Background: Diabetic Peripheral Neuropathy (DPN) is a common and difficult complication of diabetes and poses significant burden to many diabetics and the public health-care system. Diabetic patients in rural areas have higher risk of developing diabetes related complications and have inadequate access to proper treatment especially low-income countries.

Objectives: To determine prevalence of diabetic peripheral neuropathy in patients with Type II diabetes in rural areas of Nawab Shah and to determine various risk factors the development of diabetic peripheral neuropathy in Type II diabetic patients.

Study Design: Cross-sectional study

Place and Duration of Study: Study was done in rural areas of Nawab Shah  District (SBA), 06 months from September 2020 to February 2021

Methodology: One thousand and fifty-seven diabetic patient’s demographic parameters and diagnostic criteria depend on primary care setup first three were enrolled.

Results: The overall prevalence rate in rural areas the Nawab Shah was almost 57.42%.

Conclusion: The prevalence of diabetic peripheral neuropathy increased with increasing age and it is observed to be associated with duration of diabetes, physical activity, smoking habit and systemic hypertension.