We designed a case-control study and selected LXR-α rs7120118 C>T and ABCA1 rs2230806 A>G polymorphisms to determine the correlation between these polymorphisms and diabetic kidney disease (DKD) susceptibility in a Chinese Han population. Three hundred DKD patients and 346 type 2 diabetes mellitus (DM) patients without kidney disease were recruited. Our results showed that rs7120118 was associated with DKD (genotype,
P
=
.027
; allele,
P
<
.011
). rs7120118 was associated with a higher risk of DKD under a dominant model adjustment by age and sex (
P
=
.015
) and an additive model (
P
=
.040
); rs2230806 was associated with a higher risk of DKD under an recessive model (
P
<
.03
); the combined effect of rs7120118 CC+rs2230806 GG genotype showed an association of DKD adjustment for age and sex (
P
=
.009
). In subgroup analysis of patients without hypercholesterolemia, the rs2230806 genotype frequencies were different between the two groups (
P
=
.042
). rs2230806 was associated with increased risk of DKD under a recessive model adjustment for age and sex (
P
=
.013
) and an additive model (
P
=
.031
). Our results suggest that LXR-α rs7120118 is significantly associated with a higher risk of DKD, and ABCA1 rs2230806 is significantly associated with a higher risk of DKD without hypercholesterolemia in Chinese Han individuals.