Glucose is one of the most important monosaccharides. Although hyperglycemia in type 2 diabetes mellitus (T2DM) lead to a series of changes; however, little is known about the alterations of serum proteins in T2DM, especially those proteins with glucose affinity. In this study, the glucose-binding proteins (GlcBPs) of serum were isolated from 30 health volunteer (HV) and 30 T2DM patients by glucosemagnetic particle conjugates (GMPC) and identified by mass spectrum analysis.Gene ontology (GO) enrichment analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) indicated the main gene annotations and pathways of this GlcBPs, while Motif-X webtool provided the potential glucose-binding domains.Further docking analysis and glycan microarray were used to understand the interaction between the glucose and glucose-binding domains. A total of 149 and 119 GlcBPs were identified from HV and T2DM cases. Four hundred and sixty-eight GO annotations in 165 identified GlcBPs were available, while the majority involved in cellular processes and binding function. A short peptide, EGDEEITCLNGFWLE, which was derived from the Motif-X analysis, presented a high-binding ability to the glucose from both docking analysis and glycan analysis. GMPC provides a powerful tool for GlcBPs isolation and indicates the alteration of GlcBPs in T2DM. K E Y W O R D S glucose, glycan-binding proteins, LC-MS/MS, molecular docking, T2DM 1 | INTRODUCTION Diabetes mellitus is a chronic metabolic disease with hyperglycemia caused by the fault in the insulin production. 1 Over 90% of patients are diagnosed with type 2 diabetes mellitus (T2DM), which in many cases can be prevented by adopting a healthy lifestyle 2,3 . As the hyperglycemia associated with a series of complications and glucose levels can affect the pathways leading to abnormal glycosylation or un-enzymatic glycation, numerous studies have investigated the effect of T2DM from a glycomic prospective. Testa and colleagues found that α (1,6)-linked arm mono galactosylated and core-fucosylated biantennary N-glycans were significantly reduced in T2DM compared to healthy controls in serum N-glycome. 4 Lim et al reported a total of 20 up-regulated and 6 down-regulated proteins and the structures of their attached complex N-and O-glycans under the insulin-resistant conditions. These data also supported that the O-GlcNAc modification involved in the regulation of adipocytokine secretion upon the induction of insulin resistance in human adipocytes. 5 Itoh et al analyzed the serum N-glycans by exoglycosidase digestion and mass spectrometry, they found the increase in 1,6-fucosylation is a striking change in the serum N-glycans of the db/db mice model, whereas the change in the