Inclusion Criteria:  Age over 40 years both gender moderate & severe Type 2 diabetic neuropathy (modified Toronto Clinical Neuropathy Score) 9-11 = moderate neuropathy; ≥ 12 = severe neuropathy Ability to stand and walk independently. Berg balance score <50 No cognitive impairments (Mini-Mental State Examination >23)  Exclusion Criteria:  Individuals with other neurological deficits. Type 1 diabetic neuropathy. Diabetic ulcer, infection or partial amputation in feet. Orthopedic problem or severe pain affecting balance. History of repeated ankle sprains Visual problems.