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Background: Hip fracture is one of the most serious problems and the second cause of hospitalization in elderly people. The aim of this study was evaluation of hip fracture in patients with and without diabetes mellitus and its complications. Methods: In this cross-sectional study, all patients with hip fracture referred to Yahyanejad and Shahid Beheshti hospitals (Babol, Iran) were enrolled. A checklist including demographic data, site of fracture, type of treatment, duration of hospitalization, complications during and after surgery was filled for each patient. Data were analyzed using t and chi-square tests. Findings: From 195 patients, 116 (59.5%) were men and 79 (40.5%) were women. 155 patients (79.4%) were non-diabetic with a mean age of 53.17 ± 25.63 years and 40 (20.5% ) were diabetics with a mean age of 67.67 ± 12.25 years. 1 patient (2.5%) had type I and 39 patients (97.5%) had type II diabetes mellitus. In patients without diabetes mellitus, the fracture location was neck of femur in 56.8%, intertrochanter in 21.9%, and head of femur in 18.1%. In patients with diabetes mellitus, 50% was in neck of femur, 35% in intertrochanter and 15% in head of femur. Blood transfusion volume was significantly higher in patients with diabetes mellitus (3.30 ± 1.30 units of packed cell) compared to those without diabetes mellitus (2.43 ± 1.52 units of packed cell) (P = 0.029). Conclusion: According to the high incidence of hip fractures, awareness and care of the patients with diabetes mellitus, especially the elderly, would reduce the incidence of complications. [ABSTRACT FROM AUTHOR]