<p><strong><em>Methods</em></strong><strong>: </strong>A repeated cross-sectional study was employed to analyze four years (2019/20 to 2022/23) diabetes surveillance data in the Awi Zone, northwest Ethiopia. Secondary data was extracted from monthly government health facilities report, non-communicable disease surveillance reports, and the Demographic Health Information System 2 (DHIS2) database. The trends in diabetes patients were analyzed using time series analysis techniques to identify patterns and trends over the study period.</p>