Background: Diabetes mellitus (DM) and atherosclerotic cardiovascular diseases are two of the most common chronic non-communicable diseases, having a very high prevalence worldwide. 
The aim of this study was to calculate the cardiovascular risk in Romanian adults with diabetes.
Materials and methods: 
This study was part of  PREDATORR study (PREvalence of DiAbeTes mellitus, prediabetes, overweight, Obesity, dyslipidemia, hyperuricemia and chronic kidney disease in Romania), an epidemiological study that had a stratified, crosssectional, cluster random sampling design, including 2729 subjects aged between 20 and 79 years. Inclusion criteria were: age over 40 years old with DM, no personal history of peripheral vascular disease, cerebrovascular disease, coronary heart disease, myocardial infarction, coronary revascularization.
The cardiovascular risk was evaluated using the charts proposed by the World Health Organization/ International Society of Hypertension available for Europe B (epidemiological sub-region which includes  Romania). According to the calculated 10 years cardiovascular risk the study population was divided into 5 categories: <10%, 10-20%, 20-30%, 30-40%, > 40%.
Bias site selection was excluded through weighting, the sample being adjusted in order to extrapolate the results to the data reported at the last Romanian census published in 2011. We double weighted, according to gender and age group. Statistical analysis was performed using SPSS 20.0
Results: A total of 243 subjects (52.7% males and 47.3% females) met the inclusion criteria. The cardiovascular risk was statistically significant higher in men (p<0.05). Furthermore, the cardiovascular risk increased with age (p<0.05), the greatest risk being in the age group 70-79 years.  Smokers also had a significantly higher cardiovascular risk compared to non-smokers (p<0.05). Interestingly, subjects with hypertension had a significantly lower cardiovascular risk than the subjects without hypertension. However, in interpreting these results we must take into account that subjects with hypertension were adherent to the therapeutic indications, therefore having a lower cardiovascular risk.
Conclusion: Our study found a very high cardiovascular risk in Romanian subjects with diabetes, confirming the need to develop and implement diabetes and atherosclerotic cardiovascular diseases prevention programs in order to decrease the prevalence of these two disorders.

Cardiovascular risk in subjects with diabetes (aged 40-79 years) from Romania