Background The mechanism of volatile anesthetics on vascular smooth muscle (VSM) contraction in diabetes mellitus (DM) remains unclear. The current study was designed to determine the effects of sevoflurane (SEVO) and isoflurane (ISO) on KCl induction. PI3K and Rho kinase participate in vasoconstriction in aged type 2 DM (T2DM) rats.Methods KCl-induced (60 mM) contractions were examined in endothelium -denuded aortic rings from aged T2DM Otsuka Long-Evans Tokushima Fatty (OLETF) rats (65–70 weeks old), control age-matched nondiabetic Long-Evans Tokushima Otsuka (LETO) rats and young Wistar rats (6–8 weeks old). The effects of SEVO and ISO on KCl-induced vasoconstriction, as well as those of LY294002 and Y27632, were measured in aortic rings from the three groups using an isometric force transducer.Results KCl induced rapid and continuous contraction of aortic smooth muscle in the three groups, and the contraction was more obvious in OLETF rats.SEVO and ISO inhibited KCl-induced vasoconstriction in a concentration-dependent manner and were suppressed by LY294002 (10 mM) and Y27632 (1 µM). SEVO had a stronger inhibitory effect on the aortas of young Wistar rats than ISO, especially at 2 MAC and 3 MAC (P<0.05). In aged rats, the inhibitory effect of ISO was stronger than that of SEVO, especially OLETF rats. There was no significant difference in the effects of different concentrations of ISO on arterial contraction among the three groups. However, the effects of 1 MAC SEVO on Wistar rats and 3 MAC SEVO on OLETF rats were noticeably and significantly different (P<0.05).Compared with the control condition, LY294002 and Y27632 had the most noticeable effect on the KCl-induced contraction of aortic rings in OLETF rats (P<0.01).Conclusion KCl significantly increased the rapid and sustained contraction of aortic rings in aged patients with T2DM. SEVO and ISO reduced vascular tension in the three groups to different degrees. ISO had a smaller inhibitory effect on young rats, and SEVO had a smaller inhibitory effect on aged rats. The mechanism of SEVO and ISO in vascular tension in T2DM is due to changes in PI3K and/or Rho kinase activity.