This cross-sectional study aimed to determine the prevalence of hypothyroidism among Type 2 Diabetes Mellitus (T2DM) patients at a tertiary healthcare center. The study also examined the association of various risk factors with hypothyroidism in these patients. A total of 101 T2DM patients were included, and data on thyroid function, blood glucose levels, and other metabolic parameters were collected. The results indicated a high prevalence of hypothyroidism among T2DM patients, with significant associations found between hypothyroidism and factors such as diabetes duration, BMI, and blood glucose levels. These findings highlight the need for routine thyroid function screening in T2DM patients to manage and mitigate complications.