Background–The incidence of frozen shoulder has been found to be two to four times higher in diabetics than in the general population.¹ Theestimated prevalence is 11–30% in diabetic patients and 2–10% in non–diabetics.

Methodology – Study was conducted for 2 year in diabetic care and research center, S.P. Medical College & Associated Group of P.B.M. Hospitals, Bikaner to find out prevalence of rheumatological manifestation in diabetic patients and to assess relationship between glycemic control and other complications of diabetes.

Results– The study was conducted over 5732 cases out of which 3216(56.1%) were male and 2516(43.9%) were females. Frozen shoulder was present in total 1146(20.0%) patients out of them 32(3.9%) had type 1 diabetes while 1114(22.6%) had type 2 diabetes. The association of age, duration of diabetes, systolic & diastolic blood pressure, Fasting Blood Sugar, HbA₁C, BMI, Serum cholesterol, Serum HDL, Serum Triglyceride, Serum LDL and Serum VLDL with Frozen Shoulder was done with regression analysis and among these factors BMI, Duration of diabetes, Age and Systolic BP were strongest association with regression coefficient (ß) 7.429, 5.127, 2.631 and 2.195 respectively. The association of frozen shoulder with macro vascular and micro vascular changes by logistic regression analysis was found as with Retinopathy [odds ratio 0.940(CI 0.810–1.092)], Nephropathy [odds ratio 1.116(CI 0.973–1.280)], Neuropathy [odds ratio 2.546(CI 2.230–2.906)], CAD [odds ratio 1.661(CI 1.458–1.892)], PVD [odds ratio 0.979(CI 0.851–1.125)].

Conclusion– In this study there is high prevalence of frozen shoulder and associated complications in diabetic population of North West. Much of which can be avoided if proper care is taken since the first step towards treating a disability in the community warrant a survey to assess its load and risk factor, and effort has been made to elucidate prevalence of rheumatological manifestation in diabetic cohort.