Objective: To observe the association between metabolic syndromes and vestibular disturbances. Study Design: Cross sectional study. Place and Duration of Study: Departments of ENT & Pathology, Combined Military Hospital, Quetta Pakistan, from Apr 2020 to Jul 2022. Methodology: The presence of diabetes mellitus and hyperlipidemias was studied in three hundred and twenty-seven cases of peripheral vestibular diseases. Vestibular disorders comprise benign paroxysmal positional vertigo, vestibular neuritis and Meniere’s disease. Results: In three hundred twenty-seven cases evaluated, glycosylated haemoglobin was raised in 201(61.4%) cases (p-value of0.001), and serum lipid levels were elevated in 180(55%) cases (p-value=of 0.068). Conclusion: Patients with diabetes mellitus have a significant chance of developing peripheral vestibular disorders. Keywords: Diabetes mellitus, Hyperlipidemias, Peripheral vestibular diseases.