Abstract—Background: Diabetes Mellitus is emerging as a major health problem owing to its serious complications. It is important to assess the various factors contributing to the occurrence of the diseases so that by limiting these factors the progression of the disease in patients can be controlled. Hence, the present study was undertaken to determine the risk factors for T2DM amongst adults aged above 30 years in rural population of North Karnataka. Methods: Community based cross sectional study was carried out at three Primary Health Centers of Handignur, Vantamoori and Kinnaye under administrative control of Jawaharlal Nehru Medical College, Belgaum, Karnataka, India. Statistical analysis: Logistic regression analysis was used to study the association of different risk factors with prevalence of type 2 DM. P values <0.05 was considered as statistically significant. Results: Age, occupation, Body Mass Index, diet, smoking, alcohol, truncal obesity and family history of DM were significantly associated with prevalence of T2DM whereas gender and literacy were not. Interpretation and conclusion: The prevalence of T2DM was influenced by predictors such as age, occupation, BMI, diet, Smoking, alcohol consumption, truncal obesity and family history of diabetes.