Summary The increased risk of atherosclerotic disease in diabetic subjects may be due to enhanced foam cell formation following an increased susceptibility of low density lipoprotein to oxidative modification. This study has compared fatty acid content and lipoprotein oxidisability in 10 non-insulin-dependent diabetic subjects with that in 10 control subjects. Both groups were normocholesterolaemic and the diabetic subjects had higher triglyceride levels (2.2 + 0.4 vs 1.2 + 0.2 mmol/1, p < 0.05). The fatty acid composition was compared in low density lipoprotein following Folch extraction, separation by thin layer chromatography (for the lipid classes) and analysis by gas liquid chromatography. Low density lipoprotein oxidisability was assessed by conjugated diene and thiobarbituric acid reacting substance formation in the presence of copper ions. The esterified/free cholesterol ratio was higher in the low density lipoprotein from patients compared to control subjects (2.9 _+ 0.1 vs 1.9 + 0.3, p < 0.05). Linoleic acid in the cholesteryl ester fraction of the lipoprotein was higher in the patients than in the control subjects (48.2 + 2.2 % vs 42.4 + 3.4 %,p < 0.05) as was the total quantity of linoleic acid in the cholesteryl ester fraction (317.8 + 68.0 vs 213.2 + 28.0 vg/mg protein, p < 0.05) and in the low-density lipoprotein as a whole (443.2 + 70.0 vs 340.2 + 28.2 ~g/mg protein, p<0.05). Lipoprotein oxidisability was also increased in the diabetic group with increased formation of thiobarbituric acid reacting substances (35.6 + 7.2 vs 22.3 + 3.5 nmol/mg protein, p < 0.05, increased total diene formation (502 + 60 vs 400 + 30 nmol/mg protein, p < 0.05) and increased rate of diene formation (7.2 + 0.6 vs 5.1 + 0.9 nmol diene 9 mg protein -1. min -1, p < 0.05). This study indicates that low-density lipoprotein from diabetic subjects is more susceptible to oxidation. This could, in vivo, accelerate foam-cell formation thereby increasing atherosclerotic risk in diabetic subjects. [Diabetologia (1995[Diabetologia ( ) 38: 1300[Diabetologia ( -1306 Key words Non-insulin-dependent diabetes mellitus, low-density lipoprotein oxidation, dietary fatty acids, low-density lipoprotein composition, glycated lowdensity lipoprotein.Although hypercholesterolaemia is an important risk factor in both diabetic and non-diabetic subjects, lowdensity lipoprotein (LDL) cholesterol levels are of- ten normal in patients with atherosclerosis. In this study attention has been focused on abnormalities in the composition of LDL the major cholesterol-carrying particle, rather than the quantity. These investigations have been prompted by the finding that oxidised rather than native LDL delivers cholesterol to the macrophage [1], the precursor of the foam cell and the maj or cholesterol-containing cell in the atherosclerotic plaque. Therefore, the potential for LDL to be oxidised in the vessel wall may be of importance in atherogenesis. Babiy et al. [2] have shown that LDL from non-insulin-dependent diabetic (NIDDM)