Introduction – Diabetic Amyotrophy is an uncommon type of peripheral neuropathy. It is a disabling but self limiting condition. Good functional recovery is possible with active physiotherapy. Case summary – We report a 34 year old patient with history suggestive of diabetes with complaints of asymmetric onset sub–acute proximal followed by distal weakness of lower limbs along with wasting with significant history of weight loss without bladder bowel involvement – lower motor neuron type of weakness with lower limb hyporeflexia. Discussion – This condition usually involves elderly type 2 diabetics. Earlier studies showed that pathogenesis is metabolic derangement but recent insight is that it is an immune mediated process. Till immunosuppressive agents are clearly shown to be effective, good physiotherapy is the only way to limit residual disability.