We abstracted 305 records. The mean age was 55 years (σ ±15), 222 (73%) were females, 163 (53.4%) were from Kitui Central sub-county and 187(61.3%) did not have a medical cover. Type 2 diabetes was most common with 287 (94.1%) cases and those with underlying hypertension were 168 (55.1%). Two hundred and three (66.6%) had an abnormal BMI whereas 257(84.3%) had a high-risk waist circumference. Those with uncontrolled blood sugar were 182(59.7%) and 36(11.8%) had an underlying complication. The odds of developing a complication in men was higher (OR- 2.41, CI 1.18-4.92), in those aged ≥65 (OR- 2.79 CI-1.37-5.66), in underlying hypertension (OR- 3.87, CI 1.64-9.15), in cases with diabetes for ≥ 10 years (OR 3.33, CI 1.63-6.81) and in those with no NHIF cover (OR- 2.48, CI 1.22-5.04).