This study has been undertaken to find association between hypertension and diabetes mellitus in perimenopausal women in an urban slum of Mumbai. The cross-sectional community-based descriptive epidemiological study was conducted in slum area during the period of January 2012 to June 2013. 29.5% diabetic subjects and 17% non-diabetic subjects had hypertesion. There was significant statistical association between hypertension and diabetes mellitus among perimenopausal women in an urban slum.