Introduction: Diabetes mellitus is characterized by raised fasting and post parandial blood glucose levels and a variety of multisystem complications. It is fast gaining the status of potential epidemic in India. Skin is affected by the acute metabolic derangements as well as by chronic degenerative complications of diabetes. Aim: To study the prevalence and the pattern of muco-cutaneous manifestations among diabetic patients to aid in better management of diabetic skin diseases. Materials and Methods: Three hundred consecutive patients with the diagnosis of diabetes mellitus and seeking treatment for skin lesions in the OPD of Department of Dermatology in Rajendra Institute of Medical Sciences, Ranchi were included in the study. Results: Diabetic patients accounted for 7.2% of Dermatology OPD attendance with a male preponderance (M:F::1.4:1) The common skin disorders for which patients seeking treatment were: Superficial fungal infections (24%), Acrochordons (17.7%), xerosis (13.7%) and bacterial infections (7.4%). Conclusions: Skin problems are quite common among diabetic population. Most of the dermatoses were infectious in nature. The early detection of muco-cutaneous manifestations in DM is of utmost importance to be able to avoid and/or properly manage the complications and prevent disability.