Introduction:
Cigarette smoking raises the chance of developing type 2 diabetes. People with diabetes who smoke are more prone than non-smokers to struggle with insulin doses and controlling their illness. Type 2 diabetes self-care practices, such as maintaining healthy behavior and reducing risk factors, help to reduce side effects and boost quality of life.

Objectives:
The cross-sectional study aims to address additional diabetes-related self-care activities among type 2 diabetes patients with at least one other chronic illness, such as smoking habits and collaborative aspects of tobacco cessation among patients and healthcare providers.

Methods:
The study comprised 400 participants aged 40 to 65 in primary care settings in Albania. The data was collected using the Summary of Diabetes Self-Care Activities Measures with Additional Activities version. The questionnaire was self-administered and anonymous.

Results:
43.3% of participants reported that no one asked about smoking during their most recent doctor's visit. Among the 255 smoker patients in the study, 26.8% said that no one advised them to stop cigarette smoking or offered to refer them to a smoking cessation program during their most recent doctor appointment. The study demonstrated a significant correlation (p<0.05) between diabetes patients' socio-demographic variables and smoking behavior. Among smoking patients, 4.3 claimed that their last cigarette was a week ago.

Conclusions:
To prevent chronic side effects and complications, patients with diabetes must work collaboratively with healthcare providers to improve their self-care routines. Tobacco cessation and smoking-related risks should be included in the standard health education procedures of primary healthcare providers.