Background : Diabetes is a non-communicable disease which affects 150 million individuals world wide has a prolonged prediabetic phase. Diet, environment, genetics play a major role in development of diabetes. 10%-50% of prediabetics may develop diabetes in 3-10 year period. Components of prediabetes include either an isolated impaired fasting glucose or impaired glucose tolerance or both. Microvascular complications are prone to occur during this stage. Aim and Objective: Study aimed to determine the prevalence of microalbuminuria and retinopathy among prediabetic patients. Material and Methods: A cross-sectional study conducted in Department of general Medicine, MNR medical college and Hospital, sangareddy, during period of February 2019 to August 2020. A total of 100 patients with prediabetes were selected during the study period. After fulfilling exclusion and exclusion criteria screening had done. American Diabetes Association Criteria(ADA) was used for screening. Results : Present study comprised of 100 patients were screened for diabetes and included. Among the patients 11% of the patients had microalbuminuria and 14% of the of the patients had retinopathy. Male were dominant for the microalbuminuria and retinopathy. Patients having diabetes less than 5 years had microabinurea more followed by more than 15 years, also in 11-15 years of age retinopathy was more followed by 6-10 years and > 15 years. Conclusion : Study can conclude that factors like age, duration of diabetes, body mass index are associated with increased prevalence of microalbuminuria and retinopathy. Elevated microalbuminuria and retinopathy were found to appear much earlier hence its use can enhance for early diagnosis of prediabetes.