Background: With the rampant rise in globalization and urbanization, there is an alarming escalation in the burden of common Non-communicable diseases which are the prime causes of mortality and morbidity especially in a country like India, a country in rapid demographic transition.

Objectives: This study was conducted to estimate the burden of Hypertension and Diabetes along with 10 year fatal and nonfatal cardiovascular risk estimation.

Methods: A cross-sectional population-based study was conducted among adults aged 18 and above in Manipur. The study outcome was to estimate the prevalence of hypertension and diabetes using a validated questionnaire adapted from WHO PEN along with 10 year fatal and non-fatal cardiovascular risk using the WHO/ISH chart. Statistical analyses like mean, chi-square, and logistic regression tests were conducted. P value <0.05 was considered statistically significant.

Results: Of the 560 participants, 27.5% were hypertensive and 10.7% were diabetic. One in three of them had one of the NCDs and 5.7% had NCD multimorbidity. Higher age group [odds ratio (AOR): 5.2], inadequate physical activity [AOR: 2] and overweight [AOR:2] were significantly associated with the burden of hypertension whereas diabetes was significantly associated with higher age group [AOR: 9.5] and abdominal obesity. [AOR: 3]. A quarter of them had 10-19% risk of CVD and 10.7% of the individuals had 20-30% risk of developing CVD in the next 10 years.

Conclusion: A quarter of respondents were hypertensive which mirrors the rule of halves for hypertension, one in 10 of respondents were diabetic and a quarter of them had a CVD risk of 10-19%. Despite the high burden of these diseases, a majority of them were under diagnosed mandating the need for cost-effective, high-quality interventions in low-resource settings.