Objective To provide an overview of current research and development on the organization and delivery of diabetes education and self-care support, incorporating stakeholder perspectives. Method Four methods were used: literature review (159 papers and 52 grey literature items); patient participation event (n 5 38); online survey of professionals (n 5 423) and patients (n5 495); and, a conference. Results The literature review identified themes relating to the organization and delivery of diabetes and self-care support: structure and flexibility in models of education; accessibility; patient choice; integrating self-care within the overall care system; quality improvement; peer educators; health literacy; efficiency in delivery; telecare models; feedback technologies; care planning; psychological intervention; and self-care outcome measures. This generated four models to provide a framework to help shape the development of diabetes self-care: a diabetes education pathway; integrating self-care and clinical care; choice as a method of optimizing care; and an integrated framework for delivering diabetes self-care. Conclusion The clinical benefit of the identified models need to be evaluated.