We examined fatty acid transporters, transport, and metabolism in hearts and red and white muscles of lean and insulin-resistant (week 6) and type 2 diabetic (week 24) Zucker diabetic fatty (ZDF) rats. Cardiac fatty acid transport was similar in lean and ZDF hearts at week 6 but was reduced at week 24 (Ϫ40%) in lean but not ZDF hearts. Red muscle of ZDF rats exhibited an early susceptibility to upregulation (ϩ66%) of fatty acid transport at week 6 that was increased by 50% in lean and ZDF rats at week 24 but remained 44% greater in red muscle of ZDF rats. In white muscle, no differences were observed in fatty acid transport between groups or from week 6 to week 24. In all tissues (heart and red and white muscle), FAT/CD36 protein and plasmalemmal content paralleled the changes in fatty acid transport. Triacylglycerol content in red and white muscles, but not heart, in lean and ZDF rats correlated with fatty acid transport (r ϭ 0.91) and sarcolemmal FAT/CD36 (r ϭ 0.98). Red and white muscle fatty acid oxidation by isolated mitochondria was not impaired in ZDF rats but was reduced by 18 -24% in red muscle of lean rats at week 24. Thus, in red, but not white, muscle of insulin-resistant and type 2 diabetic animals, a marked upregulation in fatty acid transport and intramuscular triacylglycerol was associated with increased levels of FAT/CD36 expression and plasmalemmal content. In heart, greater rates of fatty acid transport and FAT/CD36 in ZDF rats (week 24) were attributable to the inhibition of age-related reductions in these parameters. However, intramuscular triacylglycerol did not accumulate in hearts of ZDF rats. Thus insulin resistance and type 2 diabetes are accompanied by tissue-specific differences in FAT/CD36 and fatty acid transport and metabolism. Upregulation of fatty acid transport increased red muscle, but not cardiac, triacylglycerol accumulation. White muscle lipid metabolism dysregulation was not observed. plasma membrane-associated fatty acid-binding protein; FAT/CD36; GLUT4; mitochondria; giant vesicles INSULIN RESISTANCE IN HEART and skeletal muscle has been linked to intramuscular accumulation of fatty acids, the metabolites of which interfere with activation of the insulin signaling pathway involved in recruitment of GLUT4 to the cell surface (17,18,26,50,54). This excess lipid metabolite accumulation is thought to be due to a reduced fatty acid oxidation (36) and/or an altered rate of fatty acid uptake into tissues such as heart (19, 41) and skeletal muscle (9,19). Evidence for impaired fatty acid oxidation is not consistently supported by recent studies in insulin-resistant skeletal muscle (22,32,46), whereas the excess influx of fatty acids is gaining more credence (9,19,38).Fatty acid entry into many tissues occurs via a proteinmediated mechanism (6, 34, 35). The key fatty acid transporters include FAT/CD36 and plasma membrane-associated fatty acid-binding protein (FABPpm), which can be induced to translocate by muscle contraction (7,23,33,42,56) and by stimulation with insulin (23,33,4...