Insulin secretion during hyperglycemic clamp. Px rats were fed a high fat diet supplemented with aronia, red ginseng, shiitake mushroom, and nattokinase powders (1) 0.5 g mixture/kg bw/day (AGM-L), (2) 1 g mixture/kg bw/day (AGM-H), (3) 1 g dextrin /kg bw/day (control), or (4) metformin (120 mg/kg body weight; positive-control) for 12 weeks. Sham rats fed the same diet of the control. Hyperglycemic clamp was conducted in conscious, free moving, and overnight fasted rats to measure glucose-stimulated insulin secretion. As exogenous glucose was infused into jugular vein to make approximately 5.5 mM above overnight fasted serum glucose levels, serum insulin levels were measured at 0, 2, 5, 10, 30, 60, 90 and 120 min (A). The average of the area under the curve (AUC) of serum insulin levels (B) during the first part (0–10 min) and second part (10–90 min) during hyperglycemic clamp (B). Each dot and bar and error bar represents the mean ± SD (n = 10 of each group). * Significantly different among the groups at each time point at p < 0.05. a,b,c,d Different superscripts on the bars represent significant differences at p < 0.05.