Introduction: Pre-diabetes is a mounting health problem occurring worldwide. Microvascular complications are prone to occur during this stage. Early diagnosis & treatment delay progression to type 2 diabetes & microvascular complications. Aims & Objectives: To determine the prevalence of microalbuminuria, c-peptide & fundal changes in pre-diabetics Methodology: 125 pre-diabetic patients those who visited MGMCRI General Medicine OPD & admitted in medical wards were taken into the study after fulfilling the inclusion & exclusion criteria. Those entire study participants's urine & blood sample were sent for analysis of microalbuminuria & C-peptide respectively. Fundus was examined to look for retinopathic changes. Results: Among 125 prediabetic participants, prevalence of microalbuminuria was 12.8%, c-peptide levels was elevated in 46.4 %, but none of the study participants had fundal diabetic retinopathy changes. Conclusion: The microvascular complications like microalbuminuria starts in the pre-diabetic stage itself. Increased c-peptide levels are an important marker of prediabetes & a risk factor for diabetes. Prevalence of increased c-peptide levels & microalbuminuria was more in individuals who had both IFG & IGT