Background : High blood uric acid levels is caused by abnormal metabolism of purin. Several things might affect the metabolism of purin, such as aging, excess fat stored in the body especially in abdomen which are related to obesity and also one of the cause of metabolic syndrome such as high blood sugar due to insulin resistance, better known as type 2 diabetes mellitus. The lack of incidency and prevalency of high uric acid data in Indonesia may contribute to the lack of attempts to prevent the rise of blood uric acid. This study aimed to determine the relationship between waist circumferences to the blood uric acid levels in geriatric with type 2 diabetes mellitus. Methods : Cross sectional study conducted to 64 geriatrics with type 2 diabetes mellitus ( 33 males and 31 females) on 8th Januari to 27th August 2018 in Department of Internal Medicine RS PKU Muhammadiyah Gamping with measurement of participants’ waist circumferences and uric acid levels. Pearson correlation test is used to determine the relationship between waist circumferences and uric acid levels in geriatric with type 2 diabetes mellitus. Result : From the analysis results using the Pearson Correlation test, obtained significancy value is α = 0.001 p < 0.05 level. There is significant relationship between waist circumferences and uric acid levels in geriatrics with type 2 diabetes. Conclusion : Significant relationship was found between waist circumferences and uric acid levels on geriatrics with type 2 diabetes mellitus in RS PKU Muhammadiyah Gamping