Diabetic cardiomyopathy, a specific form of heart disease, is a significant cardiovascular complication associated with diabetes mellitus. It is characterized by structural and functional abnormalities of the heart muscle, leading to impaired cardiac function independent of traditional risk factors such as hypertension or coronary artery disease. As the prevalence of diabetes continues to rise globally, understanding the intricate relationship between diabetes and cardiac health is essential. This article explores the pathophysiology, clinical manifestations, diagnosis and management strategies for diabetic cardiomyopathy.