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Dynamics of insulin secretion and the clinical implications for obesity and diabetes
Susumu Seino, Tadao Shibasaki, Kohtaro Minami
Susumu Seino, Tadao Shibasaki, Kohtaro Minami
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Review Series

Dynamics of insulin secretion and the clinical implications for obesity and diabetes

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Abstract

Insulin secretion is a highly dynamic process regulated by various factors including nutrients, hormones, and neuronal inputs. The dynamics of insulin secretion can be studied at different levels: the single β cell, pancreatic islet, whole pancreas, and the intact organism. Studies have begun to analyze cellular and molecular mechanisms underlying dynamics of insulin secretion. This review focuses on our current understanding of the dynamics of insulin secretion in vitro and in vivo and discusses their clinical relevance.

Authors

Susumu Seino, Tadao Shibasaki, Kohtaro Minami

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Figure 4

Changes in AIRg relative to changes in SI index in Pima Indian subjects in whom glucose tolerance deteriorated from normal glucose tolerance (NGT) to impaired glucose tolerance (IGT) to diabetes (DIA) (progressors) and in subjects who retained NGT (nonprogressors).

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Changes in AIRg relative to changes in SI index in Pima Indian subjects ...
Lines represent the prediction line and the lower and upper limits of the 95% confidence interval of the regression between AIRg and SI index, as derived from a reference population of Pima Indians with NGT. Adapted from Journal of Clinical Investigation (82).

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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