Recent evidence is reviewed indicating increased oxidative damage in Type 1
and Type 2 diabetes mellitus as well as deficits in antioxidant defence en
zymes and vitamins. Mechanisms are considered whereby hyperglycaemia can in
crease oxidative stress, and change the redox potential of glutathione and
whereby reactive oxygen species can cause hyperglycaemia. It is argued that
oxygen, antioxidant defences, and cellular redox status should now be rega
rded as central players in diabetes and the metabolic syndrome.