Cardiovascular Disease CVD Constitutes a Significant Health Challenge for Individuals With Type 2 Diabetes Mellitus T2DM, Affecting Approximately 32% of This Population and Contributing Significantly to Global Mortality.Visceral Adipose Tissue VAT Accumulation Has Been Recognize

Inclusion Criteria: * Adult patients ≥40 years old attending the out patients clinics * Patients diagnosed with type 2 diabetes mellitus Exclusion Criteria: * Patient with a history of cardiovascular events * Patient with type 1 diabetes or gestational diabetes. * Pregnant women. * Hypothyroidism, * Cushing disease * polycystic ovarian syndrome. * Congestive heart failure * chronic liver disease .- chronic kidney disease, * cancer * Current use of steroids, birth control pills, antipsychotics, antidepressants, epilepsy drugs. * Patients with physical deformities or conditions affecting anthropometric measurements.