Chapter 11 - Disruptions to Homeostasis Flashcards
What is a good example of a hormonal problem that can cause serious disruption to homeostasis?
Diabetes (Diabetes Mellitus)
How does Diabetes affect a person?
- A person with diabetes has an abnormally high blood glucose level, a condition called hyperglycaemia.
- A diabetic either does not produce enough insulin or their cells have an abnormal resistance to the effects of insulin.
What is the main role of Insulin?
- To stimulate cells to take in glucose from the blood.
- It also stimulates conversion of glucose into glycogen by liver and muscle cells.
What happens when a person produces insufficient insulin or if their cells are resistant to the effects of insulin?
The amount of glucose in the blood remains high and they excrete large quantities in the urine.
What are the two forms of Diabetes ?
- Type 1 Diabetes
2. Type 2 Diabetes
What is Type 1 Diabetes?
Sometimes called Insulin Dependent Diabetes, usually begins in childhood and therefore used to be called juvenile diabetes.
How many percent of Australians suffer from Type 1 Diabetes?
10-15% of Diabetes patients suffer from Type 1.
Why does Type 1 Diabetes occur?
- It occurs because a fault in the patient’s immune system causes the destruction of beta cells in the islets of Langerhans of the pancreas.
- Since beta cells produce insulin, a person with type 1 Diabetes does not produce insulin.
- In most cases the patient’s cells respond to insulin in the normal way, so the disease can be managed by giving the patient insulin.
What is the treatment for Type 1 Diabetes ?
- Insulin cannot be taken in tablet form because it is digested in the alimentary canal.
- The only treatment is regular injections of insulin or use of a programmable pump that provides a continuous supply of insulin under the skin.
Is there a cure for Type 1 Diabetes?
- Insulin injections do not cure type 1 diabetes.
- The patient must have regular injections to stay alive, but even with injected insulin the long-term effects are likely to be kidney failure, heart attack, stroke, amputations, blindness or nerve damage.
What is Type 2 Diabetes?
- AKA Non-insulin dependent or Adult Onset Diabetes
- It usually develops in people over the age of about 45 years, although increasing numbers of younger people are now being diagnosed.
- Type 2 patients are able to produce insulin but their cells do not respond to it.
- It is a lifestyle disease; it is more common in people who are not physically active and are overweight or obese.
Why is the incidence of Type 2 diabetes in Australia, and other affluent countries, increasing rapidly?
It is due to the larger number of people who do not adopt a healthy lifestyle.
What are some lifestyle factors that increase the risk of developing type 2 diabetes?
- Lack of physical activity.
- Being overweight or obese.
- A diet that is regularly high in fat, sugar and salt, and low in fibre.
- High blood pressure.
- High blood cholesterol.
- Smoking.
What are the symptoms of Type 2 Diabetes?
- Type 2 Diabetes develop gradually and often there are no symptoms or they are not noticed.
- It is estimated that about half of Australians who have type 2 diabetes have not yet been diagnosed.
- Because the cells do not respond to insulin, they do not take up glucose from the blood.
Is there a cure of Type 2 Diabetes?
-There is no cure for type 2 diabetes, but the earlier a diagnosis is made the better the chances of successful management of the condition.
What happens if Type 2 Diabetes is remained undiagnosed or untreated?
- There is an increasing risk of complications such as heart disease, stroke, kidney disease, eye problems, nerve damage and skin and foot problems.
What are some of the treatments possible to reduce Type 2 Diabetes?
- Careful diet
- Regular physical activity
- Maintaining a healthy weight
- Monitoring blood glucose
- Medication if blood glucose cannot be controlled by other meausres.
What 2 hormones does the Thyroid Gland secrete?
- Thyroxine (T4)
2. Tri-iodothyronine (T3)
What is the role of Thyroxine?
- Thyroxine affects nearly every tissue in the body by stimulating carbohydrate, protein and fat metabolism.
=Regulates basal metabolic rate.
- Some of the energy released from the chemical reactions stimulated by the thyroxine is in the form of heat that is important in maintaining body temperature.
=Important in the long-term homeostasis of body temperature, such as in the gradual change in metabolic rate that occurs from summer to winter.
What controls the secretion of Thyroxine?
Thyroid Stimulating Hormone (TSH)
-TSH is secreted by the anterior lobe of the pituitary but its release is controlled by the hypothalamus in the brain.
What happens when there is an excess of or a deficiency in thyroxine?
- It can both cause disorders.
- In some cases the imbalance of thyroxine can be due to an imbalance in TSH.
What is Hyperthyroidism?
Too much thyroxine.
When does Hyperthyroidism occur?
Occurs when the thyroid gland produces too much hormone.
What is Grave’s disease?
- Most common type of Hyperthyroidism.
- It is an enlargement of the thyroid caused by an immune system reaction.
- Although not inherited, there does seem to be a genetic predisposition for the condition.
What are the symptoms of Grave’s disease?
When the cells are overstimulated, the symptoms of hyperthyroidism are:
- Rapid heart beat
- Weight Loss
- Increased appetite
- Fatigue
- Sweating
- Anxiety
- Protruding eyeballs (aka Exophthalmia)
How can Hyperthyroidism be treated?
- It can be treated with drugs that block the thyroid gland’s use of iodine
- By surgery to remove some or all of the gland.
- Give the patient a drink containing radioactive iodine.
What does radioactive iodine molecules do?
- They are taken up by the thyroid cells, which are then killed by the radioactivity.
- Cells elsewhere in the body do not absorb iodine and are unaffected.
- The radioactive iodine is eventually excreted in the urine.
What is the Hypothyroidism?
- Too little thyroxine.
- Much more common than hyperthyroidism.
- About 6-10% of Australian women may be affected and aa smaller proportion of men.
- Occurs either through problems with the thyroid gland or due to problems with the pituitary gland or hypothalamus.