This study included 25 diabetic patients, 16(64%) female and 9(36%) males with diplopia who were subjected to thorough clinical assessment, Laboratory: FPG, 2h-PG, HBA1C, triglycerides, cholesterol, serum uric acid and hematocrite value and MRI of Brain, BAEP (10 patients) and Hess screen chart (4 patients). RESULTS: Mean Age was (55.96+8.24). Two (8%) patients had lesions in MRI of brainstem. Conclusion: Diplopia in diabetic patients is more likely to be due to peripheral rather than central lesions. Elevated HbA1C¬, Ht and serum uric a. may be considered as risk factors for recurrence