Absorptive and Post Absorptive States Flashcards
what are the first four hours after a meal regulated by
insulin
what are the hours after four hours after a meal to the next meal regulated by
glucagon
aka absorptive state
fed state
what is the absorptive state regulated by
insulin
aka post absorptive state
fasted state
what is the post absorptive state regulated by
gulcagon
what are insulin and glucagon and where are they made
complimentary hormones and made in pancreas
what occurs in the fasted state
no new things in blood
tapping into stored food and using for energy
what secretes enzymes into the small intestine and hormones into the blood
pancreas
what secretes, not in blood goes into GI tract digestive enzymes acinar cells stimulated by CCK
exocrine
what is hormones
islets of langerhans
endocrine
what do the islets of langerhans make
insulin and glucagon
what type of islets make glucagon
alpha(red)
what type of islets make insulin
beta(purple)
what is the function of islets of langerhans
constantly measuring sugar levels
what is initiated if there are low sugar levels
make glucagon(post absorptive)
what is initiated if there are high sugar levels
make insulin(absorptive)
what is the absorptive state regulated by and when does it change
insulin(amino acid based)
changes in about ten minutes(can last hours)
what is the first step in the absorptive state
blood glucose levels go up(primary stimulus)
this causes facilitated diffusion of glucose into tissue cells
what is the second step in the absorptive state
cellular respiration(make ATP) make storage products(glycogen)
what is the third step in the absorptive state
protein synthesis
what does the changing of glucose in the tissues allow
it allows the concentration gradient to be retained so glucose can keep being brought into the cells
the absorptive state occurs when
sugar is plentiful
absorptive state = ______
storage
what is the storage of cellular glycogen called
glycogenosis
what is the release of blood glucose
glycogenolysis
what is the diffusion gradient contained by
glucose changing to G-6-P
what is the glucose polymer
glycogen
where is glycogen stored
muscle and liver
the muscle and liver are
the primary storehouse of carbohydrates
what makes people more prone to type 2 diabetes
fatty liver (epidemic in US due to obesity)
what is the post absorptive state regulated by and what does it do
glucagon and it does the opposite of insulin
what does insulin do
lowers blood sugar because it is taking glucose out of blood and into cells
what does low blood sugar promote
glucagon release
what does the post absorptive use to make blood glucose
stored fuel
what is the first thing glucagon stimulates
fat breakdown- fat released into blood and pumped into body and tissues that need fat
what is glucose sparing
cells using lipids as primary energy instead of sugar for energy
what is an example of glucose sparing
heart can run on either lipids or sugars
what do cells prefer to run on
sugar
why is glucose sparing a thing
to leave as much glucose in the blood as possible(keep glucose level stable)
what does the liver do in the post absorptive state
glycogenolysis
what is glycogenolysis
breaking and splitting individual glucose off chains to release into blood
another way to describe what the liver does
breaks things from carbohydrate glycogen to simple carbohydrate glucose
when does the post absorptive state occur
when sugar is scarce
what is the purpose of the post absorptive state
make glucose
what is the making of glucose from either amino acids or lipids (glyceral)
gluconeogenesis
how does gluconeogenesis occur
tap into fat stores and create glucose to keep glucose levels stable/high
what can only run on glucose
nerve cells
why can nerve cells only run on glucose
they burn a lot of it(high metabolic rate)
what happens when there is not sufficient glucose and why
pass out because brain does not have enough glucose
what do muscles and and liver do
muscle breaks down glycogen so then liver can make glucose
what is used to detect if someone is diabetic
glucose tolerance test
how does the glucose tolerance test
it monitors sugar levels in the blood
patient comes in fasted, consumes syrup
what is a fasted blood glucose usually at
60-100 g/100 ml
what should happen after a patient consumes the syrup
blood sugar levels become high
at what time should the blood glucose be back <100
120 min
what can raise blood sugar levels and why
epinephrine due to stress
how can you tell if someone is diabetic when they get a glucose tolerance test
at 120 minutes the blood glucose levels are still elevated(remains high for a very long time)
varying degree of how high
in fed state blood glucose not lowered after 120 min
what does the glucagon response cause very rapidly
a minor dip in blood glucose levels