AMP-activated protein kinase (AMPK) is activated in muscle of subjects with type 2 diabetes during exercise.

@article{Musi2001AMPactivatedPK,
  title={AMP-activated protein kinase (AMPK) is activated in muscle of subjects with type 2 diabetes during exercise.},
  author={Nicolas Musi and Nobuharu L. Fujii and Michael F. Hirshman and I Ekberg and Sven O. Fr{\"o}berg and Olle Ljungqvist and Anders Thorell and Laurie J. Goodyear},
  journal={Diabetes},
  year={2001},
  volume={50 5},
  pages={
          921-7
        }
}
Insulin-stimulated GLUT4 translocation is impaired in people with type 2 diabetes. In contrast, exercise results in a normal increase in GLUT4 translocation and glucose uptake in these patients. Several groups have recently hypothesized that exercise increases glucose uptake via an insulin-independent mechanism mediated by the activation of AMP-activated protein kinase (AMPK). If this hypothesis is correct, people with type 2 diabetes should have normal AMPK activation in response to exercise… 
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Elevated preexercise SkM AMPKalpha1 and -alpha2 activities contribute to the ongoing basal supply of glucose and fatty acid metabolism in suboptimally controlled hypoinsulinemic diabetic dogs; but whether they also play a permissive role in the metabolic stress response to exercise remains uncertain.
AMP-activated protein kinase and the regulation of glucose transport.
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Evidence that AMPK may play a role in enhancing muscle and whole body insulin sensitivity for glucose transport under conditions such as exercise, as well as the use of the AMPK activator AICAR to reverse insulin-resistant conditions is discussed.
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