Introduction– India is claimed to be the diabetes capital of the world. In type 2 diabetes, vascular complications can occur. It is divided into microvascular and macrovascular complications. Aim of this study to analyze the clinical profile of macrovascular complications in newly diagnosed type 2 diabetes. Methodology– 50 newly detected type 2 diabetes mellitus, age less than 40 years patients were selected. Detailed history like family history, past history, clinical examination , investigations like lipid profile, routine investigations, fundus examination, ECG, 2D–Echo, Carotid Duplex USG. Result–. Factors associated with carotid atherosclerosis that were analyzed were Smoking, Hypertriglyceridemia and HBA1c levels .The  factors which showed significant association with peripheral vascular disease where Smoking, Hypertension and HbA1C levels ,whereas Hypertriglyceridemia, Hypertension, HBA1c levels and Smoking showed significant association with coronary atherosclerosis. Cross tabulation of each of the three macrovascular complications showed a significant association with each other.                               Conclusion– Presence of any one of the three macrovascular complications is good predictor of atherosclerotic changes in the other two vascular beds in newly detected diabetics. Aggressive approach to retard the progression of these atherosclerotic changes should begin early for patients with newly detected diabetes.