Type 2 Diabetes Mellitus (T2DM) is the commonest endocrine disease worldwide with over 8% prevalence in India. Coronary Artery Disease (CAD) is the major cause of morbidity and mortality in diabetes. Silent myocardial ischemia(SMI) is even more dangerous entity in diabetes that endanger the life of these patients as these episodes go undetected by its own nature and can significantly increase mortality.There is a strong need to understand the risk factors for SMI. This study looks at the prevalence and associations of silent ischemia in T2DM.This study finds there is significant prevalence in silent ischemia and strong association between silent ischemia and proliferative retinopathy and microalbuminuria.Tread mill testing (TMT) and Holter monitoring are relatively cheap easy and noninvasive ways to diagnose silent Ischemia.