Aim: To evaluate fatty liver disease and cardiovascular diseases in type 2 diabetic patients using ultrasonography. Methodology: The prospective and observational study was conducted in the Department of Radiology, Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Himachal Pradesh for the period 9 months. 300 patients diagnosed with type 2 diabetes and ultrasound abdomen showing fatty changes in liver without any other co-morbidities were included. Patients were divided in three groups according to the duration of the diagnosis of diabetes. The distributions of different groups were GROUP A- less than 5 years, GROUP B-in between 5 to 10 years and GROUP C-more than 10 years. A brief history was taken of the patient’s complaints and then the patients Random blood sugar and BMI values, as mentioned in the patient’s case paper were recorded and then ultrasonographic evaluation of the study subjects was performed by a single radiologist and the following parameters were examined after obtaining informed consent-Liver echogenicity, Portal Vein Doppler study, Mesenteric fat pad thickness and Carotid Artery Doppler study. Study method was Interview schedule questionnaire, OPD records, bedside tickets, physical examination and laboratory measurements