“…Alterations in direct and indirect pathway activities can reflect changes in hepatic insulin actions, such as in insulin-dependent diabetes (Bischof et al, 2002) as well as adaptation to different dietary regimes (Obeid et al, 2005(Obeid et al, , 2006. Deuterated water ( 2 H 2 O) is an inexpensive and versatile tracer for the study of hepatic glycogen synthesis under both natural and artificial feeding conditions (Delgado et al, 2009;Soares et al, 2009Soares et al, , 2012Barosa et al, 2012). Analysis of glycogen positional 2 H-enrichments provides estimates of the fractional synthetic rate as well as direct and indirect pathway contributions to glycogen synthesis (Soares et al, 2009(Soares et al, , 2010.…”