The global burden of type 2 diabetes mellitus is rising rapidly, with the greatest proportional increases occurring in low- and middle-income countries. In Ethiopia, this growth is particularly concerning. According to the International Diabetes Federation, approximately 2.3 million Ethiopian adults aged 20–79 years were living with diabetes in 2024, with millions more undiagnosed or living with impaired glucose tolerance (1). Ethiopia has a largely young population, yet urbanization, changing diets, and reduced physical activity are contributing to a growing incidence of type 2 diabetes among adults in the workforce.