INS and Visual impairment: Age (AOR: 1.06, 95% CI: 1.02, 1.09, p < or = 0.001), poor regular exercise (AOR = 2.91, 95%CI: 1.47–5.76, p < or = 0.001), duration of DM above 5 years (AOR = 2.42, 95% CI: 1.25–4.73, p < or = 0.01), insulin treatment (AOR = 14.05, 95% CI: 2.72, 72.35, p < or = 0.01), and poor glycemic control (AOR = 2.17, 95% CI: 1.13–4.14, p < 0.05) were statistically associated with visual impairment.