How endurance training alters muscle lipid metabolism while preserving insulin sensitivity remains unclear. Because acute free fatty acid (FFA) elevation by lipid infusion reduces insulin sensitivity, we hypothesized that training status would alter accumulation of muscle triacylglycerol (TAG), diacylglycerol (DAG), ceramide, and acylcarnitine during acute FFA elevation. Trained (n ϭ 15) and sedentary (n ϭ 13) participants matched for age, sex, and BMI received either a 6-h infusion of lipid (20% Intralipid at 90 ml/h) or glycerol (2.25 g/100 ml at 90 ml/h) during a hyperinsulinemic euglycemic clamp. Muscle biopsies were taken at 0, 120, and 360 min after infusion initiation to measure intramyocellular concentrations of TAG, DAG, ceramides, and acylcarnitines by liquid chromatography-tandem mass spectrometry. Trained participants had a higher V O2 max and insulin sensitivity than sedentary participants. The lipid infusion produced a comparable elevation of FFA (594 Ϯ 90 mol/l in trained, 721 Ϯ 30 mol/l in sedentary, P ϭ 0.4) and a decline in insulin sensitivity (Ϫ44.7% trained vs. Ϫ47.2% sedentary, P ϭ 0.89). In both groups, lipid infusion increased the linoleic and linolenic acid content of TAG without changing total TAG. In the sedentary group, lipid infusion increased total, oleic, and linoleic acid and linolenic acid content of DAG. Regardless of training status, lipid infusion did not alter total ceramide, saturated ceramide, palmitoyl-carnitine, or oleoyl-carnitine. We conclude that during acute FFA elevation, trained adults have a similar decline in insulin sensitivity with less accumulation of muscle DAG than sedentary adults, suggesting that lipid-induced insulin resistance can occur without elevation of total muscle DAG.training; intramyocellular lipid; diacylglycerol; insulin sensitivity; free fatty acids INSULIN RESISTANCE IS A CRITICAL CONTRIBUTOR to type 2 diabetes mellitus (T2DM), a disease that adversely affects millions of Americans. Insulin resistance has a well-established association with the metabolic syndrome (15) and predates T2DM (32). Because skeletal muscle is the largest site of insulin resistance (16,43), there is intense interest in understanding the mechanism of insulin resistance in these tissues.In sedentary humans, muscle insulin resistance has been attributed to lipotoxicity, which is defined as the elevation of lipids and/or lipid metabolites within blood or tissues with subsequent metabolic derangement. Several lines of evidence support this theory. Despite hyperinsulinemia, free fatty acid (FFA) levels are roughly two times higher in humans with obesity (2), insulin resistance (2), or T2DM (39) than in healthy humans. FFA elevation, in turn, increases intramyocellular lipid (IMCL) levels (10), a measurement that in sedentary humans is inversely associated with insulin sensitivity (30, 35). Although FFA elevation was initially thought to increase muscle insulin resistance by increasing IMCL (10), subsequent work has suggested that lipid metabolites such as diacylglycerol (DAG)...