Objective: The aim of this study was to assess the prevalence and risk factors associated with impaired fasting glucose (IFG) in adult individuals. Background: Prediabetes is defined as blood glucose concentrations that are higher than normal but not of a magnitude which would correspond to a diagnosis of type 2 diabetes. Individuals with prediabetes have an increased high risk of developing type 2 diabetes and associated complications[1], and most type 2 diabetes patients have likely been in a state of hyperglycemia for several years prior to diagnosis [2]. Subject and method: Berket Elsabae district was randomly selected out of eight districts of Menoufia Governorate, of which two family health units were randomly selected. A randomized sample was selected from the attendants of these family health units for regular visits. 1,255 subjects were randomly selected for inclusion in the study. Results: The prevalence of IFG was 7.9 % (n= 99), of these 52.5 % (n=52) were males and 47.5% (n=73) were females, (OR =0.721, CI =0.477-1.089, p=0.12). The main risk factors associated with IFG were age (>45 years: P value = 0.003), being married (OR = 1.73, CI = 0.928-3.22, P value =0.001), and rural resident (OR =0.71, CI =0.446-1.132, P value = 0.149). History of hypertension, hyperlipidemia and chronic viral hepatitis were significantly associated with higher percentage of isolated impaired fasting blood glucose. Body mass index and blood pressure values were positively correlated to levels of fasting blood glucose group of the studied groups. Conclusion: Prediabetes with isolated impaired fasting blood glucose level was significantly related to patient education, history of hyperlipdemia, blood pressure and body mass index in the logistic regression model.