The prevalence of prediabetes leading on to T2DM is reaching alarming proportions. Primary preventive strategies could prove to be the best measures in overcoming the threat imposed by the disorder. This study was done with the aim of studying the effect of combined yoga therapy and lifestyle interventions in patients with prediabetes and their role in preventing the progress to frank diabetes. Materials & Methods : A prospective study was done . Patients who had impaired glucose tolerance and/or impaired fasting glucose along with the high risk factors for T2DM were included in the study . Totally 32 patients completed the trial. Yoga therapy was initiated under expert guidance along with life style interventions. The results were analysed at the end of 6months. Results : The prevalence of prediabetes was found to be 25.55%. The patients were in the age group of 38 –62 years. 56.25 % were male patients and 43.75% were female patients. 46.87 % had a family history of diabetes,37.50 % had a family history of hypertension,15 .62 % had a family history of diabetes and hypertension, 34.37 % had a family history of CVD, 61.11% had history of smoking and 16.66% had history of alcohol intake. 68.75% were in the obese range. 65.62% had hypertension and 28.12% were on statin therapy. The Hb A 1 c levels were between 5.8 – 6.4 % in 8 patients. There was a post treatment reduction in the number of patients with IFG from 25% to 15.62 %, reduction of IGT from 43.75 % to 21.87% and reduction in patients with both IGT and IFG from 31.25% to 12.5%. In addition obesity range was reduced to 34.37% and the blood pressure was also found to be reduced in 37.5% patients. Conclusion: This study has shown beneficial effects in lowering the prediabetic status as well as a reduction in the risk factors that can predispose to the development of T2DM