Aim: to study the role of teamwork in achieving glycemic control in rural type 2 diabetes mellitus patients using a cost effective trimodular approach. Material and Methods: Of the 200 selected diabetic patients 60 subjects were eligible for the study. Inclusion criteria: 1) Age: men and women between age group 20 years to 70 years. 2) Type 2 Diabetes mellitus, 3) uncontrolled FBS and PPBS 4) HbA1c between 7 to 10 %. Exclusion criteria: Type 1diabetes mellitus, Pre-existing renal, hepatic or cardiac disease, Hba1c > 10 %. A triad was established between our center, health worker, and diabetes educator. Results: 60 patients were randomly divided into two groups i.e. group A and B which comprised of 30 patients each. Group A patients were also regularly monitored regularly during the study period than compared to Group B. On first follow up after 6 it was observed that mean FBS, PPBS, HbA1c, was significantly low in the group of patients who had regular follow up i.e p <0.05 than compared to other group. Conclusion:A systematic approach and close monitoring that increased the adherence to medication, diet, and counselling would help in better glycemic and lipemic control and prevent long term complication.