If you are using subscriptions and you are wanting to make the first month a free trial, you would need to pass over the following variables and values.
a1=0
p1=1
t1=M
You can find a description of all of the variables for subscriptions here.
If you are wanting to get updates back to your system/database to update your profiles and etc, you can use IPN to do this. Instant Payment Notification (IPN) is a message service that notifies you of events related to PayPal transactions. You can use it to automate back-office and administrative functions, such as fulfilling orders, tracking customers, and providing status and other information related to a transaction.