Background: We Describe The Clinical Characteristics Of Patients Diagnosed First Time With Daibetes Mellitus In P.D.U. Civil Hospital,Rajkot. Diabetes has emerged as a major healthcare problem.According to Diabetes Atlas published by the International Diabetes Federation (IDF), It was estimated that in 2017 there are 451 million (age 18–99 years) people with diabetes worldwide. These figures were expected to increase to 693 million by 2045. It was estimated that almost half of all people (49.7%) living with diabetes are undiagnosed. In 2017, approximately 5 million deaths worldwide were attributable to diabetes. Prevalence for diabetes (20–79 years) in India is estimated to be 8.8%.Hence it is of vital importance to early diagnose from presenting symptoms and timely treat DM to prevent its acute and remote complications and reduce further morbidity and mortality. Material And Methods: From January 2019, We Observed 50 Of 1st time diagnosed Daibetes Mellitus patients in P.D.U. Civil Hospital, Rajkot And Clinical Profile And Laboratory Parameters were monitored Result: Of total 50 cases Diabetes Mellitus was distributed in both sexes equally of generally adult age group (most common being 40–49 Years).More than half (76%) of patients are having abnormal BMI. Obesity and Sedentary lifestyle are documented in majority(42%) of cases. Risk of infections are higher as most common being UTI(69.23%) followed by Pneumonitis(30.76%). Hypertension is found to be a most common comorbidity(28%). Acute complications were evident as 6% cases of DKA 26% as septicemia 6% as septic ARF.Remote complication noted in 6% as Diabetic Retinopathy. Conclusion: Diabetes can affect both sexes equally and commonly adult age group more than 40 years with most common comorbidity being hypertension with acute complication commonly of septicemia mostly due to UTI>Pneumonitis followed by DKA and remote complication of diabetic retinopathy in persons having sedentary lifestyle and abnormal BMI.