The -cell biochemical mechanisms that account for the compensatory hyperfunction with insulin resistance (so-called -cell adaptation) are unknown. We investigated glucose metabolism in isolated islets from 10 -12-week-old Zucker fatty (ZF) and Zucker lean (ZL) rats (results expressed per mg/islet of protein). ZF rats were obese, hyperlipidemic, and normoglycemic. They had a 3.8-fold increased -cell mass along with 3-10-fold increases in insulin secretion to various stimuli during pancreas perfusion despite insulin content per milligram of -cells being only one-third that of ZL rats. Islet glucose metabolism (utilization and oxidation) was 1.5-2-fold increased in the ZF islets despite pyruvate dehydrogenase activity being 30% lowered compared with the ZL islets. The reason was increased flux through pyruvate carboxylase (PC) and the malate-pyruvate and citrate-pyruvate shuttles based on the following observations (% ZL islets): increased V max of PC (160%), malate dehydrogenase (170%), and malic enzyme (275%); elevated concentrations of oxaloacetate (150%), malate (250%), citrate (140%), and pyruvate (250%); and 2-fold increased release of malate from isolated mitochondria. Inhibition of PC by 5 mM phenylacetic acid markedly lowered glucose-induced insulin secretion in ZF and ZL islets. Thus, our results suggest that PC and the pyruvate shuttles are increased in ZF islets, and this accounts for glucose mitochondrial metabolism being increased when pyruvate dehydrogenase activity is reduced. As the anaplerosis pathways are implicated in glucose-induced insulin secretion and the synthesis of glucose-derived lipid and amino acids, our results highlight the potential importance of PC and the anaplerosis pathways in the enhanced insulin secretion and -cell growth that characterize -cell adaptation to insulin resistance.Insulin resistance is tissue insensitivity to the regulatory effects of insulin on glucose and fatty acid metabolism. Insulin resistance is a risk factor for type 2 diabetes (1). However, most affected individuals do not develop diabetes because of a compensatory increase in insulin secretion (2). The mechanism of the -cell adaptation is poorly understood. Particularly unclear is the dichotomy that insulin resistance is typically accompanied by elevated blood and tissue triglyceride and fatty acid (FA) 1 levels (3) when multiple studies of isolated islets and -cell lines cultured with FA have shown detrimental effects on -cell function and viability (4 -7).A well known mechanism for altered cellular function from excess FA is the glucose-fatty acid cycle of Randle, part of which is impaired activation of pyruvate dehydrogenase (PDH) (8). This effect is reported to occur in FA-cultured islets (9). PDH supplies pyruvate-derived acetyl-CoA to the citrate cycle so that in most tissues excess FA results in lowered ATP production. Intact -cell mitochondrial function is required for glucose-induced insulin secretion (10, 11), leading to speculation that this is a mechanism of FA-induced impaired -ce...