There is increasing evidence both in humans and rodents linking the endogenous estrogen 17β-estradiol (E2) to the maintenance
of glucose homeostasis. Postmenopausal women develop visceral obesity and insulin resistance and are at increased risk for
type 2 diabetes mellitus, but hormone replacement therapy leads to a reduction in the incidence of diabetes. In various spontaneous
rodent models of type 2 diabetes, female rodents are protected against hyperglycemia unless they are ovariectomized, and E2
perfusion reverses diabetes in male rodents. Finally, the study of transgenic mice and mice with genetic alteration of E2
secretion or E2 action has shed light on the antidiabetic properties of E2 at a tissue-specific level. Thus, E2 secretion
and action in rodents seems to be implicated 1) in adipose tissue biology and the prevention of obesity, 2) in the stimulation
of liver fatty acid metabolism and suppression of hepatic glucose production, and 3) in the protection of pancreatic β-cell
function/survival and insulin secretion in conditions of oxidative stress.