Control Of Blood Glucose Flashcards

1
Q

Who discovered insulin?

A

Charles Best and Frederick Banting.

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2
Q

How was insulin discovered?

A

The pancreas was removed, which alleviated diabetic symptoms. They purified the extract which lead to the discovery of insulin.

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3
Q

What is the normal blood glucose level?

A

5mM.

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4
Q

What is the maximum blood glucose level?

A

Around 10mM.

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5
Q

What is the minimum blood glucose level?

A

2mM to 3mM.

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6
Q

What percentage of glucose-derived energy does the brain use?

A

20%.

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7
Q

What would occur if blood glucose went over the maximum limit?

A

There would be higher plasma osmolarity which would lead to dehydration of cells and glucose to be excreted in urine (osmotic diuresis).

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8
Q

What two hormones does the pancreas produce?

A

Insulin and glucagon.

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9
Q

Describe how insulin is produced.

A

It is synthesised as an inactive prohormone and is activated by proteolytic cleavage.

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10
Q

Insulin is secreted as an active hormone. What are the three peptide chains?

A

A, B and C.

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11
Q

How does the body respond to high levels of insulin?

A

Increase of glucose oxidation and glucose, fat and protein synthesis.

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12
Q

How does the body respond to high levels of glucagon?

A

Increases of glycogenolysis, gluconeogenesis and ketogenesis.

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13
Q

What are the four different types of stimulus for activating insulin secretion?

A
  1. Glucose in the plasma.
  2. Incretins being released in response to nutrient ingestion.
  3. Eating.
  4. Autonomic nervous system.
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14
Q

How does eating affect insulin secretion?

A

It actives the parasympathetic pathway, which stimulates insulin secretion.

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15
Q

How does stress affect insulin secretion?

A

It activates the sympathetic pathway, which inhibits insulin secretion.

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16
Q

What four effects does insulin have on the body?

A
  1. Increased glucose transport into cells.
  2. Increased use and storage of glucose.
  3. Increased use of amino acids.
    4 Promotes fat synthesis (lipogenesis).
17
Q

What does lipogenesis entail?

A

It inhibits beta-oxidation of lipids and promotes conversion of excess glucose and amino acids into lipids.

18
Q

Insulin promotes glycogen, fat and protein synthesis at the expensive of glucose. Why?

A

Hyperglycemia.

19
Q

What is the major secretory product of the alpha-cells of the pancreas?

A

Glucagon.

20
Q

Where is glucagon stored?

A

Secretory vesicles.

21
Q

Glucagon release is inhibited by what?

A

Glucose.

22
Q

What is the stimuli for glucagon secretion?

A

Low glucose in plasma.

23
Q

What state does insulin dominate in?

A

The fed state.

24
Q

What state does glucagon dominate in?

A

The fasting state.