Introduction: The risk factors heretofore specified in the development of type 2 diabetes in the urban population cannot fully apply to rural inhabitants. To halt type 2 diabetes, it is necessary to study recent risk factors associated with diabetes. Objective: To study some risk factors and their strength of risk with type 2diabetes Mellitus among subjects in the rural area. Methods: It was a community-based case-control study undertaken at the Rural Health Training Centre and the rural field practice area. Results: The mean age of the subjects was 55.48 __ampersandsignplusmn; 12.33 years.Independent risk factors for diabetes mellitus were Nonalcoholic fatty liver disease (AOR=7.44,95%CI=2.18__ampersandsignndash;14.52), Family history of diabetes (AOR=3.94, 95%CI=1.19__ampersandsignndash;13.05), Physical inactivity(AOR=2.98,95%CI=1.88__ampersandsignndash;4.72), Vegetable consumption less than 3 times/week (AOR=2.88,95%CI=1.76__ampersandsignndash;4.73), Moderate depression (AOR=6.98,95%CI=3.56__ampersandsignndash;13.70). Conclusions: This research concludes that diabetes a disease of the affluent is increasing rapidly among the lunch-bucket workers as a result of a 6.98-fold rise in the risk of moderate depression, 7.44-fold rise in the risk of NAFLD, 2.88-fold decrease in vegetable consumption combined with a 2.98-fold increase in physical inactivity. Considering this the policymakers should impose a high amount of taxes on junk food and propose health warnings on food packaging. Advertisement related to the sale of junk food should be banned on television and routine physical exercises should be promoted. Management of depression at PHC would result in a decrease in the incidence of diabetes mellitus. These important risk factors should be given attention as they provide the potential for reversing the epidemic of diabetes in the country.