Condensed things I forgot Flashcards
Insulin and glucagon action on Liver, Muscle, Adipose
Glucose
Fatty acids
Amino acids
Insulin summary of actions (1,2,3)
- Stimulates glucose uptake (mediated by GLUT4 (Smooth muscle, Adipose)
- Glycogenesis in liver + skeletal muscle
- Inhibits glucose production in liver
Control of insulin (3)
B cells in pancreas
GIT hormones (Gastrin, CCK, Secretin)
Presence of aa’s + fa’s in intestines
Insulin inhibition factors (2)
–> Catecholamines (adrenaline + noradrenaline)
–> Pancreatic somatostatin
effects of hypoglycaemia
confusion, seizures, coma
hyperglycaemia issues
increased osmotic pressure ECF = cellular dehydration
Osmotic diuresis from increased glycosuria = overall dehydration
long term is cytotoxic to blood vessels
Adrenaline 5 receptors
a1 and a2 = smooth muscle contraction
B1 = increased heart force + rate
B2 = affect relaxation
B3 = bladder relaxation
Somogyi effect
When insulin is not fx properly, other hormones take over
angiotensin 2
ADH and Aldersterone
increase sympathetic
Adrenaline
vasoconstrictions
And direct effect of ADH on nephron. Which increases Na+ reabsorption and K+ secretion
where does aldersterone activity
Na+ reabsorption increased
increase K+ and H+ secretion
because Na+/H+ potassium antiproton
(malfx)= bradycardia as hyper bradycardia
GH release factor
deep (nonREM) increase
sympathetic response /stress
exercise stimulates
Inhibited by increase glucose
Stimulated by decrease glucose
Overall actions of GH
- Increasing the numbers and size of cells in soft tissue
2, increase thickness and increase length of the bone - Seperate metabolic action
Direct action of GH actions of muscle, adipose and liver
Muscle = increase mass
Adipose = decrease fat storage
Liver = increase blood glucose
IGF 1
Linear growth (bone)
IGF 2
Tissue/organ growth
GH action mature
Maintains mm
increase blood sugar
Stimulate GH secretion
decrease blood glucose
decrease blood fatty acid
trauma, stress, excitement
exercise
Testosterone, estrogen
deep sleep
GHRH
Ghrelin
Inhibit Growth Hormones
increase blood glucose
increase blood ffa
aging
obesity
somatostatin GH
Somatomedins (IGF)