moreover, diabetes distress was measured by the&nbsp;diabetes distress scale (DDS), which consists of 17 items developed by William Polonsky with a Cronbach&rsquo;s &alpha; 0.840.&nbsp;<br> <strong>Results</strong>: Most diabetic patients had moderate self-acceptance, with 41 respondents (78.9%), good self-management, with 39 respondents (75%), and moderate diabetes distress, with 32 respondents (61.5%). Therefore, self-acceptance and self-management had a relationship with the incidence of diabetes distress (P=0.001).<br> <strong>Conclusion</strong>: Diabetes distress must be treated in diabetes patients because it impacts self-management. Additionally, an approach to increasing self-acceptance is necessary, as it also affects diabetes distress. Further studies are needed to explore self-acceptance as a mediator between self-management and diabetes distress.<br> &nbsp;</div> Self-management, Diabetes mellitus, Psychological distress 237 246 http://jrh.gmu.ac.ir/browse.php?a_code=A-10-2532-1&slc_lang=en&sid=1 Satriya Pranata satriya.pranata@unimus.ac.id 100319475328460038301 100319475328460038301 No Department of Nursing, Faculty of Nursing, Universitas Muhammadiyah Semarang, Semarang, Indonesia. Mohamad Rizky Wahyudi rizkywahyudi976@gmail.com 100319475328460038302 0009-0001-3965-5157 Yes Department of Nursing, Faculty of Nursing, Universitas Muhammadiyah Semarang, Semarang, Indonesia.