Diabetic retinopathy is the leading cause of blindness in those of working age.It is well known that the retinal vasculature is altered during diabetes.More recently,it has emerged that neuronal,glial dysfunction and electroretinogram changes occur in those with diabetes.Current research is directed at understanding these neuronal and glial changes because they may be an early manifestation of disease processes that ultimately lead to vascular abnormality.This review will highlight the recent advances in our understanding of the neuronal,glial dysfunction,electroretiongram changes that occur during diabetes.