This cross-sectional study using a mailed survey evaluated outcomes of diabetes education, care, and support provided at 2 clinics in rural Manitoba, Canada. Seventy-eight respondents with type 2 diabetes, including 51 rural clinic attenders and 27 non-attenders (mean age = 68.5), were compared regarding demographic characteristics; diabetes education and knowledge; diabetes self-management efficacy, attitudes, and behaviours; quality of life; satisfaction with care; and health-care utilization. Attenders had more diabetes education (P