Objective: Prevalence of diabetes increased dramatically during the last two decades in Mongolia. The nationwide studies reported a significant increase of prevalence; 3.1%, 6.5% in 1999, 2010, respectively. Non-alcoholic fatty liver disease (NAFLD) is a chronic medical condition strongly associated with diabetes. Therefore, we aimed to study NAFLD risk among newly diagnosed diabetics in easternmost province Dornod, Mongolia. Methods: We used a cross-sectional study design to screen NAFLD among newly diagnosed type 2 diabetic patients in Choibalsan, Dornod province. Thirty-one subjects who denied alcohol consumption were recruited from August to December 2018. We collected anthropometric data, clinical chemistry data including glucose metabolism panel, albumin, liver enzymes, lipids, complete blood cell analysis for NAFLD Fibrosis score and abdominal ultrasound. Chi-square, T-test, ANOVA and other statistical methods were used. Results: Among participants, four (12.9%) subjects had significant fibrosis (F3-F4 fibrosis), 16 (51.6%) were in borderline or indeterminable. We observed a significant difference in serum ALT level (76.00 ± 30.31 vs 28.51 ± 3.43, p = 0.002) and platelet count (277.04 ± 17.34 vs 154.35 ± 21.56, p = 0.013)between the subject with significant fibrosis and fibrosis indeterminable or absent subjects. In addition, the ALT level was significantly correlated with only serum triglyceride among lipid panels (r = 0.542, p = 0.002). Liver sonography changes including hepatomegaly (p = 0.110) and hyper-echogenic appearance (p = 0.294) were not associated with NAFLD. We have not observed any difference in age and sex subgroups (p > 0.05). Conclusion: We have demonstrated non-invasive NAFLD screening among new diabetics in the resource-limited rural area of Mongolia. Significant fibrosis (F3-F4) was present in at least one-eighth of newly diagnosed diabetics. Serum ALT level and platelet count tests are available in rural areas and should be considered for screening among clinicians. The abdominal ultrasound did not reveal significant clinical importance in our study.