Introduction : the world is facing an epidemic of Diabetes. Polyneuropathy is a length dependent symmetric sensorimotor type of neuropathy a main risk factor of diabetic foot ulcers. The diabetic neurological examination (DNE) score and yearly foot examinations have been recommended for clinical diagnosis of Diabetic polyneuropathy (DPN). The DNE score is lengthy. Other simple tools for accurate diagnosis exist. Risk factors for DPN are not known in our setting. The objectives were to determine the prevalence of Diabetic Polyneuropathy; To compare the Vibratory Perception Threshold (VPT), Monofilament score (MS) and Diabetic Neurological Symptom Score to the DNE score. Identify risk factors of DPN; To estimate Clinician and patient awareness of foot care. Methods : we conducted a cross sectional analytic study of diabetic patients in the Buea and Limbe regional hospitals during 4 months. Co-founders of diabetic polyneuropathy, alcoholics and HIV patients were excluded. Results : 360 patients with mean age of 56 years. 236(65.6%) women and 348(9.67%) T2DM were recruited. The prevalence of DPN was 30.6% (110) using the DNE score. VPT was most specific (96%), sensitive (94.6% and correlated (0.59) to the DNE score. The monofilament and DNS had sensitivities, specificities and correlations of (95.8%, 79.5%, r = 0.48) and (62.2%, 83.5%, r = 0.16) respectively. Determinants of DPN were age>60 years (p10 (p = 0.003), treatment with insulin and oral hypoglycaemics (p = 0.005), history of foot ulcer (p = 0.03), hypertension (p=0.04). During the preceding year, 264(73%) patients’ feet were not examined, 272(80%) did not check their foot wear before wearing, 255(71%) used razor to trim their nails, 144(40%) walked barefeet, and 72(21%) wore tight shoes.