SUMMARY Aims To determine the prevalence of Type 2 diabetes mellitus and impaired glucose tolerance (IGT) and their relationships to fibrinogen and other cardiovascular risk factors in Hong Kong Chinese.Methods A probability sample of 1316 men and 1348 women aged 25–74 years were examined in a population‐based cross‐sectional study.Results A total of 3.0% (95% confidence interval 2.1–3.9) of men had previously diagnosed (known) and 6.4% (5.0–7.8) newly diagnosed (unknown) diabetes, 14.4% (12.4–16.5) had IGT and 79.2% were normal by 1985 WHO diagnostic criteria; corresponding prevalences in women were 3.7% (2.7–4.7), 5.9% (4.6–7.2), 17% (14.8–19.2) and 73.4%. The age‐standardized prevalence of Type 2 diabetes for the 35–64 age group was 9.5% (7.5–11.6) in men and 10.2% (8.0–12.4) in women. Age‐adjusted mean fibrinogen levels in these four groups (normal/IGT/unknown diabetes/known diabetes) with decreasing degrees of glucose tolerance (diabetes status) were 2.80, 2.57, 2.51 and 2.47 g/l (P = 0.003) in men, and 2.86, 2.72, 2.67, 2.61 g/l (P = 0.005) in women. Age, obesity, systolic blood pressure and triglycerides were significantly associated with diabetes status in both sexes, f
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