This study aimed to determine the prevalence of diabetes and diabetic retinopathy among patients attending a retina clinic in Dehradun, India, and to examine epidemiological factors associated with diabetic retinopathy. The study found that 20.3% of patients had known diabetes, and of those, 67.1% showed signs of diabetic retinopathy. Variables significantly linked to diabetic retinopathy included older age, female sex, income levels, education, high blood pressure, cholesterol, longer diabetes duration, insulin use, irregular eye screenings, and uncontrolled blood glucose. Tight control of associated risk factors can help reduce the progression of diabetic retinopathy.