Spontaneously hypertensive rats (SHR) are hyperinsulinemic compared with their Wistar-Kyoto (WKY) controls. Since previous studies have demonstrated that vanadyl sulfate lowers insulin levels in nondiabetic rats, we used vanadyl to explore the relation between hyperinsulinemia and hypertension. In a prevention study, 5-week-old SHR and WKY rats were started on long-term vanadyl sulfate treatment. Vanadyl in doses of 0.4 to 0.6 mmol/kg per day lowered plasma insulin (252±22.8 versus 336±12.6 pmol/L, treated versus untreated, P<.01) and systolic blood pressure (158±2 versus 189±1 mm Hg, P<.001) in SHR without causing any change in plasma glucose. No changes were seen in the treated WKY rats. At 11 weeks of age, a group of untreated rats from the prevention study was started on vanadyl treatment as before. Again, vanadyl caused significant and sustained decreases in plasma insulin (264±12.6 versus 342±6.6 pmol/L, treated versus untreated, P<.001) and blood pressure (161 ±1 versus E ssential hypertension is associated with multiple metabolic defects in carbohydrate and lipoprotein metabolism 13 that include insulin resistance, hyperinsulinemia, and dyslipidemia.1 ' 45 Insulin resistance in hypertension is often accompanied by hyperinsulinemia, 67 and these metabolic defects persist when blood pressure (BP) is reduced by conventional antihypertensive drugs.58 Hyperinsulinemia in hypertension is probably a reflection of the resistance to the peripheral uptake and utilization of glucose, with high levels of insulin needed to maintain and/or sustain euglycemia in the presence of insulin resistance.9 -10 However, the precise nature of this relation remains unexplained. The primary question that needs resolution is whether or not these defects in carbohydrate metabolism are causally related to hypertension.Insulin resistance and hyperinsulinemia have also been documented in three models of experimental hypertension 1114 including the genetically predisposed spontaneously hypertensive rat (SHR).13 Furthermore, SHR exhibit a decreased insulin clearance, which may also result in increased plasma insulin