Hyperglycemia is one of the most prominent factors associated with dia
betic vascular disease, the development of which is initated by functi
onal and morphological alterations of the endothelium. The review summ
arizes several issues of glycemia and advanced glycation end products
induced changes concerning soluble as well as cell bound endothelial a
dhesion molecules, and further addresses the aspect of apoptosis in th
e light of dia betic vascular complications.