The aim of this study reveals that males have elevated risk (15 to 30%) and females have average risk (<15%) in percentage of developing major adverse cardiovascular events in the following 10 years using UKPDS scale. Our study unfolds that as the age increases uncontrolled diabetic groups are more at risk of developing cardiovascular disease. The present study shows that both males and females under uncontrolled diabetic population had coronary artery disease as the major cardiovascular disease. The present study also shows that verbal counseling was more effective than counseling through Patient Information Leaflets. The study results conclude that the patient’s knowledge, attitude and practice on diabetes were improved by means of patient counseling. It is also understood and revealed that despite of hypertension being proved a major risk factor for the development of cardiovascular diseases, its presence with diabetes aggravates the incidence of cardiovascular diseases. Among diabetic patients a careful follow up of their disease management and monitoring of non-fatal MACE symptoms had a greater impact on the quality of life of patient. Predictors such as positive family history, poor knowledge, availability of immediate health care facilities could decrease the incidence of MACE related deaths. Controlled diabetes decreases the severity of symptoms in contrary to the uncontrolled diabetic subjects. It should be made mandatory that all the diabetic people should undergo HbA1C checkup and strict monitoring of blood pressure and lipid profile. Lifestyle changes if inculcated can reduce the disease progression and also enables the patients to lead a quality life. Both males and females are observed to be at equal risk after the age 50 years among uncontrolled diabetes group. Knowledge on disease management and strict adherence and involvement in an active life style had shown a steep decrease in the incidence of MACE