Background: Chronic kidney disease (CKD) patients may show changes in pulmonary function test (PFT) parameters and it may deteriorate even more with the presence of metabolic disorders like diabetes and hypertension.

Aims and Objectives: To study the effect of diabetes and hypertension on PFT parameters in CKD patients.

Materials and Methods: Ninety CKD patients were studied at Gajra Raja Medical College and JA Group of Hospitals, Gwalior from February 2016 to August 2017. PFT parameters including forced vital capacity (FVC), forced expiratory volume in 1^st second (FEV1), peak expiratory flow rate (PEFR), forced expiratory flow during middle half of FVC (FEF25-75%), FEV1/FVC were measured in diabetes and hypertensive patients.

Results: CKD was more prevalent in the age group of 31-40 years (34.1%)] and male (63.7%) patients. A decrease in FVC among diabetics patient compared to non-diabetics in all stages was reported. Our study has not found any statistical difference between PFT of hypertensive CKD and non-hypertensive CKD patients.

Conclusion: In CKD patients there exists a significant pulmonary morbidity in restrictive pattern. There was an addictive effect in restriction of PFT among CKD patients with diabetes.