Background: The most frequently encountered medical disorder in pregnancy is gestational diabetes mellitus (GDM) which is multifactorial and no tool has been successful in predicting GDM in early pregnancy. In the modern era association of GDM with metabolic syndrome is coming to light. The clinical marker of visceral obesity which is now coined as hypertriglyceridemic waist phenotype is abdominal obesity in combination with hypertriglyceridemia. The purpose of this study was to find the association between the hypertriglyceridemic- waist phenotype in early pregnancy and glucose intolerance in later pregnancy. Not many studies have been done to show the association of increased waist circumference and elevated serum triglyceride leading to the development of GDM even though it is well known that the interrelation of these leads to subsequent development of Type 2 Diabetes Mellitus (T2DM)