Objectives: To measure the intimal-medial thickness of carotid artery (IMTc) and define the relationship between the IMTc with some risk factors and left ventricular mass index, N-terminal proB-type natriuretic peptide (NT-proBNP) in the type 2 diabetic patients with hypertension. Subjects and Methods: Paraclinical features carotid artery by Doppler ultrasonography and Doppler echocardiography were evaluated in 121 type 2 diabetic patients with hypertension in a descriptive cross-sectional study. Results: The IMTc in the right carotid was higher than that in the left (1.33 ± 0.66 mm vs 1.25 ± 0.67 mm). The IMTc were correlated with age, duration of diabetes, thickness of carotid plaques, LVMI and NT-proBNP. The thickness of atherosclerotic plaque was 1.76 ± 0.52 mm (r = 0.825, p < 0.05). Conclusions: Intima media thickness was higher significantly in type 2 diabetic patients with hypertension. There were the correlations between IMTc with age, the duration of diabetes, thickness of plaques and LVMI and NT-proBNP.