Abstract: Background: Prediabetes and are increasing in prevalence all over the world, they each carry risks to the future development of diabetes mellitus and cardiovascular disease. These risks will be greatly exaggerated if they occur together in the same individual. The aim of the study was to find the prevalence and the association of prediabetes and metabolic syndrome, in addition to analyzing the correlation of the risk factors that lead to their development. Material and Methods: This was a cross-sectional, simple random study that included 300 Iraqi individuals, aged between 30-75 years, who accepted to take part in this study were recruited. Result: Prevalence of prediabetes and metabolic syndrome was (33.66%) and (42%) respectively. Patients with prediabetes had 9.82 times the odd of having metabolic syndrome and is significantly associated (P value <0.001) Conclusion: Prediabetes and metabolic syndrome are not only common but also significantly associated with each other, increasing the burden on public health care and needs to be addressed globally.