The aim of this study was to assess the prevalence of diabetic retinopathy (DR) and retina screening coverage among people with diabetes in the catchment of Dr Shroff’s Charity Eye Hospital in Uttar Pradesh in north India. The prevalence of diabetes was 7.0%, with 50.2% of all people with diabetes being newly detected. The prevalence of any DR among people with diabetes was 22.8% and 5.8% of people with diabetes were found to have sight-threatening DR. 84.8% of people with previously diagnosed diabetes had never had their eyes tested for DR and this was significantly higher in women (90.2% vs 76.0%, respectively, p<0.001).