Objective: This research attempts identify DM risk perception and its determinants in a sample rural Indonesian community in Bali. Methods: This analytic cross-sectional study recruited non-diabetic adults visiting a public primary care facility in Payangan, Bali and filled self-administered questionnaire. Risk perception defined as perceived likelihood to suffer DM in the next 10 years measured in 4-items Likert scale dichotomized into ‘High’ and ‘Low-Moderate’. Determinants measured include overweight/obese by BMI, hypertension, family history, knowledge of risk factors, and prior history of blood glucose (BG) examination. Results: We obtained 71 respondents with mean age 39.24 years old (95CI 36.14-42.34), 63.4% male, and 69% identified ‘Low-Moderate’ DM risk perception. Mean score for knowledge is 42.74% (95CI 37.70-47.78%). Determinant proportion was 35.2% for overweight or obese, 16.9% for hypertension, 11.3% for family history, and 23.9% had blood glucose examination in the preceding 2 years. Multivariate binary logistic regression identified 7 out of 12 potential determinants as statistically significant. Likelihood to identify with ‘High’ DM risk perception increased with older age (OR 1.11, 95CI 1.029-1.198) and perception of DM as a serious disease (OR 36.617, 95CI 2.399-558.798). Curiously, the likelihood decreased with obesity (OR 0.013, 95CI 0.001-0.306), hypertension (OR 0.003, 95CI 0.000-0.404), increased knowledge (OR 0.948, 95CI 0.901-0.998), high optimism bias (OR 0.214, 95CI 0.046-0.985), and prior blood glucose examination (OR 0.052, 95CI 0.004-0.765). Conclusion: We identified age and perception of seriousness as positive determinants meanwhile obesity, hypertension, prior blood glucose examination, optimism bias, and knowledge were negative determinants. This differs from previous studies which found positive or no significant correlation with risk factors or preventive behaviors. Caveat of this study is limited sample size. As such, future researches with bigger sample size are necessary to learn the cause behind the peculiar results.