Insulin receptors (IRs) mediate insulin action upon target cells [1]. Disorders of IR function are a well established, albeit rare, cause of insulin resistance and diabetes mellitus [2±4]. In mice, targeted ablation of IR expression results in lethal diabetic ketoacidosis [5±7]. Unlike children with homozygous nonsense mutations of the IR gene, IR ±/± mice do not develop substantial growth retardation, fasting hypoglycaemia, or signs of hyperandrogenism.The lack of gross growth retardation in IR ±/± mice is an unexpected finding. To understand better the causes of this apparent discrepancy between the human paradigm and the mouse model, we have recently performed genetic crosses of IR ±/± mice with mice lacking insulin-like growth factor-1 (IGF-1) receptors (IGF-1Rs) and . The results of these experiments indicate that IRs do indeed affect embryonic growth. The growth-promoting actions of IRs occur in response to IGF-2, rather than insulin, binding. The interaction between IRs and IGF-2 plays an important role during the last phase of mouse gestation. Based on these data, we have suggested that the lack of a growth-retarded phenotype in IR ±/± mice may be due to the shorter duration of mouse gestation Diabetologia (1998) 41: 171±177