Glucose induces biphasic insulin secretion by the islet -cell. Based on recent knowledge on glucose signaling in the -cell, the underlying mechanisms for this biphasicity could be envisaged as follows. Glucose-induced elevation of cytosolic free Ca 2؉ concentration, which is due to the electrophysiological events that originate in closure of the ATP-sensitive K ؉ (K ATP ) channel, most likely triggers the first phase. The second phase is produced by gradual augmentation and potentiation of Ca 2؉ -triggered insulin release by the K ATP channelindependent, nonionic signals. Protein acylation may be involved in the nonionic signaling. In patients lacking functional K ATP channels, however, the first phase of glucose-induced insulin secretion is clearly retained, casting doubt on the simplistic view outlined above. In this pathological condition, the K ATP channel-independent, most likely nonionic, glucose action alone is sufficient for the first-phase response. Diabetes 51 (Suppl.