Noncommunicable diseases (NCDs) such as heart disease and stroke, cancer, diabetes, and chronic lung diseases are important health problems that Thailand confronts. Accounting for more than 70% of all deaths for all ages in Thailand are due to NCDs, including diabetes.1 Presently, there have been several studies about diabetic nephropathy4. Pivotal risk factors for the progression of diabetic nephropathy include uncontrolled blood sugar level, longer duration of diabetes, high blood pressure, obesity, and dyslipidemia. Blood glucose control and strict blood pressure control, especially with medication, use of lipid-lowering agents, and lifestyle modification, reduce diabetes-related mortality and delay the progression of diabetic nephropathy. Chronic kidney disease patients require higher medical expenditures and more health resources than those without diabetes. This study is about the prevalence and risk factors of diabetic nephropathy in a community hospital in Chachoengsao province (Category F2 – 30 hospital beds). The results can be applied to management for type 2 diabetic patients to determine the risk factors and prevent further complications. A cross-sectional study investigates the prevalence and risk factors of diabetic nephropathy in type 2 diabetic patients at Bangkhla hospital, Chachoengsao province, during 2015-2020. The data were retrieved from electronic medical records of the hospital information system. IRB RTA approved this study: R148h/63_Exp.Three thousand two hundred thirteen diabetic patients participated in the study, and 807 were diagnosed with diabetic nephropathy, 25.12% of prevalence. Risk factors of diabetic nephropathy are being older than 60 years old, having a BMI > 23 kg/m2, and having systolic blood pressure ≥ 140 mmHg, while a normal HDL level is a protective factor.