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Background: To determine the pattern of diabetic drug prescription among physicians treating diabetes in India. Material and Methods: Study was conducted in 50 cities in India. Prescription pads were provided by investigator for writing prescription of diabetes patients. Total 80, 0000 prescriptions were collected all around India. Data were analysed using SPSS. Results: 75,486 prescriptions were included in final analysis. 69,423 (91.9%) prescriptions were using combination therapy. 26,597 (35.2 %) prescriptions were using Metformin in contraindicated subjects. SGLT 2 inhibitors were used in 7.3 % of prescriptions. Metformin was most commonly prescribed drug in 94.6 % of patients followed by glimepiride in 91.12 % of patients, DPP 4 inhibitor in 32.5 %, Thiazolidines in 75.9 % of patients, voglibose in 34.3 %. Insulin were prescribed in 16.4 % of patients. Entry level to start combination therapy were against the existing evidence. Conclusion: There should be a system to check prescription pattern of physicians treating diabetes. There is a lack of uniformity and unawareness about the evidence in prescribing among physicians.