Aim: In the D.E.S.I.R. cohort, a higher consumption of dairy products is associated with a lower incidence of hyperglycemia, and dihydroceramide concentrations are higher in people who progress to diabetes. Our aim here is to study relationships between dairy consumption and concentrations of dihydroceramides and ceramides. Methods: In the D.E.S.I.R. cohort, men and women aged 30-65 years, volunteers from western-central France, were included for a 9-year follow-up, with examinations every 3 years, including food frequency questionnaires. Two items concerned dairy products (cheese, other dairy products). At each examination, dihydroceramides and ceramides were determined by mass spectrometry in a subset of the cohort; we analyzed the 105 people who did not progress to diabetes, because disease per se might be a confounding factor. Results: A higher consumption of dairy products (except cheese) was associated with total plasma dihydroceramides during follow-up, but only in women (sex interaction P=0.01): dihydroceramide levels were lower in women with a high consumption as compared to the low consumers (P=0.03), and significantly increased during the follow-up (P=0.01) in low consumers only. There was also a trend for lower ceramides in women with a high intake of dairy (except cheese) (P=0.08). Cheese was associated with dihydroceramides and ceramides changes during follow-up (P=0.04 for both), but no clear trend could be seen in either the low or high consumers. Conclusion: These results show, in women, an inverse association between fresh dairy product consumption and predictive markers of type 2 diabetes, the dihydroceramides.