Regular exercise involves daily muscle contractions helping metabolize up to 70% of daily ingested glucose. Skeletal muscle increases glucose uptake through two distinct pathways: insulin signaling pathway and muscle contraction mediated AMPK pathway. People with paralysis are unable to contract their muscles which atrophy. transform into insulin resistant glycolytic muscle. https://www.roneverhart.com/Corvette-Radiator-Supports-1997-2004-C5-Z06/