The cholecystokinin B receptor (CCK B R) is localized on pancreatic endocrine somatostatin ␦-cells. Pancreatic somatostatin content was increased in diabetic rats. The mechanisms involved in this phenomenon are unknown, and we believe insulin is involved. In this study, four groups of rats were used: controls, streptozotocininduced diabetic, streptozotocin-induced diabetic with insulin, and streptozotocin-induced diabetic with insulin and its cessation. Rats were killed after 7-28 days of treatment for diabetes, and somatostatin mRNA expression and pancreatic somatostatin content, CCK B R mRNA and protein expression evaluation in total pancreas and purified islets, and the cellular localization of somatostatin and CCK B R in islets was measured. Data indicate that diabetes is established after 7 days, is controlled by insulin, and reappears after treatment cessation. Pancreatic somatostatin mRNA expression and somatostatin content were increased during diabetes, normalized during insulin treatment, and reaugmented after treatment cessation. Gland and islet CCK B R mRNA and protein almost disappeared during diabetes; CCK B mRNA reappeared in response to insulin, but the protein did not. Confocal microscopy confirmed data obtained on somatostatin and CCK B R as established biochemically in the course of the treatments. In conclusion, these data strongly suggest that insulin can negatively control pancreatic somatostatin mRNA and hormone content and positively control CCK B R mRNA; the CCK B R protein appears to be delayed. Diabetes 53: 1526 -1534, 2004 D uring the 1970s, major changes were observed in the metabolism of pancreatic somatostatin during diabetes development in human and experimental animals; these modifications included increased secretion, tissue contents, and ␦-cell population (1-12). On the contrary, it was also reported (13,14) that in diabetic mice mutants (ob/ob and db/db), pancreatic somatostatin content was decreased, along with a reduction in somatostatin cells within the islet. It was later suggested that in streptozotocin (STZ)-induced diabetic rats, regulation of somatostatin gene transcription was targeted to the pancreas and stomach but not to the other somatostatin-producing tissues (15).The role played by insulin in somatostatin release remains controversial. Indeed, insulin can stimulate somatostatin release from perfused chicken pancreas-duodenum (16); however, data from monolayer cultures of neonatal rat pancreas (17) and isolated dog pancreas (18) clearly show that insulin fails to induce somatostatin release. In anesthetized normal and diabetic dogs, insulin infusion or injection was associated with an immediate reduction of the venous pancreaticoduodenal release of somatostatin (19). All of these differences could be explained by the different models used to study somatostatin release.Cholecystokinin (CCK), a duodenal hormone released into the bloodstream after meal ingestion, is recognized as the major hormonal factor involved in the regulation of pancreatic exocrine secretio...