Type 2 diabetes (T2D) is a multifactorial, polygenic disease, and combinations of genetic and nongenetic factors contribute to its susceptibility. While obesity, physical inactivity and ageing represent non-genetic risk factors for T2D, approximately 60 common genetic variants are known to also increase the disease risk. Non-genetic risk factors may further interact with genetic factors, and thereby modulate the risk for T2D through gene-environment interactions. However, it is possible that the interaction between the genome and environment to modulate the risk for T2D also happens through direct chemical modifications of the genome by so-called epigenetic modifications. These epigenetic modifications include DNA methylation and histone modifications. Recent studies focusing on the role of epigenetics in the pathogenesis of T2D suggest that alterations in the DNA methylation pattern and histone modifications in target tissues for the disease, such as adipose tissue, skeletal muscle, pancreatic islets and liver, may contribute to the development of T2D. This chapter aims at summarizing some of the recent advances in the field of epigenetics and T2D.Although the genome of most cells in the human body has an identical nucleotide sequence, specific cell types and organs have different phenotypes. This may be due to epigenetic modifications that regulate cell-specific gene expression. Epigenetics has been defined as mitotically and/or meiotically heritable changes in gene function that occur without a change in the nucleotide sequence, and the epigenome includes DNA methylation, hydroxymethylation of DNA, histone modifications and possibly noncoding RNAs [1]. Epigenetic modifications do not only regulate cell-specific gene expression in differentiated cells, they are also used for X-chromosome inactivation, parental imprinting and for transcriptional regulation during embryonic development. Recent studies further show that epigenetic modifications regulate alternative splicing, alternative promoters and the recombination rate [2][3][4][5]. During recent years, there has been a growing interest in epigenetics, possibly because changes in the epi-