“…Increased platelet membrane cholesterol to phospholipid content is, in turn, associated with increased platelet [Ca2+Ii responses to agonists (20,189,190,261). Another mechanism that appears to contribute to enhanced platelet [Ca2+Ii responses, aggregation, and release reactions (70,205,393) in patients with diabetes mellitus is the increased nonenzymatic glycosylation of platelet membrane proteins (340), which decreases membrane fluidity and enhances the [Ca2+],, aggregation, and release responses to agonists (205,243,269,309,339,358,436). Resistance to the normal actions of insulin as occurs in hypertension and NIDDM (1 17,308,368,370,372,374, 377) could also potentially contribute to enhanced [Ca2 'Ii increases and associated hyperaggregation (205,397) and release (205), as insulin has been observed to attenuate platelet [Ca2 'Ii and aggregation responses (123,412) (similar to effects seen in VSMC (174,202,278,3 14)).…”