The rates of diabetes in India are rising dramatically, with the number of people with diabetes projected to rise to 57.2 million by 2025. The diabetes epidemic, in part, can be explained by the rapid globalization leading to westernizations of diets, more sedentary lifestyles, and transitions from rural to urban living. As observed in adults, South Asian children and adolescents have high rates of IR compared to children and adolescents of other ethnicities. IR predicts the future risk of cardiovascular disease (CVD). Additionally Indian adolescents have an increased sensitivity to adiposity, high percent of body fat, abdominal obesity and high subcutaneous fat levels . Studies in adolescents have shown that obesity, particularly visceral obesity, is associated with the development of IR in this age group, with evidence of a 50% increase in IR in overweight adolescents with every half unit increase in body mass index (BMI) .