Background: The number of hypertensive cases has been slowly rising in the world. Many studies have been pointing out the fact that arterial hypertension is an insulin-resistant condition that has been associated with an increased incidence in diabetes. This study puts in a sincere effort to find if there is any relation. This study is intended to be of great help to the community by throwing up some light on this matter. This study is also intended to be of great help to the practising physicians and also academicians. Aims and Objectives: To study insulin resistance and glucose tolerance test in patients with essential hypertension. Materials and Methods: The present study was conducted over a year, 50 patients of which 30 were cases and 20 controlled who was admitted to KMC Attavarand other hospitals under Kasturba medical college. Results: Insulin resistance was about 16 % in cases, with a mean of 1.33 and std deviation of 1.4. No controls had insulin resistance. Conclusion: There was an increased incidence of impaired fasting glucose among hypertensive which was statistically significant.