Recent work suggests that insulin may exert both positive and negative feedback directly on pancreatic -cells. To investigate the hypothesis that insulin modulates -cell metabolism, mouse islets and -cell clusters were loaded with rhodamine 123 to dynamically monitor mitochondrial membrane potential (⌬⌿ m ). Spontaneous oscillations in ⌬⌿ m (period: 218 ؎ 26 s) were observed in 17 of 30 islets exposed to 11.1 mmol/l glucose. Acute insulin application (100 nmol/l) hyperpolarized ⌬⌿ m , indicating a change in mitochondrial activity. The ATP-sensitive K ؉ (K ATP ) channel opener diazoxide or the L-type calcium channel blocker nifedipine mimicked the effect of insulin, suggesting that insulin activates K ATP channels to hyperpolarize ⌬⌿ m by inhibiting calcium influx. Treatment with forskolin, which increases endogenous insulin secretion, also mimicked the effect of exogenous insulin, suggesting physiological feedback. Pretreatment with nifedipine or the K ATP inhibitor glyburide prevented insulin action, further implicating a K ATP channel pathway. Together, these data suggest a feedback mechanism whereby insulin receptor activation opens K ATP channels to inhibit further secretion. The resulting reduction in -cell calcium increases the energy stored in the mitochondrial gradient that drives ATP production. Insulin feedback onto mitochondria may thus help to calibrate the energy needs of the -cell on a minute-to-minute basis. Diabetes 53:1765-1772, 2004 E lectrical activity plays a prominent role in -cell stimulus-secretion coupling in mouse islets (1,2). At low glucose concentrations (Ͻ3 mmol/l), -cells are electrically silent and secrete low or basal levels of insulin. In response to glucose stimulation (Ͼ5-7 mmol/l), metabolism and mitochondrial energy production increase (3-5). The resulting increase in the ATP/ADP ratio closes ATP-sensitive K ϩ (K ATP ) channels and depolarizes the -cell to initiate electrical activity and insulin secretion (2,6). -cell electrical activity typically follows a burst pattern consisting of slow oscillations or plateaus in membrane potential with superimposed fast calcium spikes (7). The resulting calcium influx induces insulin secretion and may activate several types of K ϩ channels to assist in terminating each burst (8 -11). Recent work suggests that this process may be regulated by insulin. Exogenous insulin has been found to modulate gene transcription and translation, intracellular signaling, intracellular calcium ([Ca 2ϩ ] i ), and insulin secretion itself (12-19). We have previously shown that insulin acutely opens the K ATP channel through a phosphatidylinositol (PI) 3-kinaseϪsensitive mechanism, leading to hyperpolarization of the -cell plasma membrane and a reduction in calcium influx as voltage-gated L-type calcium channels close (14). Insulin thus negatively feeds back to inhibit further insulin secretion via this pathway. Other studies, however, have suggested that insulin receptor activation results in increased [Ca 2ϩ ] i and increased secretion, s...