The role of the antioxidant defense mechanism in diabetesinduced anomalies was studied in the Cohen diabetes-sensitive (CDs) and -resistant (CDr) rats, a genetic model of nutritionally induced type 2 diabetes mellitus. Embryos, 12.5-day-old, of CDs and CDr rats fed regular diet (RD) or a diabetogenic high-sucrose diet (HSD) were monitored for growth retardation and congenital anomalies. Activity of superoxide dismutase (SOD) and catalaselike enzymes and levels of ascorbic acid (AA), uric acid (UA), and dehydroascorbic acid (DHAA) were measured in embryonic homogenates. When fed RD, CDs rats had a decreased rate of pregnancy, and an increased embryonic resorption. CDs embryos were smaller than CDr embryos; 46% were maldeveloped and 7% exhibited neural tube defects (NTDs). When fed HSD, rate of pregnancy was reduced, resorption rate was greatly increased (56%; P < .001), 47.6% of the embryos were retrieved without heart beats, and 27% exhibited NTD. In contrast, all the CDr embryos were normal when fed RD or HSD. Activity of SOD and catalase was not different in embryos of CDs and CDr rats fed RD. When fed HSD, levels of AA were significantly reduced, the ratio DHAA/AA was significantly increased, and SOD activity was not sufficiently increased when compared to embryos of CDr. The reduced fertility of the CDs rats, the growth retardation, and NTD seem to be genetically determined. Maternal hyperglycemia seems to result in The increased rate of fetal malformations in diabetic pregnancy despite better glycemic control represents a clinical problem and a research challenge. The exact mechanism behind the elevated rate of malformations is presently unknown. It has, however, been suggested that both intrauterine (maternal) environment as well as genetic background may be important [1][2][3][4][5][6][7] in the teratogenic process. As of today, the literature describes 3 main pathways by which diabetes may affect the normal development of the embryos: disturbed inositol uptake, yielding lowered intracellular inositol concentration [8]; diminished flow in the arachidonic acid-prostaglandin pathway, yielding decreased PGE2 concentration [9]; and excess amount of reactive oxygen species, resulting in decreased amount of low-molecular-weight antioxidants, such as vitamin C, uric acid, glutathione, and vitamin E [5,6,10,11]. The reactive oxygen species pathway seems to be the most important pathway because antioxidants may protect against the disturbances of both the inositol and the arachidonic pathways. The proposed mechanisms for increased reactive oxygen species generation at higher glucose concentrations include nonenzymatic protein glycosylation [12][13][14], enhanced mitochondrial electron transport chain flow [15], autooxidation [16], and changes in the redox potential. The relative 247