Introduction: Diabetes and prediabetes are rapidly growing in India. Diabetes is the single most important risk factor for cardiovascular disease. As 72.2% of the Indian population resides in rural areas, the current study was carried to assess the prevalence of Diabetes Mellitus, prediabetes and cardio metabolic profile in a rural population. Material and methods: A total of 300 people aged more than 18 years were included in this observational, communitybased study. All the relevant parameters were documented in a structured study proforma. The following investigations were done in all subjects: fasting blood glucose, post prandial blood glucose, fasting lipid profile, electrocardiography and echocardiogram. Results: The prevalence of diabetes was 37.33% and pre diabetes was 8.67% in the current study. Among diabetics mean age was 51.17 years and 43.69 years in prediabetics. Among diabetics 69 (69.6%) were males and 43 (38.4%) were females. Among the prediabetics 43 (38.4%) were males and 12 (46.2%) were females. Among diabetes patients mean Triglycerides (TGL) was 175.24 mg/dl. In this study 128 (42.7%) participants were overweight, 114 (38%) were obese, 85 (28.33%) were alcoholics, 44 (14.67%) were smokers. Conclusion: Higher Total cholesterol, Triglycerides levels are associated with higher chance of prediabetes and diabetes. Increasing age is also a risk factor for prediabetes and diabetes. The prevalence of the diabetics and prediabetes is rising in rural population. Hence it is essential to create awareness about diabetes and accessibility to health care services among rural population.

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