To clarify the relationship between HIV and type 2 diabetes, this review determined, in PLHIV in Africa, diabetes and prediabetes prevalence, and the extent to which their relationship was modified by socio‐demographic characteristics, body mass index (BMI), diagnostic definitions used for diabetes and prediabetes, and HIV‐related characteristics, including CD4 count, and use and duration of ART. Here, CD4 is linked to prediabetes syndrome.