Prevalence of diabetes is on rise with change in life style in India so are the complications of diabetes. Various articular and abarticular manifestations are diagnosed on the clinical basis rather than investigation findings. These manifestations are not studied very frequently in India and world also. These manifestations affects the quality of life in type 2 diabetic patients. In absence of definitive tools for diagnosis, clinical diagnosis is mainstay for detection. Prevalence of these manifestations are in 51% of type 2 diabetes mellitus patients in Kolhapur district. These manifestations can be presenting features of diabetes mellitus as some of these manifestations are unique in nature they can lead to diagnosis.  Osteoarthritis of knee, hip and spine was most common presenting manifestation in all cases studied. Carpal tunnel syndrome and adhesive capulitis are next two major presenting manifestations. These manifestations are associated with HbA1c, fasting blood sugar level, body mass index and most importantly duration of diabetes. Overweight patients were strongly associated with manifestations. Life style management and medical intervention should be considered in these patients. There was linear correlation was seen between duration of diabetes and these manifestations. As well as hypertension and glycemic control can result in good outcome with these morbidty.

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Dr Abhimanyu Singh