Blood sugar imbalances may be very important in care of brain dead donors as well as recipients of organs. During a two year period 50 brain dead patient were studied. Blood sugars samples (BS) were checked early after transporting to hospital and every 6 hours thereafter. 22 (44%) cases had normal blood glucose levels all time during pre-procurement care period and 28(56%) cases had some degrees of blood glucose imbalances during this period (P<0.005). In 5 cases (10%) disturbance presented as both hypo- & hyper-glycemia. Severe disturbances presented in 16 cases (32%). In conclusion, blood sugar disturbances are important factors in care of brain dead patients and can affect short and long –term outcome of recipients of procured organs. Due to importance of blood sugar imbalance correction in better outcome of organ transplantation, it seems precise care and early correction of glucose imbalances is mandatory in brain dead donors.