Objective Carotid intima media thickness (cIMT) is thought to be a good marker for the prediction of cardiovascular disease. Dyslipidemia is regarded as a cardiovascular risk factor. So we evaluated the relation of lipid profiles and increased carotid intima media thickness in Korean type 2 diabetic patients. Methods We checked lipid profiles for 63 Korean type 2 diabetic patients with more than 1 mm of cIMT( 43% male, mean age 61±7.8 years). The patients had no history of taking any antilipidemic agents. Results HbA1c was 7.3%. Mean DM duration was 7.9 yrs. The mean level of total cholesterol was 198.2±35.2 mg/dl, triglyceride: 159.4±71.6 mg/dl, LDL-C: 142.6±36.6 mg/dl, HDL-C: 47.6±16.7 mg/dl (male: 47.6±16.7 mg/dl, female: 48.0±17.1 mg/dL), nonHDL-C: 151.2±35.2 mg/dl. There were 2 myocardial infarctions. Conclusion There was no correlation between lipid profile and increased cIMT. Therefore, we recommend cardiac evaluations are needed in all type 2 diabetic patients in spite of normal range of lipid profiles.