<p><strong>Methods:</strong> We conducted institutional-based unmatched case-control study between January-1to June-30-2024. Cases were adult diabetic patient with chronic kidney disease and controls were adult diabetic patient without chronic kidney. All cases were included while systematic random sampling was used to select controls. Data from interview, laboratory and clinical records were collected and entered into Epi info version 7.2, then exported to Statistical Package for Social Science version 27 for analysis. Multivariable binary logistic regression was used to identify determinants of chronic kidney disease and a p-value less than 0.05 was considered as statistically significant.&nbsp;</p>