A Patient Complains About Frequent Aches and Pains in His

A patient complains about frequent aches and pains in his muscles.A blood test shows increased levels of creatine kinase MM, fatty acids and also myoglobin.A second blood sample, this time taken after an overnight fast, revealed low levels of blood glucose and elevated VLDL.This patient most likely has which of the following conditions?

A) Carnitine-acyl transferase deficiency.
B) Essential amino acid deficiency.
C) Type 1 glycogen storage disease.
D) Acute alcohol toxicity.
E) Elevated insulin levels, which cause hypoglycemia and increased fatty acid mobilization from adipose tissue.