The purpose of these studies was to determine the time course for onse
t of effects of hypoglycemia on insulin gene transcription in vivo. Us
ing insulin infusions, we found that insulin-induced hypoglycemia decr
eased levels of precursors for insulin mRNA, reflecting changes in new
mRNA synthesis, to new steady-state values within 100 min. These chan
ges were followed by declines in processed insulin mRNA. An alternate
infusion technique was developed to lower plasma glucose levels from a
constant level of 120-130 to 50-60 mg/dl in <10 min without changing
insulin levels from those maintained during a preceding 1-h control pe
riod. Using this protocol, we found that levels of precursors for insu
lin mRNA remained constant for the first 20 min of hypoglycemia, then
decreased rapidly at 40 and 60 min. The initial delay followed by rapi
d decline suggests that the decrease of insulin gene transcription in
response to hypoglycemia is an active process requiring one or more in
ductive events before implementation.