Type 2 diabetes mellitus is a commonest metabolic disorder the prevalence of type 2 diabetes mellitus has been increasing all over the world in the past 30 years. According to international diabetic federation (IDF) 425 million of the global population has type 2 diabetes mellitus (2017) and the death occurred by type 2 diabetes mellitus is 4 million. The prevalence of type 2 diabetes mellitus in India is 2.4 % in rural, 11.6 % in urban population. Thus the successful managing of type 2 diabetes mellitus is great challenging necessary education related to type 2 diabetes mellitus such as nutrition, exercise, monitoring of glycemic control, foot care and pharmacological resources should be given to reach a successful management, descriptive study was chosen to assess the non- adherence to foot care activities and its associated factors among patients with type 2 diabetes mellitus. The present was conducted at thirumazhi 100 type 2 diabetes mellitus under inclusion criteria were selected by purposive sampling technique, data was collected by using socio demographic variable. structured questionnaire was provided to the selected samples to assess the non-adherence to foot care activities and its associated factors. frequency and percentage distribution of the level of knowledge showed that most of the people 74%had moderate knowledge regarding factors associated with non-adherence to foot care activities and 18% of adequate knowledge and 8% are inadequate knowledge on factors associated with non-adherence to foot care activities. existing knowledge of client regarding foot care activities Important was found to be in adequate, client associated factors for non-adherence to foot care activities are known after administration of structured questionnaires.