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Diabetes mellitus patients implement five pillars of diabetes mellitus management to control the blood glucose. If this management is not managed properly, it can lead to a variety of chronic implication. This management requires the motivation so that the five pillars to be always carried out. The motivation is important thing for patients that will be support them to do something to fulfill their goal. The purposed of this study was to determine the motivation of diabetes mellitus patients in implementing the five pillars of diabetes mellitus management in the public health center East Selemadeg 1, Tabanan regency. This research was a descriptive design with cross-sectional approach. There were 88 respondents recruited as the sample through non-probability sampling with total sampling technique. The data were collected using questionnaire and analyze with descriptive statistics. The result showed that there were 42 respondents (47.7%) had high motivation in implementing the five pillars of diabetes mellitus management, 45 respondents (51.2%) had moderate motivation, and 1 respondent (1.1%) had low motivation. The majority of the respondents had moderate motivation in implementing the five pillars of diabetes mellitus management. It is expected that diabetes mellitus patients can maintain and increase motivation so that the quality of life also increases.