Background: Diabetes is a major health disease reaching epidemic levels in the Middle East Regions. It is associated with many complications that have an adverse effect on patient’s quality of life. Nutrition therapy is essential, where dietary modification and improved dietary habits are important for its management and control. Objective: This study aimed to assess the adherence to dietary recommendations of adult patients with Type 2 Diabetes Mellitus (T2DM) diagnosed since at least one year residing in north Lebanon and to explore factors associated with this adherence. Methods: A cross-sectional ...