A primary treatment goal in type 1 and type 2 diabetes is normalization of pancreatic β-cell homeostasis. Kondegowda et al. report that the TNF receptor superfamily member osteoprotegerin — which is involved in bone formation — stimulates β-cell proliferation and enhances glucose homeostasis in young, aged and diabetic mice. These effects were mediated through binding receptor activator of NF-κB ligand (RANKL) and modulation of the CREB and GSK3 pathways. Treatment of humanized diabetic mice with the RANKL-specific antibody denosumab (an osteoporosis drug that is approved in the US) induced β-cell proliferation.