Objectives:To investigate the influence of paternal diabetes on insulin sensitivity of the aged offspring. Methods:Male SD rats were intraperitoneally injected with streptozotocin(STZ) and then mated with healthy female SD rats. Body weight,fed and fasting blood glucose were determined in the offspring. Hyperinsulinemic-euglycemic clamp was performed to assess insulin sensitivity in the aged offspring. Western blot was implemented to evaluate the following proteins:p-Akt,Akt,p-Irs and Irs in liver tissues. Oil red O staining and liver triglyceride(TG) analysis were employed to evaluate the liver tissues lipidosis. Results:Blood glucose levels in STZ-treated male rats(DM)(22.6 ± 1.32) mmol/L were significantly higher than that in control group(CT)(5.88±0.13) mmol/L(P=0.000). Body weight analysis showed that the body weight of 80-week-age offspring of paternal diabetic rats(DM-O)(652.0±10.7) g was significantly higher than that in the offspring of control group(CT-O)(598.0±11.9)g (P=0.003). Hyperinsulinemic-euglycemic clamp test showed that the glucose infusion rate was significantly lowered in aged DM-O(6.23± 0.30) mg/(kg·min) than in the CT-O(8.65±0.43) mg/(kg·min)(P=0.005 2). Western blot showed that p-Akt/Akt level in the aged DM-O(0.023 4±0.004 4) was significantly lowered than that in the CT-O(0.059 8 ± 0.011 0)(P=0.016),and p-Irs1/Irs1 level in the aging DM-O(0.255±0.031) was significantly lower than that in the CT-O(0.452±0.057)(P=0.016). Oil red O staining revealed that liver tissues lipidosis was more serious in the aged DM-O than in the CT-O. Liver TG content was significantly increased in the aged DM-O(86.2±10.2) mol/g,but was significantly lower than in the CT-O(61.10±4.71) mol/g(P=0.045 7). Conclusion:Paternal diabetes mellitus induces insulin resistance in the aged offspring,possibly caused by liver tis-sues lipidosis.