Summary Intravenous infusions of glucagon-like peptide 1 (GLP-1) [7-36 amide] are glucose-dependently insulinotropic and glucagonostatic and normalize plasma glucose concentrations in non-insulindependent diabetic patients. It was the aim of this study to investigate whether subcutaneous GLP-1 [7-36 amide] also has an influence on insulin and glucagon secretion, and which doses are required for significant effects. Therefore, eight healthy volunteers (24 + 2 years, body mass index [BMI] 21.9 + 2.3 kg/ m 2) were studied in the fasting state on five occasions in randomized order. Placebo (0.9 % NaC1 with 1% human serum albumin) or GLP-1 [7-36 amide] in doses of 0.15, 0.5, 1.5 or 4.5 nmol/kg body weight (volume i ml or, at the highest dose, 2 ml) was administered subcutaneously. An intravenous glucose bolus (0.33 g/kg body weight) was injected 30 min later. Blood was drawn for the measurement of glucose, insulin, C-peptide, , and glucagon using specific radioimmunoassays. There were dose-related increments in GLP-1 [7-36 amide] concentrations (p < 0.0001). However, basal values were reached again after 90-120 min. Before glucose administration, insulin (p<0.0001) and C-peptide (p<0.0004) increased, whereas glucagon (p= 0.0018) and glucose (p < 0.0001) decreased in a dosedependent manner. After glucose stimulation, integrated increments in insulin (p = 0.0007) and C-peptide (p--0.02) were augmented and ka-values increased (p < 0.0001) in a dose-related fashion. The extent of reactive hypoglycaemia was related to the GLP-1 [7-36 amide] dose. With the highest GLP-1 [7-36 amide] dose, at the time of peak plasma concentrations, most volunteers felt unwell, and nausea and vomiting were observed in four subjects. In conclusion, subcutaneous GLP-1 [7-36 amide] is also able to stimulate insulin and inhibit glucagon secretion, thereby altering glucose assimilation. However, with unmodified GLP-1 [7-36 amide], the duration of action is short, and with high doses side effects are common. [Diabetologia (1995) ileum and colon/rectum [1,2]. , together with gastric inhibitory polypeptide (GIP) from the upper gut, acts as a physiological incretin hormone [3,4]. In pharmacological concentrations, exogenous GLP-1 [7-3~6 amide or 7-37] raised insulin and lowered glucagon concentrations also in noninsulin-dependent diabetic (NIDDM) patients [5,6]. By these mechanisms, plasma glucose was normalized by intravenous in NIDDM patients with secondary failure of sulphonylurea treatment within 3-4 h [7]. Therefore, it has been suggested to use GLP-1 [7-36 amide] or GLP-1 [7-37] (which has an identical action profile in rats [8] and