Background:Epilepsy is a neurological disorder characterized by recurrent, unprovoked seizures. Seizures are episodes of abnormal electrical activity in the brain that can cause a wide range of symptoms, including convulsions, loss of consciousness, altered sensations, or unusual behaviors.The present study was conducted to assess risk and outcomes of diabetes in patients with epilepsy. Materials & Methods:70 patients with epilepsy of both genders were selected. Assessment of glycated hemoglobin, fasting and random blood glucose level was done. Coexisting medical conditions such as hypertension COPD, asthma, traumatic brain injury, stroke etc. were also recorded. Results: Out of 70 patients, males were 38 and females were 32. Age group 20-40 years had 27, 40-60 years had 10 and >60 years had 33 patients. Coexisting medical conditions were hypertension in 7, stroke in 4, traumatic brain injury in 9, COPD in 13, asthma in 5, ischemic heart disease in 6, heart failure in 1 case. Diabetes mellitus was present in 48 and mortality was seen in 19 patients. The difference was significant (P< 0.05). Conclusion: Diabetes control is crucial for individuals with epilepsy since diabetes and epilepsy are linked, and uncontrolled diabetes makes epilepsy worse.