Introduction: Recent research on Omentin-I and its associations with type II diabetes, the degree of insulin resistance, and obesity is intriguing and has potential for treatment.Adipose tissue is an active endocrine organ that generates many hormones and cytokines called adipokines, such as visfatin, TNF-α, IL-6, and adiponectin[11,12]. These findings are accumulating.These adipokines appear to be key players in the pathophysiology of insulin resistance, diabetes, atherosclerosis, vascular endothelial dysfunction, and inflammation. They also have broad impacts on the metabolism of fats and carbohydrates.Material and method: In partnership with the Department of Endocrinology at the M.K.C.G Medical College Hospital in Berhampur, Odisha, the Department of Biochemistry carried out this clinical investigation. Participants in the study included both inpatient and outpatient visits to the endocrinology department. The period of the clinical investigation was from January 1, 2013, to May 1, 2014.Results: the age distribution of cases and controls. Thirty-four out of fifty cases, or 68% of the cases in the current research, are in the 40–54 age range. whereas 56% of the control group consisted of 28 out of 50 individuals. The two groups' mean ages did not differ significantly (p>0.05).As a result, it was shown that the patient group had considerably greater levels of total cholesterol, triglycerides, and LDC-cholesterol than the control group (p<0.001), and that the patient group had much lower HDL cholesterol.Conclusion: All of the patients had higher fasting insulin levels.The patients were found to have high scores on the HOMA-IR assessment of insulin resistance.In TYPE 2 DM subjects, serum omentin levels were lowered. Blood sugar levels while fasting showed a negative correlation with serum omentin.Omentin serum levels and insulin fasting showed a negative correlation.A negative correlation was found between serum omentin and HOMA-IR.