Obesity threatens pancreatic islet function and ARBs prevent type 2 diabetes onset. We compared two ARBs effects on pancreatic islet remodelling and function. Both ARBs preserved islet structure by greater blood flow and lower apoptosis. Losartan and Telmisartan rescued islet glucose sensing, with structural enhancement. GLP-1 and PDX1 mediate additional telmisartan effects on glucose homeostasis.