Objective: The aim of this study was to assess the prevalence and risk factors associated with impaired fasting glucose (IFG) in adult individuals. Background: Prediabetes is defined as blood glu­cose concentrations that are higher than normal but not of a magnitude which would correspond to a diagnosis of type 2 diabetes. Individuals with pre­diabetes have an increased high risk of developing type 2 diabetes and associated complications[1], and most type 2 diabetes patients have likely been in a state of hyperglycemia for several years prior to diagnosis [2]. Subject and method: Berket Elsabae district was randomly selected out of eight districts of Menoufia Governorate, of which two family health units were randomly selected. A randomized sample was se­lected from the attendants of these family health units for regular visits. 1,255 subjects were random­ly selected for inclusion in the study. Results: The prevalence of IFG was 7.9 % (n= 99), of these 52.5 % (n=52) were males and 47.5% (n=73) were females, (OR =0.721, CI =0.477-1.089, p=0.12). The main risk factors associated with IFGwere age (>45 years: P value = 0.003), being mar­ried (OR = 1.73, CI = 0.928 - 3.22, P value =0.001), and rural resident (OR =0.71, CI =0.446-1.132, P value = 0.149). History of hypertension, hyperlipi­demia and chronic viral hepatitis were significantly associated with higher percentage of isolated im­paired fasting blood glucose. Body mass index and blood pressure values were positively correlated to levels of fasting blood glucose group of the studied groups. Conclusion: Prediabetes with isolated impaired fasting blood glucose level was significantly related to patient education, history of hyperlipdemia, blood pressure and body mass index in the logistic regres­sion model.