Mitochondrial dysfunction has been implicated in diabetic complications; however , it is unknown whether hyperglycemia affects mitochondrial morphology and metabolic capacity during development of diabetic retinopathy. We investigated high glucose (HG) effects on mitochondrial morphology, membrane potential heterogeneity, cellular oxygen consumption, extracellular acidification, cytochrome c release, and apoptosis in retinal endothelial cells. Diabetes is characterized by hyperglycemia and consequent functional failure of various target organs including the eye. In the working-age population, diabetic retinopathy is the leading cause of blindness, 1 which is triggered at least in part by hyperglycemia-induced apoptosis. While biochemical studies have implicated mitochondrial dysfunction as an underlying mechanism for inducing apoptosis, 2 the implications of mitochondrial structural changes in this process have only recently begun to be examined. In most cell types, mitochondria exist as long tubular networks that are precisely regulated by the rates of mitochondrial fusion and fission events. Disruption in this delicate balance induces altered mitochondrial membrane potential heterogeneity, 3-5 mitochondrial fragmentation, and apoptosis. 6 -8 Although oxidative stress is known to increase in diabetic retinas and trigger pro-apoptotic actions of mitochondria including the release of cytochrome c, it is currently unclear if compromised mitochondrial structure is a necessary event for high glucose (HG)-mediated apoptosis. We have shown that HG induces apoptosis in the rat retinal endothelial cells (RRECs) 9 and recent studies have indicated that HG causes mitochondrial dysfunction through oxidative damage of mitochondrial DNA and contributes to apoptosis in the human retinal endothelial cells.