Diabetes mellitus is characterized by hyperglycemia, a decrease in cir
culating insulin and the development of macro- and microvascular patho
logy. Hyperglycemia appears to be a primary determinant for the struct
ural, biochemical and functional changes that occur in large and small
blood vessels during diabetes mellitus. While much research has focus
ed on the effects of diabetes mellitus on the peripheral circulation,
it is clear that diabetes mellitus also has profound effects on the ce
rebral circulation. Thus, the focus of this review is to discuss morph
ological and functional alterations in the cerebral circulation during
diabetes mellitus.