In both type 1 and type 2 diabetes, islet beta cells are dysfunctional and die, leading to loss of insulin production and hyperglycemia. BCDRN has world-recognized strength in islet biology research, and includes translational research scientists focused on islet beta cell function, regeneration, death, inflammation, and replacement. Vancouver is a leading centre for pancreatic islet transplantation and human islet research and is a site for clinical trials in beta cell replacement, including stem cell derived insulin-producing cells. BCDRN researchers have made pioneering contributions to the generation of beta cells from stem cells suitable for transplantation; identifying the causes of beta cell death and dysfunction in type 2 diabetes; understanding the causes and consequences of excess insulin secretion in obesity (hyperinsulinemia); and understanding the pathways that lead to the production of new beta cells during development.