Metabolic diseases in China have been on the rise during recent decades. To investigate dietary glycaemic load (GL) and its correlation with the prevalence of metabolic diseases in hospitalised Chinese adults, we analysed the total energy and macronutrient intakes in 1040 patients. Dietary GL was calculated based upon glycaemic index (GI), carbohydrate content and daily intake of individual foods. Dietary patterns at different dietary GL levels and the distribution of dietary GL were analysed in patients from the internal medical departments v. those from surgical departments. Height and weight were measured using a standardised protocol. The present study results demonstrated that in hospitalised adults, 95·5 % of dietary GL came from cereals. Average GL was higher in male patients than in female patients, and was higher in patients from surgical departments than in patients from medical departments. Patients with lower dietary GL consumed inadequate carbohydrates and excessive fats, and therefore had a higher prevalence of overweight and obesity. Dietary GL analysis may be helpful to nutrition assessment and rational diet intervention in hospitalised Chinese patients.