Diabetes is highly prevalent in black men. To provide nurse practitioners with practice strategies, we explored black men's perceived needs for dietary health and diabetes self-management using the social cognitive theory. Twenty-five black men participated in 4 focus groups. The data were analyzed using a combination of inductive/deductive content analysis approach. Focus group analysis identified personal, behavioral, and environmental barriers to and facilitators for diabetes self-management. Nurse practitioners may need to provide extra emotional support in the absence of informal social support from families for diabetes self-management and dietary health in black men with diabetes.