ABSTRACT

By definition, diabetes mellitus is a group of pathophysiological conditions of varying etiologies that has as a common denominator-the derangement of blood glucose regulation (i.e., hyperglycemia). Two major forms of diabetes mellitus exist: type 1, a less common form in which there is an absolute defi­ ciency of circulating insulin due to destruction of the β-cells of the pancreas, and type 2, the most common form, characterized primarily by a decreased ability of insulin to stimulate skeletal muscle glucose transport and metabo­ lism. Although there is increasing information that oxidative stress, character­ ized by the localized production of free radicals and other reactive oxygen species, may be associated with metabolic abnormalities present in both type 1 and type 2 diabetes and several studies have been published recently support­ ing the effectiveness of antioxidant interventions in improving the defective metabolic state characteristic of diabetes, the relationship between oxidative stress and insulin resistance remains controversial (1,2).