Background: Cardiovascular disease is increased in type 2 diabetes mellitus subjects due to a complex combination of various traditional and non-traditional risk factors. Objectives: To illustrate the association between Type II DM and cardiovascular comorbidities in Riyadh, Saudi Arabia. Methods: A cross-sectional study carried out among type II diabetic patients in Riyadh city during the period from 1 May to 31 August, 2019.Data was collected using a self-administered questionnaire after taking the acceptance from the administration to distribute the questioner to all eligible participants. The questionnaire was analyzed to evaluate prevalence of CVD among diabetic patients. Results: 290 (17.3%) of the respondents had Type II diabetes mellitus. As regards the association between Type II DM and cardiovascular comorbidities, according to our findings 31% of diabetic patients were hypertensive, 41.4% had hypercholesterolemia and 6.9% had atherosclerosis, 27.6% were obese and the association between these conditions and type II DM was significant (P<0.05). Conclusion: among the general population of Riyadh, KSA, there was significant association between type II DM and hypertensive, hypercholesterolemia atherosclerosis, and obesity (P<0.05).