In order to investigate whether or not
insulin exerts any influence on endogenous insulin secretion, 6 non-obese healthy volunteers were connected to the
artificial beta-cell (BIOSTATOR) for 16 hours. After an overnight fast 0.4 U of intermediate acting
insulin (Monotard MC/NOVO INDUSTRIES) per kg
body weight were injected subcutaneously. The computer program was set to maintain steady-state plasma
glucose concentrations at fasting levels by a variable
glucose infusion. This approach is able to prevent completely
hypoglycemic episodes. Endogenous insulin secretion was evaluated by measuring plasma
C-peptide concentrations. Whereas plasma
insulin levels increased markedly in response to
insulin injection at the same time
C-peptide levels declined correspondingly, indicating an inhibition of insulin secretion. Thus, our results provided further support for a negative feedback regulation of insulin secretion by
insulin itself.