Dr.Amogne, Wondwossen(MD, PHD, Internist and Consultant ID specialist)Dr.Tarekegn, Getahun (MD, Internist and consultant Endocrinologist)Berhanu, Mahlet2021-02-082023-11-052021-02-082023-11-052020-12http://etd.aau.edu.et/handle/123456789/25022Background Diabetes mellitus can be associated with different ranges of malnutrition. Even in the obese patients who are labeled as such by calculating the BMI, can be undernourished when evaluated using another nutritional assessment tool. Method This is a prospective cross sectional study conducted in the endocrine clinic of TASH on type 2 diabetic patients who came for their follow up in the month of October. A structured questionnaire designed to assess their nutritional status and pattern was administered to the patients through a health professional Result A total of 109 patients were studied. Among the participants 69.6% of them had a BMI of 25 Kg/M 2 or more and out of these 21.3% of them were found to have moderate malnutrition when assessed using the subjective global assessment nutritional tool. The presence of GI symptoms (P=0.000, 95% CI (3.9-78.4) AOR=17.5) , presence of diabetic complications (P=0.031, 95% CI (1.2-19.7) AOR=4.8) and appetite loss (P=0.000, 95%CI (7.97-148) AOR=34.4) were found to be risk factors for moderate malnutrition/ SGA level B Conclusion and recommendations In diabetic patients nutritional assessment tools other than the BMI should be in place to detect under nutrition. The patients may also need to have frequent screening for appetite change and gastrointestinal symptoms. Screening for and managing diabetic complications would also contribute in prevention of under nutrition in diabetic patients. A locally customized and a variety of options of meal plans incorporating the available food item may aid in directing these patients toward the goal of medical nutritional therapyen-USDietary patterns ,type 2 diabetes patients, endocrine clinic ,nutritional statusThesis