Background: This particular study was conducted in rural area of deep interiors of Marathwada with the objective to find prevalence of type ii diabetes mellitus and to understand the interrelationship of diabetes mellitus and the other associated risk factors in the area with the particular focus on people staying in the area.Methods: This was a cross sectional study conducted in selected rural area of revenue circle Pishor and Nachanwel of selected Kannad tehesil covering 6 Villages with approximate households of 5000. The study was done in adults greater than 20 years of age. Only one member from each household was included for the study, using simple random sampling by lottery method from each of the family till we cover 20% of the households as a sample from each of the village to get a total of 1000 which is more than calculated sample size i.e. 900. Results: The prevalence of diabetes in the study area was 11.2% while that of pre diabetes was 6.6%. Prevalence in males was 12.8% while that in females was 9.02%. The risk Factors associated with diabetes in this study on univariate analysis were gender (male), age (increasing age), type of occupation, education, higher socioeconomic class, family H/O Diabetes, whereas on multivariate analysis age, occupation, socioeconomic class, were found to be significantly associated. Conclusions: Prevalence of 11.2% is large; it does give a warning signal of upcoming epidemic of diabetes all over India. High risk strategies should be adopted for screening of diabetes at the level of primary health centre to detect people with diabetes and impaired glucose tolerance at earliest possible time. ‘Primary Health Care’ approach with focus on the common risk factors is needed even in remote rural areas.