Cases of Diabetes II have been rising in Saudi population. The main objective of our study was to analyze the relationship between the inheritance of ABO blood group and Rh factors and the development of type 2 diabetes (T2DM) in male population of Hail region of Saudi Arabia. Random community survey of about 200 local educated youth (under 18) and non-college going adults revealed high prevalence of diabetes II among adult male population (27.5%) as compared to the educated youth population (5.5%).In this study we first looked at the distribution of ABO and Rhesus (Rh) blood group antigen data of 490 non diabetic control group (283 females (57.7%) and 207 (42.4%) male and compared it with 342 diabetes type 2 patients (214 females and 128 male) who were admitted to the Diabetic clinic of King Khaled Hospital in Hail Saudi Arabia between 2008 and 2015. Out of 342 patients 214 (62.6%) were females and 128 (37.4 %) were males.Our results show that out of 207 control non diabetic individuals (males only) 6 were A-(2.89%), 43 were A+ (20.8%), 2 were AB-(0.96%), 9 were AB+ (4.3%), 7 were B-(3.38%), 44 were B+ (21.2%), 7 were O-(3.4%) and 89 were O+ (42.9%). So in control population O+ was the most prevalent blood group (42.9%) and B+ was the second most prevalent blood type (21.2%).Next we wanted to see if the blood group distribution patterns are similar among T2DM patients. Analysis of our results show that 2.3% of T2DM male patients were A-, 22.65% were A+, 0% were AB-, 4.7% were AB+, 0% were B-but 30.5% were B+ as compared to the 21.2% B+ among control group. Only 0.78% were Oand 39.1% were O+. When we looked at the distribution of Rh antigen in the control population we found 89.4% people to be Rh+ and 10.6% Rh-however among diabetics 96.9% patients were Rh+ and 3.13% were Rh-. These results suggest a 3.4 fold decrease in Rh-individuals among diabetics (3.13% Rh-) as compared to the control population (10.9% Rh-). So in conclusion percentage of Rh-individuals among T2DM male patients is reduced by 3.4 fold (3.13% Rh-) as compared to the control group (10.6% Rh-). Our results also show that blood group B+ is expressed in much higher percentage in diabetics (30.5%) as compared to the controls (21.2%). Additionally O+ is expressed in 42.9% controls but show a slight yet significant reduction in its distribution (39%) among T2DM patients. These results suggest that B+ offers least resistance to male T2DM patients and O+ provides a slight resistance to diabetes.