Type 2 diabetes and hypertension are two of the most common non-communicable diseases in the world and are increasingly on the rise among both urban and rural populations in India. This research aims to comparatively examine the lifestyle factors that affect the development of these conditions among urban and rural populations. The study investigates important lifestyle factors like eating habits, physical activity, stress, tobacco and alcohol use, sleeping habits, and body mass index (BMI) and how they play a role in the evolution of type 2 diabetes and hypertension. A mixed-method design was employed for the study. Purposive sampling was used to select a sample of 200 participants (100 urban and 100 rural) aged between 30 to 60 years. Primary data were obtained through structured questionnaires, anthropometric measurements, and interviews. The data were analyzed in percentage terms without the use of sophisticated statistical software. The results show that there are remarkable variations in lifestyle habits between urban and rural areas. Urban populations also had increased levels of sedentary behavior, increased consumption of processed foods, and increased stress levels, all associated with increased rates of both type 2 diabetes and hypertension. Rural respondents, on the other hand, had relatively improved physical activity but also issues like poor diet diversity and increased tobacco use. The research points out that even though urbanization speeds up lifestyle risk factors, even rural people are not exempt, and new trends point towards rising susceptibility. The study concludes that specific lifestyle interventions are required in order to reduce the individual risk profiles of urban and rural populations. It underlines the significance of community-based wellness awareness programs, dietary advice, and active living-friendly policies in order to face the increasing epidemic of these ailments.