“…However, some heterogeneity persists in beta cells in islets and recent research suggests that it plays a crucial role for normal beta cell function (21,106,118,131). One of the important tools to quantify heterogeneity are classical physiological and network analyses of complex spatiotemporal [Ca 2+ ]IC dynamics (78,140), which enable identification of cells that play important roles in an islet´s response to secretagogues, e.g., cells that respond first (i.e., first-responders), cells that start the [Ca 2+ ]IC waves that synchronize fast [Ca 2+ ]IC oscillations (i.e., pacemakers), cells that functionally interact with the most other cells (i.e., hubs), etc (19,66,78,139,140,143,146). These roles are probably crucial for generation of coordinated rhythmic activity (15,18,36,66,78,84,101,120,123,140,142) and there is growing evidence that both environmental and genetic factors may target connectivity and heterogeneity in the pathogenesis of diabetes mellitus (4,53,78,131,141,145).…”