Insulin stimulates glucose transport in skeletal muscle by glucose transporter GLUT4 translocation to sarcolemma and membrane invaginations, the t-tubules. Although muscle glucose uptake plays a key role in insulin resistance and type 2 diabetes, the dynamics of GLUT4 translocation and the signaling involved are not well described. We have now developed a confocal imaging technique to follow trafficking of green fluorescent protein-labeled proteins in living muscle fibers in situ in anesthetized mice. Using this technique, by imaging the dynamics of GLUT4 translocation and phosphatidylinositol 3,4,5 P 3 (PIP 3 ) production in response to insulin, here, for the first time, we delineate the temporal and spatial distribution of these processes in a living animal. We find a 10-min delay of maximal GLUT4 recruitment and translocation to t-tubules compared with sarcolemma. Time-lapse imaging of a fluorescent dye after intravenous injection shows that this delay is similar to the time needed for insulin diffusion into the t-tubule system. Correspondingly, immunostaining of muscle fibers shows that insulin receptors are present throughout the t-tubule system. Finally, PIP 3 production, an early event in insulin signaling, progresses slowly along the t-tubules with a 10-min delay between maximal PIP 3 production at sarcolemma compared with deep t-tubules following the appearance of dye-labeled insulin. Our findings in living mice indicate a major role of the t-tubules in insulin signaling in skeletal muscle and show a diffusion-associated delay in insulin action between sarcolemma and inner t-tubules. Diabetes 55:1300 -1306, 2006 S keletal muscle is a key regulator of glucose homeostasis, and defects in glucose uptake in muscle are central in insulin resistance and type 2 diabetes. The GLUT4 glucose transporter in skeletal muscle fibers mediates glucose uptake by translocation from intracellular compartments to the plasma membrane upon stimulation with insulin (1,2). However, the intracellular trafficking of GLUT4 in muscle and the signaling regulating these processes are poorly understood. The lack of understanding reflects the weakness of current methods for analyzing insulin-mediated GLUT4 translocation in skeletal muscle. First, generally data can only be sampled at few time points, typically basal and 30 min after insulin stimulation (3-5), thereby missing intermediate GLUT4 trafficking. Second, in studies relying on subcellular fractionation or morphological GLUT4 translocation analysis, the effect of insulin can only be evaluated by comparisons between different muscles and not within single muscle fibers (4,6). Third, traditional methods are all invasive and may not accurately reflect in vivo conditions. To overcome these problems, we have developed confocal time-lapse imaging techniques for monitoring dynamic changes in localization of green fluorescent protein (GFP)-tagged proteins in skeletal muscle fibers in situ in living mice (7) (Fig. 1). Here, using these techniques, we reveal previously unnoticed signali...