ABSTRACT
Background: Cerebrovascular accidents (CVA) are leading cause of death worldwide, after coronary artery disease and cancer. The main objectives of study were 1) to study the clinical profile of cerebral infarction in relation to the glycemic status at admission 2) to study the infarct size on CT in relation to glycemic status 3). To observe the clinical recovery during the first 10 days in the hospital, using the National Institute of Health Stroke scale (NIHSS). Methods: Total 60 samples were included in this study. This prospective study was conducted in Chalmeda institute of medical sciences, Karimnagar, over a period of one year between December 2016 and December 2018. During the study period, all patients presenting with acute cerebral infarction and fulfilling the inclusion criterion were included in the study. Results: Maximum number of patients of cerebral infarction belonged to age groups 51-60 years and 61-70 years. There were no large sized infarcts in the euglycemic group. The stress hyperglycemia group have higher baseline NIHSS score compared to diabetes group (*p=0.277). Conclusion: This study shows that in patients with no history of diabetes who have an ischemic stroke, with elevated glucose levels (stress hyperglycemia) are associated with increased risk of poor functional recovery compared with lower glucose levels.