Chronic exposure to high glucose and fatty acid levels caused by dietary sugar and fat intake induces  cell apoptosis, leading to the exacerbation of type 2 diabetes. Oleic acid and linoleic acid are two major dietary fatty acids, but their effects in diabetes are unclear. We challenged  cell-specific glucokinase haploinsufficient (Gck ؉/؊ ) mice with a diet containing sucrose and oleic acid (SO) or sucrose and linoleic acid (SL) and analyzed  cell apoptosis. In Gck ؉/؊ but not wild-type mice, SL significantly decreased the  cell mass and  cell proportion in islet cells arising from increased apoptosis to a greater degree than did SO. The mRNA expression of SREBP-1c was significantly higher, and that of E-cadherin was significantly lower in the islets of Gck ؉/؊ mice fed SL compared with mice fed SO. We next evaluated monotherapy with desfluorositagliptin, a dipeptidyl peptidase-4 (DPP-4) inhibitor, in these mouse groups. DPP-4 inhibitor protected against  cell apoptosis, restored the  cell mass, and normalized islet morphology in Gck ؉/؊ mice fed SL. DPP-4 inhibition normalized the changes in the islet expression of SREBP-1c and E-cadherin mRNA induced by the SL diet. Furthermore, linoleic acid induced  cell apoptosis to a greater degree in the presence of high glucose levels than in the presence of low glucose levels in vitro in islets and MIN6 cells, whereas a GLP-1 receptor agonist prevented apoptosis. In conclusion, SL exacerbated  cell apoptosis in diabetic Gck ؉/؊ mice but not in euglycemic wild-type mice, and DPP-4 inhibition protected against these effects.Decreased  cell mass as a result of increased apoptosis is an important characteristic of type 2 diabetes (1). A physiological animal model of  cell apoptosis is crucial for understanding the pathophysiology of diabetes and for developing new strategies for preventing the progression of diabetes. Dietary sugars and fat influence postprandial glucose and  cell function, thereby deteriorating glucose tolerance (2). Palmitic acid, oleic acid, and linoleic acid are the most abundant fatty acids among the total plasma fatty acids, plasma non-esterified fatty acids, plasma triacylglycerol, phospholipids, and plasma cholesteryl esters (3). Palmitic acid is a well known inducer of  cell lipotoxicity. However, the effects of oleic acid and linoleic acid, two major unsaturated fatty acids, on  cells remain obscure. We therefore selected two diet protocols, namely SO 2 and SL, to examine the effects of oleic acid and linoleic acid on pancreatic islets (4). The main components of the SO diet are sucrose and oleic acid, whereas those of the SL diet are sucrose and linoleic acid. Both of these diets contain similar amounts of palmitic acids (4).Desfluorositagliptin (DFS), a dipeptidyl peptidase-4 (DPP-4) inhibitor, acts by inhibiting the breakdown of many regulatory peptides including glucagon-like peptide-1 (GLP-1) (5). The clinically beneficial effects of DPP-4 inhibition on  cells cannot be fully explained by the increase in insulin release alone,...