Diabetes, is a metabolic disease, and is one of the most common endocrine disorders affecting almost 6% of the world’s population. This study intends to determine the prevalence of obesity and risk factors among type 2 diabetic patients, with the aimed of providing some possible measures to the finding in order to improve the level of health care rendered to the patients. This was a hospital-based retrospective study carried out at metabolic clinic of Department of Chemical-Pathology of Usman Danfodiyo University Teaching Hospital, Sokoto Nigeria, from 1st January 2018 to 31st December, 2018. Patients with clinical features of type 2 Diabetes, who were on follow up, were recruited. Data were extracted from the chemical pathology register, other clinical parameters extracted from the patients case folder, entry and validation was done using Microsoft excel version 13. The data were exported it into SPSS version 23.0 (Chicago IL) for windows; for statistical analysis. Numerical data were summarized using measures of central tendency with their respective measures of dispersions. Frequency and percentages were used to summarize categorical data. There where a total of 182 type 2 diabetes mellitus patients confirmed during the study period, the mean age of patients was 53.2, with SD± 16.9, and the age range of (21-87 years) respectively, the peak age incidence occurred within 60-69 decade of life which accounted for 27.5%. More than two-third of patients (n=116, 63.7%) were females. While (n=66, 36.3%) were males. More than half of the study participants (n= 148, 81.3%) were overweight or obese at diagnosis of type 2 diabetes. The study showed that BMI is strongly associated with risk of being diagnosed with overweight or obese, high prevalence of overweight or obesity was observed in female patients as compared to their males counterparts70.3%. Therefore, education on the complications of obesity and DM is very important to the diabetic patients.