Vascular complications are major causes of morbidity and mortality in patie
nts with diabetes mellitus. The mechanisms underlying the development of mi
crovascular and macrovascular angiopathy in Type I (insulin-dependent) diab
etes mellitus are complex and incompletely understood. The discovery of end
othelium-derived nitric oxide has greatly improved our understanding of vas
cular biology. Nitric oxide has an important role in the regulation of vasc
ular tone and impaired nitric oxide activity could be implicated in the dev
elopment of diabetic vasculopathy. Vascular studies of endothelial function
in Type I diabetes have produced conflicting results. The role of nitric o
xide in diabetic vasculopathy is still not clear.