Hyperglycaemia and insulin abnormality are the causes of all vascular
diseases in diabetes. Recent studies have narrowed down the pathways b
y which hyperglycaemia can cause the various complications observed in
the vasculature. Insulin resistance and hyperinsulinaemia have been a
ssociated with cardiovascular disease. New ideas are presented on how
selective insulin resistance of the vasculature may be responsible for
the increased incidence of hypertension and cardiovascular disease.