Fifty-two patients and 36 controls were compared in a search for insul
in gene variants among type II diabetic patients with fasting hyperins
ulinemia (above 90 mu U/ml) and a fasting C-peptide to insulin molar r
atio between 1.11 and 1.50. Alpha and beta alleles of the insulin gene
were characterized by restriction analysis of polymerase chain reacti
on (PCR) products and direct sequencing. The more frequent occurrence
of the alpha allele of the insulin gene within the control population
as compared with a prevalence of the beta allele in the diabetic patie
nts (P, 0.05) was observed. The beta allele, usually described as the
rare allele, seems to be associated with the disease.