Nowadays, type 2 diabetes patient in Thailand is much more prevalent than before. According to the 2017 statistics, there are 4.4 million diabetes patients in the 54 million population. Type 2 diabetes can lead to multiple complications in the patient, including microvascular and macrovascular complications. These complications can be the causes of worse quality of life, disability, hospitality, and death. In 2020, statistics from Lopburi healthcare data, 9.1 percent of Thaluang hospital’s patients had Type 2 diabetes, the most significant number among the other diseases in Thaluang hospital. We conducted this research to study the prevalence and associated factors of type 2 diabetes vascular complications, which can be used to promote the prevention of this complication in the future. We conducted this cross-sectional analytic research using the secondary data from Thaluang hospital’s medical record to assess the prevalence and the associated factors of vascular complications in type 2 diabetes patients in Thaluang hospital. From Multivariate analysis, we found the statistically associated factors of each vascular complication. Ischemic heart disease is associated with age (Odds ratio 1.09 (1.03-1.16) p-value 0.01), and HbA1C more than 8.5 g/dl (Odds ratio 6.38 (1.45-28.13) p-value 0.01). Stroke is age (Odds ratio 1.02 (1.01-1.04) p-value 0.03), hypertension (Odds ratio 3.26 (1.02-5.16) p-value 0.04), and Calcium channel blocker use (Odds ratio 1.76 (1.12-2.79) p-value 0.02). Peripheral artery disease is associated with age (Odds ratio 1.03 (1.01-1.05) p-value <0.01), female gender (Odds ratio 1.52(1.06-2.48) p-value 0.03), duration since diagnosis more than five years (Odds ratio 2.11(1.40-3.20) p-value <0.01), Insulin use (Odds ratio 2.17(1.36-3.46) p-value <0.01). Diabetic retinopathy is associated with duration since diagnosed more than five years (Odds ratio 2.49(1.58-3.93) p-value 0.04), and HbA1C more than 7.5 g/dl (Odds ratio 3.634(1.47-8.99) p-value 0.01). Peripheral neuropathy is associated with age (Odds ratio 1.06 (1.01-1.11) p-value 0.01), duration since diagnosis (Odds ratio 1.16(1.01-1.33) p-value 0.03), and HbA1C (Odds ratio 1.40(1.12-1.75) p-value <0.01). Chronic kidney disease is associated with age (Odds ratio 1.02 (1.01-1.04) p-value 0.02), ACEI/ARB use (Odds ratio 2.53(1.65-3.88) p-value <0.01), and HbA1C greater than9.0 (Odds ratio 1.69 (1.08-2.67) p-value 0.02).