Background: Compliance to appropriate dietary recommendation and observation of appropriate disease management practices is a well-known integral part in the care and management of Type-2-diabetes. Dietary and lifestyle practices of T2DM subjects in Kenya are still unclear. Objective: This study aimed at assessing T2DM risks profile, dietary practices and exploring the experiences of patients attending the outpatient diabetes clinic at the Kenyatta National Hospital (KNH), Nairobi, Kenya Study Design: A case-control study design was conducted with cases referring to the study subjects with T2DM whose blood glucose levels that are outside the above ranges suggested by NICE and controls referring to study subjects whose blood glucose levels lie in the ranges suggested by the NICE guidelines. Methods: Associations were studied in 157 T2DM outpatients aged 18 years and above (up to 65years), undergoing treatment and care at the KNH outpatient diabetes clinic. Dietary intake was assessed using a 24-hour recall questionnaire. Disease management practices such as medication use, medical check-ups amongst others was obtained from an intervieweradministered questionnaire. Data Analysis: Data was analyzed using SPSS v.22.0 for Windows Results: One-hundred and fifty seven participants (75 males, 82 females). 54.7% of the study population had attained the NICE recommended target post-prandial blood glucose level range (under 8.5mmol/L). Abdominal obesity, BMI and dietary practices were risk factors that were analyzed for this population. Conclusion: The risk factors for type 2 diabetes mellitus associated with poor glycemic control described in this urban population included low self-reported compliance to recommendations given by health-service providers. The poor glycemic group of study subjects also had a statistically significant higher number of hospital admissions due to diabetic ketoacidosis. Reasons for non-compliance and non-adherence to recommendations by patients should be addressed by future studies to provide more insight in this area.