Abstract: Objective To study whether serum matrix metalloproteinase 9, serum transforming growth factor β 1, serum type C IV collagen concentrations are alternatoin in various stages of patients with T2DM. Methods 64 cases T2DM patients were divided into three groups according to urine albumin excretion rate (UAER):normoalbuminuria (NA)group and microalbuminuria (MA) group and overt diabetic nephropathy (ODN)group. Serum MMP 9,TGF β 1 and C IV were detected in all cases. Results Serum MMP 9 in MA and ODN groups were higher than NA and normal control groups ( P <0.01);Serum TGF β 1 in NA,MA and ODN groups were higher than NC group( P <0.01); Serum C IV in ODN group was higher than other three groups( P <0.01)。 Conclusion Higher Serum MMP 9、TGF β 1 plays an important role in the development of diabetic nephropathy in T2DM.