Carnitine assists the transport of fat across cell membranes in muscle tissue for use as an energy source (Wahlqvist 2002). It is essential for mitochondrial fatty acid oxidation, which is the primary fuel source for the heart and skeletal muscles and therefore required for proper functioning (Evangeliou & Vlassopoulos 2003, Kelly 1998). This process is also required in order to maintain CoA levels.
Administration of l-carnitine reduces insulin secretion and improves peripheral glucose use (Grandi et al 1997) and tissue insulin sensitivity (Negro et al 1994).
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.