Hormonal
Skeletal muscle glycogen depletion via exercise or fasting increases insulin sensitivity by enhancing insulin-stimulated glucose uptake and PKB phosphorylation, whereas high glycogen content inhibits glucose disposal via feedback mechanisms.
To improve insulin sensitivity, ensure your muscles are not perpetually full of glycogen. Regular exercise that depletes glycogen (especially high-intensity or prolonged endurance) creates a 'storage space' that allows your body to handle carbohydrates more efficiently afterward. Avoid constant high-carb intake without exercise, as this fills glycogen stores and triggers feedback inhibition that reduces insulin sensitivity.
Indeed, reduced glycogen content in skeletal muscles increases insulin sensitivity (Jensen et al., 1997)... high glycogen content decreased insulin-stimulated glycogen synthesis and increased glycolytic flux (Jensen et al., 2006).
Why this rating
The paper is a review citing multiple human and animal studies showing consistent inverse relationships, though it notes some signaling inconsistencies.
Source
The Role of Skeletal Muscle Glycogen Breakdown for Regulation of Insulin Sensitivity by Exercise
Jørgen Jensen et al. · Frontiers in Physiology · 2011
DOI 10.3389/fphys.2011.00112
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