Figure 1. β-cell metabolism under normal conditions.
Glucose metabolism is the key determinant of ATP generation and the triggering of insulin secretion, whereas fatty acids modulate insulin secretion via Gly/FFA cycling. Arrow thickness indicates rate of metabolism. Abbreviations: FFA, free fatty acid; Gly/FFA, glycerolipid-free fatty acid cycle; ACC, acetyl-coA carboxylase; FAS, fatty acid synthase; GK, glucokinase; PDH, pyruvate dehydrogenase; PC, pyruvate carboxylase.