Background: Peripheral artery disease (PAD) has classically been defined as the obstruction of the lower extremity arteries by atherosclerotic plaques. Materials & Methods: 72 type II diabetes patients with peripheral vascular disease of both genders were subjected to assessment of CBC, fasting and post-prandial blood glucose, glycosylated haemoglobin, lipid profile, blood urea, urine examination, liver function tests and serum creatinine level. Ankle brachial index (ABI) was calculated for each leg. Results: Out of 72 patients, males were 40 and females were 32. The mean ABI <0.5 was seen in 12, 0.5- 0.9 in 22 and 0.9- 1.3 in 38 patients. The difference was significant (P< 0.05). Conclusion: Most of the patients had ankle-brachial index between 0.9-1.3 in type II diabetes patients with peripheral vascular disease. Thus, it can be suggested that higher ankle brachial index (ABI) may be indicator of peripheral vascular disease (PVD) in patients with type 2 diabetes mellitus.