The Asia-Pacific region is facing an epidemic of type 2 diabetes mellitus (T2DM), paralleled by high rates of cardiovascular disease (CVD).(1,2) Hypertension (HT) remains a major risk factor for CVD in the region. On DNA oxidation, a hydroxyl group is added to the guanine molecule to form 8-hydroxyguanine, which on oxidative modification yields the product, 8-hydroxy-2'-deoxyguanosine (8-OHdG). (7,8) Hyperglycaemia promotes glucose oxidation and protein glycation, impairs DNA repair with resultant DNA cleavage, and generates reactive oxygen species, thereby leading to increased oxidative stress. (4,7,8) Similarly, HT is accompanied by the formation of advanced glycation end products, and thereby increased oxidative stress and DNA damage. (9,10) For these reasons, the measurement of 8-OHdG has been used by various researchers to evaluate the DNA oxidation associated with the pathophysiology of T2DM and HT. (4,(11)(12)(13)(14)(15)(16) A study by Nishikawa et al found that urinary 8-OHdG levels were increased in T2DM patients with poor glycaemic control, (4) while a study by Espinosa et al reported that urinary 8-OHdG levels were increased in patients with HT.However, Roselló-Lletí et al demonstrated that patients with HT and DM do not exhibit any differences with regard to 8-OHdG levels when compared to patients with HT but no DM.Espinosa et al also reported that 8-OHdG levels were reduced following antihypertensive treatment in patients with HT.(13) Studies suggest lowered urinary 8-OHdG levels upon intervention with antidiabetic agents in T2DM patients, Barengo and Tuomilehto reported that the presence of HT as a comorbidity in the hyperglycaemic state increased CVD