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Participating investigators: Australia: Gary Wittert, Royal Adelaide Hospital, Adelaide; Greg Fulcher, Royal North Shore Hospital, St. Leonards. Guatemala: Luis-Alberto Ramirez-Roca, Clinica Las Americas; Raul Barrera, Clinica Las Americas-A; Ronaldo Gonzalez, Endonutri. Israel: Eddy Karnieli, Rambam Medical Center, Haifa; Ilan Shimon, Beilinson MC, Petach Tikva; Julio Wainstein, Wolfson Hospital, Holon; Naftali Stern, Sourasky/Ichilov Hospital,Tel Aviv; Oscar Minuchin, Lin Medical Center, Haifa; Victor Vishlitzky, Meir Medical Center,Kfar Saba. Mexico: Carlos Dominguez Reyes, Centenario Hospital Miguel Hidalgo Aguascalientes, Aguascalientes; Enrique Morales, Centro en Investigacion de Enf. Cardiovascualres, Aguascalientes; Gerardo Gonzalez-Giron, Centro de Investigacion Clinica del Pacifico, Acapulco; Luis Alejandro Nevarez; Hospital Cima, Chihuahua; Melchor Alpizar-Salazar, Centro Especializado en Diabetes, Mexico City. Peru: Carlos Zubiate, Centro de Investigaciones Medicas Metabolic Care, Lima; Miguel Pinto, Oftalmolaser, Lima. Romania: Alexandrina Popescu, Ploiesti; Carmen Crisan, Mures; Mihaela Busegeanu, Ploiesti; Mihaela Vlaiculescu, Bucuresti; Nicolae Hancu, Cluj-Napoca; Silviana Constantinescu, Buzau. Russia: Alexander Khokhlov, Clinical Hospital, Jaloslave; Alexandr VasDreval, M.F. Vladimirskiy Regional Scientific Research Institute, Moscow; Anatoly Kuzin, Chelyabinsk; Marina Ballyuzek,St- Petersburg Clinical Hospital of Russian Academy of Science, St. Petersburg; Olga Smirnova,Endocrinology Research Center of Rosmedtechnologies, Moscow; Valery Podzolkov, SEI HPE Moscow Medical Academy N.A.I.M. Sechenov of Russia, Moscow; Viacheslav Marasaev, Yaroslavi Regional Clinical Hospital, Yaroslavl; Vladimir Grinevich, State Institution 442 District Military Clinical Hospital, St. Petersburg; Vladimir Potemkin, Russian State Medical University, Moscow; Yuriy Uspenskiy, St. Petersburg State Medical Academy N.A. Mechnikov,St. Petersburg. Slovakia: Alena Gabrisova, Trencin; Anna Vargova, Levice; Ingrid Buganova,Zilina; Jan Truban, Dolny Kubin; Marek Macko, Presov. Taiwan: Chien-Wen Chou, Chi-Mei Medical Center, Tainan; Dee Pei, Cardinal Tien Hospital, Tapei County; Lee-Ming Chuang National Taiwan University Hospital, Taipei; Shih-Te Tu, Changhua Christian Hospital, Changhua. United States: Milissa Cooper, Hope Research Institute, Phoenix, Arizona; Andrew Lewin, National Research Institute, Los Angeles, California; Robert Burton, Crest Clinical Trials, Santa Ana, California; Ronald Stegemoller, Avon Clinical Research, Avon, Indiana; Gregory Collins, Charlotte Clinical Research, Charlotte, North Carolina, Georges Tannoury, Specialty Medical Center, Pahrump, Nevada; Cynthia Strout, Coastal Carolina Research Center, Mount Pleasant, South Carolina; Philip Snell, Mountain View Clinical Research Inc., Greer, South Carolina; Douglas Denham and Mark Kipnes, Diabetes and Glandular Disease Research Associates, Inc., San Antonio, Texas; John Hoekstra, National Clinical Research, Richmond, Virginia.

Supplementary Table 1. Baseline and change from baseline at week 24 in exploratory endpoints Diastolic blood pressure, mmhg, baseline (SE) 79.2 (0.8) 80.0 (0.8) 79.2 (0.7) -1.3 ( 2.51, 0.002) -0.5 ( 1.80, 0.74) -0.4 ( 1.62, 0,81) Systolic blood pressure, mmhg, baseline (SE) 130.7 (1.3) 130.0 (1.3) 131.3 (1.2) -2.4 ( 4.35, 0.45) -1.9 ( 3.92, 0.04) -2.5 ( 4.37, 0.59) Triglycerides, mmol/l, baseline (SE) 2.11 (0.09) 2.13 (0.10) 1.93 (0.09) -0.08 (-0.23, 0.06) 0.12* (-0.02, 0.26) -0.15 (-0.28, -0.01) HDL, mmol/l, baseline (SE) 1.19 (0.03) 1.21 (0.03) 1.25 (0.03) 0.04 (-0.01, 0.09) 0.02 (-0.03, 0.06) 0.08 (0.04, 0.12) LDL, mmol/l, baseline (SE) 3.14 (0.09) 3.38 (0.09) 3.29 (0.08) -0.06 (-0.19, 0.07) -0.16 (-0.28, -0.03) -0.19 (-0.31, -0.07) Total cholesterol, mmol/l, baseline (SE) 5.19 (0.10) 5.44 (0.10) 5.33 (0.10) -0.08 (-0.24, 0.07) -0.12 (-0.27, 0.03) -0.21 (-0.35, -0.07) hs CRP, mg/l, baseline (SE) 5.15 (0.72) 5.58 (0.74) 5.77 (0.69) -0.65 (-1.64, 0.35) -0.90 (-1.86, 0.07) -0.78 (-1.71, 0.15) Waist circumference, cm, baseline 104.1 (1.2) 105.5 (1.2) 102.1 (1.2) (SE) -0.74 (0.68) -1.52 (0.70) -1.42 (0.63) Hip circumference, cm, baseline 109.2 (1.2) 111.3 (1.2) 109.2 (1.1) (SE) -0.42 (0.74) -1.47 (0.71) -1.76 (0.68) Waist/hip ratio, cm, baseline 0.95 (0.01) 0.95 (0.01) 0.94 (0.01) (SE) -0.002 (0.005) 0 (0.005) 0.002 (0.005) Rescue medications needed, n (%) 12 (10.4) 2 (1.8) 1 (0.8) *P<0.05 vs placebo

Supplementary Table 2. Baseline characteristics (ITT population, N = 354) Male, n (%) 43 (37) 41 (37) 46 (36) Age (years), mean (SD) 55.8 (8.5) 53.4 (9.6) 55.0 (10.4) <65 years, n (%) 95 (83) 96 (86) 104 (82) 65 years, n (%) 20 (17) 16 (14) 23 (18) Race, n (%) White 94 (82) 96 (86) 100 (79) Asian 6 (5) 1 (1) 7 (6) Black 0 0 1 (1) Other 15 (13) 15 (13) 19 (15) Ethnicity, n (%) Hispanic 37 (32) 40 (36) 38 (30) Duration of diabetes (years), 2.3 (1.9) 2.8 (2.9) 2.1 (2.4) mean (SD) <5 years, n (%) 103 (90) 90 (80) 112 (88) 5-10 years, n (%) 12 (10) 18 (16) 13 (10) >10 years, n (%) 0 4 (4) 2 (2) HbA1c (%), mean (SD) 7.6 (1.0) 7.5 (1.0) 7.7 (1.0) HbA1c baseline 8%, n (%) 31 (27) 31 (28) 46 (36) FPG (mmol/l), mean (SD) 8.6 (2.4) 8.8 (2.7) 9.0 (2.5) Body weight (kg), mean (SD) 87.4 (19.3) 88.4 (17.8) 85.0 (17.0) BMI (kg/m 2 ), mean (SD) 32.1 (5.3) 33.2 (5.0) 31.7 (4.9) Waist circumference, mean 104.1 (14.9) 105.5 (12.2) 102.1 (12.0) (SD) Hip circumference, mean 109.2 (13.5) 111.2 (11.8) 109.1 (12.2) (SD) Waist/hip ratio (SD) 0.95 (0.09) 0.95 (0.08) 0.94 (0.08)

Supplementary Table 3. Baseline and change from baseline in HOMA-B and Proinsulin-to- Insulin Ratio at week 24. Parameter HOMA-B, baseline (SE) 59.8 (5.6) 70.3 (5.7) 56.9 (5.4) (SE) 2.0 (16.3) 58.8 (16.3)* 65.2 (15.4)* Proinsulin/Insulin Ratio, baseline 0.512 (0.029) 0.475 (0.030) 0.531 (0.028) (SE) (SE) -0.018 (0.024) -0.143 (0.024)* -0.106 (0.023)* *P<0.05 vs. placebo Supplementary Figure 1. Patient disposition

Supplementary Figure 2. Response rates (HbA1c 7.0% and 6.5%) in patients receiving placebo, taspoglutide and taspoglutide. Supplementary Figure 3. in HbA1c at week 24 by baseline HbA1c of <8% and 8%.