In order to determine the prevalence of obesity among patients with diabetes from the Middle Belt region of Nigeria, a cross-sectional study of patients with diabetes attending University of Ilorin Teaching Hospital's diabetic clinic was carried out. Three hundred and fifteen patients were included in the study. The age of the patients ranged from 23 to 80 years. Seventy-one percent of the patients were females and over 80% were above the age of 40years. 69.8%, 27% and 3.2% of the patients ha d diabetes for less than 10years, 10 - 20 years and more than 20years, respectively. Only 17.5% of the patients were treated with insulin. Overweight (grade I obesity) and obesity (grade II obesity) were present in 71.1% of females and 55.3% of males, respectively. People on dietary management alone had significantly higher p