Abstract Background: Inadequate glycemic control is still significant obstacle in diabetes mellitus management and associated with increases risk of both acute and chronic complications. Even with improving in diabetes care, many people in low- and middle-income countries do not achieve the targeted glycemic goals. Knowing the prevalence and factors associated to poor glycemic control is crucial for improvingdiabetes management and decrease associated morbidity and mortality. .Objective: To determine the prevalence ofpoor glycemic control among type two diabetic mellitusand its associated factors who visit at public referral Hospitals in Bahir Bar city, Bahir Dar, Ethiopia, , 2026. Methods: A Cross sectional study was conducted among type two diabetic patients who have followed up at public referral Hospitals in Bahir Bar city. The total sample size was 402. Systematic random sampling technique was used to select the study participant. Data was collected by interviewing patients and review chart. Data was collected by kobo tool box and exported in to excel and SPSS version 27 software. Both Bi-variable and Multi-variable regression analysis was used toidentifyfactors associated with glycemic control. Theresult was presented in text and tables. Result:The prevalence of poor glycemic control among type 2 diabetic patients was found to be 68.5% [63.76%, 72.94%]. Age >=65 years(AOR=2.77 95%CI: 1.19, 6.45)), presence of comorbidities(AOR=2.18, 95%CI: 1.29, 3.61)), duration of illness >10 years(AOR=1.97, 95%CI: (1.07, 3.64)), drug poor adherence(AOR=2.48, 95%CI: (1.47-4.18)) and alcohol intake(AOR=2.32, 95%CI: (1.32, 4.08)) were factors associated with poor glycemic control. Conclusion: The prevalence of poor glycemic control among study participants was high. Factors significantly associated with poor glycemic control included older age, longer duration of illness, poor medication adherence, presence of comorbidities and alcohol intake Recommendations: counseling regarding to drug adherence and avoiding alcohol intake and more frequent regular follow up for high risk type two diabetic patients are recommended to reduce prevalence of poor glycemic control.