This work set out to study the effects of cadmium (Cd) in sediments on the antioxidant enzyme activities in the digestive gland of Asian clam Corbicula fluminea and to explore the potential for applying these responses to evaluate the Cd-contaminated sediment. Additionally, diffusive gradients in thin-films (DGT) technique was used to predict the response of its antioxidant defense system. The sediments, collected from Taihu Lake, were spiked with Cd at different concentrations (0.72, 0.91, 1.62, 2.59, 11.2, 20.4 and 40.6 mg kg⁻¹, dry weight). Asian clam was cultivated for 28 days. Concentrations of Cd in the body of Asian clam had a good relationship with concentrations of Cd in overlying water and sediments, as measured by DGT. Cd affected these biochemical parameters significantly, especially for superoxide (SOD), peroxidase (POD) and glutathione (GSH), which began to show higher sensitivity and have a significant difference in low dosage (0.91 mg Cd kg⁻¹) compared with blank. Contents of MDA and MT, which were induced by Cd, increased with the increasing Cd concentration in sediments and reached peak values at 11.2 and 20.4 mg kg⁻¹, respectively, after 28 days exposure. All of these results suggested that biochemical responses cooperated in detoxifying and maintaining cellular metabolic homeostasis. The R² of regression analysis between the contents of MT and the concentrations of Cd measured by DGT, in sediments and soft body were 0.71, 0.94 and 0.88 after 28 days exposure. This suggested that DGT measurement could predict the response of MT. Cd accumulation, GSH and MT were indispensable biomarkers and the MDA content and DGT appeared to be promising biomarkers. The results clearly indicated that Cd could induce oxidative stress in the digestive gland of Asian clam. The combination of biomonitors with DGT can obtain different information about Cd bioavailability and confirm the significance of applying a suite of biomarkers rather than a selective index to assess the sublethal effect. It also offered theoretical methods for the prediction of sediment Cd pollution.