Background: Diabetes-related distress (DRD) is very common among people with type II diabetes mellitus (DM). DRD led to poorer DM control and may led to adverse prognosis. Yet, there is no widely accepted or recommended DRD treatment.

Mindfulness was shown to relieve psychological distress in various physical and mental conditions.

Aim: as a pilot project, we aim to determine if mindfulness-based cognitive therapy (MBCT), which is one of the widely used mindfulness program, is feasible and acceptable and may improve DRD in our Chinese population.

Method: 20 Chinese participants with suboptimally controlled DM and high DRD will be recruited to a 8- week MBCT group. Pre-group and post-group (immediate and 2-month post-group) data including DRD score, quality-of life measures will be compared.

Inclusion Criteria:

• received a clinical diagnosis of type II DM
• aged >=18
• can provide valid consent
• can speak Cantonese
• can read and write simple Chinese
• HbA1c >7%
• have CDDS score >=3

Exclusion Criteria:

• diagnosed active mental illness
• have severe hearing loss
• non-Chinese
• have active suicidal ideation as screened by Q9 of PHQ-9
• unwilling to join at least 6 out of 8 session of MBCT
• received mindfulness training in the past year or having regular mindfulness practice
• received psychotherapy last year
• severe physical illness limiting them from coming repeatedly to the group

Will be available only if requested by other investigators.