This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Biochemistry
Low insulin to glucagon ratio is seen in all of these except: 
Select and explain. 
A. Glycogen synthesis, B. Glycogen breakdown, C. Gluconeogenesis, D. Ketogenesis
A: Glycogen synthesis
Answer: A: Glycogen synthesis 
Explanation: Answer- A. Glycogen synthesisLow insulin to glucagon ratio implies a catabolic state, i.e. usage of body stores to form energy, typically seen in fasting state ancl diabetes mellitus. Hence, this state will promote glycogen breakdown, gluconeogenesis as well as ketone body formation, while at the same time inhibiting glycogen synthesis and storage.