Diabetic polyneuropathy, arising from elevated blood sugar levels damaging nerves microvasculature, manifests as tingling, numbness, muscle weakness, coordination challenges, sensitivity alterations, digestive problems, and sexual dysfunction, necessitating meticulous blood sugar control, medications, physical therapy, lifestyle changes, and regular medical supervision for prevention and management. Aim: The aim of the study is to assess the knowledge and risk of diabetic polyneuropathy using Michigan Neuropathy screening Instrument among type ii diabetes mellitus. Methods: In this study Non Experimental Research study design and purposive sampling technique is used and a total of 599 samples were assessed. Knowledge Questionnaire and physical examination using standardized Michigan Neuropathy Screening Instrument were used . The mean score for knowledge is <5 and the preliminary assessment risk score is <4 and the physical examination mean score is <2.5. Results: Participants above 50 years (46.6%) of age with chronicity of diabetes of 1- 10 years (77.5%) with abnormal preliminary risk score >4 (32.2%) and abnormal physical examination score >2.5(74.6%). Females has good knowledge on diabetic polyneuropathy and also they show high risk of developing diabetic polyneuropathy. Conclusion: The study concluded that increasing years of chronicity of diabetes develops diabetic polyneuropathy, in this study females are much prone for developing diabetic polyneuropathy.