ABSTRACT To find out the impact of patient counseling in diabetic out patient in an urban tertiary care hospital at Hyderabad metropolitan. A total of 170 patients were considered for the study. The data was collected through counseling forms and patient profile forms made available by the institution and the tertiary care hospital unit. These forms include whole data of the patient which is useful for the study. Out of a total of 170 patients, the patient with age groups in the range 41 to 50 and 51 to 60 are more prone to diabetes mellitus than other age groups. The Co morbidities data were collected, and found that maximum number of patients were affected with cardiovascular diseases. Patients leaflets were used to do the patient counseling regarding the disease, medication and lifestyle modifications. Due to this counseling it was found that there was decrease in glycemic levels, cholesterol levels and HbA1c. The decreased HbA1c should translate into a reduced risk of furthercomplications. The effect of counseling found that Fasting plasma glucose level (FPG) and postprandial plasma glucose level (PPG) of all the patients included in the study were significantly reduced.