Abstract: Objective To study the efficiency of a dialogue educational tool according to pictures for diabetic patients. Methods Efficiency of the dialogue educational tool was assessed using evaluation sheets of diabetic education before and after it was used. Results The awareness rate of information associated with diabetes mellitus was higher after the tool was used than before it was used. Conclusion The dialogue educational tool according to pictures can help diabetic patients to master the information associated with diabetes mellitus,change their bad behaviors and habits,and improve their quality of life.