Incidence and prevalence of type 2 diabetes is increasing worldwide, and that obesity is a well recognized risk factor for the development of glucose intolerance and type 2 diabetes. The aim of the present work was to conduct a pilot study to identify whether type 2 diabetes or non diabetic hyperglycemia (IFG and/ or IGT) could be an undiagnosed medical condition in Egyptian children that deserves more attention with screening and intervention, aiming at prevention of complications.