Aim To obtain the epidemiologic data of abnormal glucose metabolism in rural hypertensive population aged from 35 to 75 years old in Fuxin of Liaoning province;And to explore effects of hyperglycemia to incidence of stroke among rural adult groups with hypertension for providing the scientific basis for the comprehensive intervention of risk factors.Methods By stratified random sampling method,From the crowd of 6 516 Fuxin 35~75-year-old rural Permanent residents(≥ 5)with hypertension 2 499 were randomly selected,fasting blood glucose test results they were divided into normal fasting blood glucose(NFG) group and higher fasting glucose(IFG+DM)group.In the follow-up of 1 year,we recorded the new sick stroke and observed the incidence to analyze the effects of hyperglycemia on stroke.Results During 1-year follow-up,50 cases of stroke events emerged in 2 499 persons,1.5%(27 cases) in NFG group,3.2%(23 cases) in IFG+DM group.After adjusting for multiple risk factors,the relative risk of higher fasting glucose to incidence of stroke was 2.234 and 2.410 for women,significantly higher than that of the group with normal fasting glucose,which was 1.645 and 1.648 for men though higher than in normal group but was not statistically significant.The prevalence of impaired fasting blood glucose(IFG) was 25.3%.The prevalence of diabetes mellitus(DM) was 9.6%,which was lower in male than in female and the prevalence increased with age in female and male.The prevalence of DM increased with level of hypertension.Multiple logistic regression analysis revealed age,obesity were risk factors.ConclusionsHigher fasting glucose is an important risk factor for stroke of women in the countryside of Fuxin county,Liaoning province.