Background: Diabetes mellitus is an often encountered chronic disease. Skin is a mirror of internal diseases and hence it reflects the underlying metabolic disorders. Aim: To assess the cutaneous manifestations in patients with diabetes mellitus. Materials and Methods: Two hundred consecutive diabetic patients with skin lesions either attending the dermatology out patient department or referred from the medicine department were included in this study. Results: The common skin manifestations that were encountered in this study were: Dermatophytosis (45%), Acanthosis nigricans(50%) and Dermatosis papulosa nigra(62%). Conclusion: Diabetes mellitus leads to multisystem damage including skin. High incidence of the above mentioned disorders can be attributed to the humid climate and obesity respectively due to the dietary habits in the region.