Introduction: Diabetes mellitus is one of the most challenging public health problems in 21st century. Diabetes prevalence has been increasing more rapidly in developing countries. Physical activity is the cornerstone of lifestyle modification aimed at pre-venting and managing type II diabetes and its related comorbidities. Exercise has acute and chronic effects on glucose, lipid and protein metabolism. Our study focuses on awareness of regular exercise which helps in reduction of complications and control blood glucose levels as well as improve quality of life. Aims: To assess the awareness about physical exercise among type II diabetic patients. Methods: This was an observational study conducted among 61 type II diabetic patients between the age group of 35-65 years. The participants selection was done according to simple random sampling technique. The study was conducted on the rural population in Karad. Participants were selected according to inclusion and exclusion criteria. A structured questionnaire was distributed among the participants and completely filled questionnaires were taken. Result: The result of knowledge regarding physical exercise among type II diabetic patients showed that majority of participants 45.9% had good knowledge and 40.9% had average knowledge whereas 13.2% had poor knowledge. The attitude regarding physical exercise in our study was observed that 60.65% participants had positive attitude. The result of practice regarding physical exercise among type II diabetic patients showed that 42.62% participants had poor practice whereas 16.4% participants had good practice and 40.98% participants had average practice. Conclusion: The study concluded that most of type II diabetic patient had good knowledge and very few had poor knowledge regarding physical exercise. The attitude of patients regarding physical exercise was positive but the practice regarding physical exercise was poor. The study showed that most of the patients showed lack of interest towards exercise due to many reasons such as lack of time, lack of interest, busy in other work, doing other physical tasks and health conditions.