Background. Screening for type 2 diabetes mellitus in primary care in developing contries remains a challenge, therefore pragmatic models of opportunistic screening should be explored. Objective: To determine the prevalence of new cases of diabetes and impaired fasting glucose in general practices of Kosovo and investigate the feasibility and performance of a pragmatic system for identifying patients with these two conditions. Settings: Five general practices in Kosovo. Methods: The study utilized an opportunistic screening programme for type 2 diabetes detectection in primary care. All patients with at least one risk for undiagnosed type 2 diabetes, aged 45-70, who attended to general practices for any reason were screened. Fasting capillary blood glucose was measured on two independent days. Additionally, anthropometric measurements were also performed Results: A total of 1208 patients were screened for type 2 diabetes. There were 152 (12.6%) undiagnosed type 2 diabetes and 185 (15.3%) prediabetes patients Significant prediction factors (p<0.05) were; overweight (77.6%), hypertension (68.1%) and hyperlipidemia (38.5%). The majority of patients (76.2%) had two risk factors and 36% had three risk factors Conclusions: The ‘pragmatic’ opportunistic screening process in this study was suitable for implementation in transition countries like Kosovo and resulted in detection of significant number of patients with pre-diabetes and type 2 diabetes who were also overweight, had hypertension and hyperlipidaemia