ABSTRACT

Patients with non-insulin-dependent diabetes mellitus (NIDDM) are at in­ creased risk of developing vascular and other complications. This excess risk is only partially explained by the traditional risk factors, including smoking, hypertension, and dyslipidemia (1-3). Therefore, oxidative stress has been proposed as a possible explanation for the accelerated complications in NIDDM (4-7). A major hypothesis is that low-density lipoprotein (LDL) modification by oxidation or glycosylation contributes to tissue damage through cytotoxic reactions with endothelial cells or through further reactions to generate “ modified” LDL that is selectively accumulated by “ scavenger” receptors (8).