Aim <p>Diabetes affects millions of people worldwide and poses a growing public health challenge in the United States. The American Diabetes Association (ADA) recommends diabetes self-management education and support as a vital component of diabetes care, equipping individuals with the knowledge and skills needed to manage their condition and prevent complications. This study assessed diabetes self-management education (DSME) participation rates among adults in the United States with diabetes based on demographic and socioeconomic differences.</p> Subject and methods <p>For this cross-sectional study, the 2023 Behavioral Risk Factor Surveillance System (BRFSS) data were analyzed, and cross-tabs and binary logistic regression were utilized for descriptive data and odds ratio calculations, respectively.</p> Results <p>Among the total of 59,786 respondents included in the analysis, significant differences were observed in access to DSME. Weighted analysis revealed that 53.7% of the diabetic individuals reported never having DSME, compared to 46.3% who received DSME. Women, individuals who were married, those with health insurance coverage, and those with at least a high school education had higher odds of receiving DSME. Hispanics and persons with diabetes type 2 diagnosis had lower odds of receiving DSME.</p> Conclusion <p>Significant differences in access to DSME exist among individuals with diabetes based on socioeconomic status. Collaborative efforts in policy formulation, delivery of healthcare, clinical practice, and research are needed to improve DSME uptake.</p>