Since the recognition that the nonenzymatic reaction of glucose with a
mino residues, resulting in glycated proteins, may be related to late
complications in diabetes mellitus, this subject has gained increasing
attention. The atherosclerotic risk is increased several times in dia
betic patients, and a relation with the increased glycation is suspect
ed. We discuss the effect of glycation of apolipoproteins on the struc
ture and metabolism of lipoproteins in vitro and in vivo. The relation
to other potentially atherogenic modifications of lipoproteins will b
e stressed. Finally the observations will be related to the characteri
stics of lipoproteins isolated from plasma of diabetic patients, with
an accent on atherosclerosis.