“…They consist of three different pathways: first the afferent pathway activated by olfactory, visual, gustatory and oroparyngeal mechanical receptors, second the central integratory mechanism and third the efferent pathway [118]. In rats, a cephalic phase regulation of insulin secretion has been verified by insulin secretion seen during sham feeding [119,120], after food ingestion but before any significant increase in postabsorptive glycaemia is evident [121,122], and after ingestion of non-metabolisable food [123]. In humans, a cephalic phase regulating insulin secretion was first shown by an increased circulating insulin after imaginary food ingestion under hypnosis [124] and after the sight, smell and expectation of food in healthy subjects [125].…”