Oxidant stress is believed to be enhanced in patients with diabetes mellitu
s, which may lead to endothelial dysfunction and the development of atheros
clerosis. In diabetes, hyperglycemia drives non-enzymatic glycation and oxi
dation of proteins and lipids which enhances the formation of advanced glyc
ation end products (AGEs), which may be involved in the pathogenesis of dia
betic vascular disease. The macrovascular complications of diabetes seem to
be due to enhanced cellular oxidant stress by the interaction of AGEs with
their receptor. It would be worthwhile to devise methods to reduce this ox
idant stress. In alloxan-induced diabetic rats lipid peroxidation products
were increased, while levels of nitric oxide glutathione peroxidase and sup
eroxide dismutase were reduced. Melatonin restored these biochemical abnorm
alities to normalcy independent of hyperglycemia. This model can be used to
study the role of oxidant stress in the development of macrovascular compl
ications in diabetes mellitus.