ABSTRACT Stress is a potential contributor to elevate blood glucose level in diabetic patients and diabetes, which is the leading cause of many chronic diseases, is showing increasing trend among adults in every country. This study investigates the prevalence of diabetes among stress sufferers and to identify stress coping skills in rural and urban area of Sepang, Selangor. A cross-sectional study were conducted in a village and housing estate area in Sepang, Selangor with sample of 196 in Kg UluTeris and 174 in Taman Mawar. A simple random sample of adults aged 18 years and above was selected. Data was collected by an interviewed questionnaire and blood collection. Overall, 33.7% of respondents in rural and 54.6% in urban areas were having stress. The rural-urban difference in prevalence of diabetes among stress respondents were greatest with 50.5% in urban, whereas 37.9% in rural.It was also higher compared to non-diabetics in urban area. The common cause of stress in urban was work and coping skill was self-distraction, whereas in rural area was family and religious activities, respectively. It is crucial for this group of subjects to practice appropriate stress coping skills and practice healthy life style
