Hypoglycaemia is a major complication of severe malaria [(1990) Trans. Roy. Sot. Trop. Med. 84 (suppl. 2) l-651, especially cerebral malaria, in which it is associated with increased mortality [( ) Lancet 336. 1039[( -1043 ]. Here we report that TMAs can act synergistically with insulin in both stimulating lipogenesis and inhibiting lipolysis in rat adipocytes in vitro, and, furthermore.that they act synergistically with insulin in the induction of hypoglycaemia in vivo.