In some patients with mild adult-onset diabetes oral glucose produces hypernor-ma1 increments in plasma immunoreactive insulin (1) or a delayed but prolonged rise of insulin (2), which sometimes causes reactive hypoglycemia. These and other observations emphasize the importance of characterizing factors that influence insulin release and the mechanisms involved. The nervous system, gut and pancreatic islets are key participants in modulating insulin secretion (3-9), and their functions are coordinated by hormonal and neuronal actions. Some of the messages are sent long distances via nerves (neuroendocrine) or the blood circulation (endocrine), whereas others act locally, exerting neurocrine or paracrine actions (4, 7-9). The autonomic nervous system transmits many afferent and efferent impulses through cholinergic, adrenergic, and peptidergic nerves (3 -5). Pancreatic islets and the gut are richly innervated by these nerve fibers, which have terminal synapses closely associated with the endocrine cells of the gastroenteropancreatic system and with intramural nerves in the gut (5, 7-9).Since insulin secretion is strongly stimulated by gastric inhibitory polypeptide (GIP) (6) we have investigated factors that might affect GIP secretion. Extensive studies have shown that oral glucose, triglyceride, amino acids, and a mixed meal increase GIP secretion (6, 10-13), but only a small number of hormones have been found