Objective To investigate the application effect and management efficacy on eating behavior of knowledge, belief and action mode in patients with type 2 diabetes mellitus (T2DM) complicated by hypertension. Methods The patients with T2DM complicated by hypertension (n=400) were chosen from the Third Hospital of Shanxi Medical University and the First People’s Hospital of Datong City from Feb. 2020 to Feb 2022, and divided, according to random digital table, into observation group and control group (each n=200). The control group was given routine management mode, and observation group was given knowledge, belief and action management mode from 4 weeks. The changes of medication compliance, fasting blood glucose (FBG), 2-hour postprandial blood glucose (2-hPBG), systolic blood pressure (SBP), diastolic blood pressure (DBP), and scores and the total score of dimensions of knowledge, attitude and behavior in dietary management scale for T2DM patients were compared between 2 groups, and degree of satisfaction to the managements were compared between 2 groups. Results After management, the excellent compliance rate was 93.00% in observation group and 82.50% in control group (P<0.05). The levels of FBG, 2-hPG, SBP and DBP were all lower in observation group than those in control group (P<0.05). In scores of dietary management scale for T2DM patients, the scores and the total score of dimensions of knowledge, attitude and behavior were all higher in observation group than those in control group (P<0.05). The total degree of satisfaction to the managements was 94.50% in observation and 85.00% in control group (P<0.05). Conclusion The application effect of knowledge, belief and action mode is significant in patients with T2DM complicated by hypertension. This mode can actively improve eating behavior management, promote medication compliance, control effectively blood sugar and blood pressure, and is worth to be popularized in clinic.