This invention provides novel peptides that function in vivo to stimulate
insulin release from pancreatic beta cells in a glucose-dependent
fashion. These insulin secretagogue peptides are shown to stimulate
insulin release in rat islet cells in vitro, and in vivo. The peptides of
the present invention provide a new therapy for patients with decreased
endogenous insulin secretion, in particular type 2 diabetics. In
particular, the invention is a polypeptide selected from a specific group
of VIP/PACAP-related polypeptides, or functional equivalents thereof. The
invention is also directed to a method of treating a metabolic disease in
a mammal comprising administering a therapeutically effective amount of
the insulin secretagogue peptides to said mammal. Also disclosed are
methods of making the peptides, both recombinant and synthetic.