Abstract : Developments in the developing world over the last two decades have dramatically increased diabetes worldwide. Diabetes mellitus (DM) is an important public health problem. The presence of obesity, sedentary lifestyle and physical problems among the patients may increase the effect of diabetes. The objective of the current study was to determine the comparison of rural and urban areas among diabetic patients related to their physical activity. It was comparative cross sectional study. It was performed at Sialkot Medical Complex, Civil Hospital Sialkot, CMH Sialkot; Kashmir Hospital Sialkot Sameena Nisaar Hospital Sialkot. Convenient sampling (Non-Probability) was used for data collection. The calculated sample size was 400. Out of total 156 participants from rural areas, 2(1.3%) were sedentary, 13(8.3%) were under active, 12(7.7%) were under active regular light activity, 26(16.7%) were under active irregular, and 103(66%) were active. Out of 244 participants from urban areas 9(3.7%) were sedentary, 8(3.3%) were under active, 15(6.1%) were under active regular light activity, 58(23.8%) were under active irregular, and 154(63.1%) were active. P value calculated through chi square test show that there is difference in the level of aerobic activity level and people from rural areas had increased aerobic activity. Out of total 156 participants from rural areas, 140(89.7%) were not performing strength and flexibility. Out of total 244 participants from urban areas, 214(87.7%) were not performing strength and flexibility. Although, participants from rural are physical more active than participants from urban area in terms of aerobic activity but there is no difference in the strength and flexibility among both groups and as a whole participant from both group had equal level of physical activity