Discussions Flashcards
Mechanisms to Increase Blood Glucose
- Glycogen in liver gets broken down into glucose
- Gluconeogenesis - make new glucose from amino acids
- Regulated by 2 hormones
- glucagon
- epinephrine
Mechansims to Decrease Blood Glucose
- Regulated by the hormone INSULIN
- causes cells to uptake glucose from the bloodstream
- Excess glucose stored as glycogen or fat
Glycogen in where gets broken down to glucose?
- LIVER
Gluconeogenesis
- Make new glucose from amino acids
- regulated by 2 hormones:
- glucagon
- epinephrine
2 Blood Glucose Disorders
- Hypoglycemia
- Hyperglycemia
Hypoglycemia
- Low blood sugar
- usually feel hungry
Reactive Hypoglycemia
- Excessive production of insulin
- Large sugary meals may induce larger insulin response
Hyperclycemia
- Elevated blood sugar
- 2 types
- Type 1 diabetes
- Type II diabetes
Type I diabetes
- “autoimmune”
- Cause: Pancreas doesn’t secrete any or enough insulin
- Symptoms: Excessive hunger, thirst and urination; fatal without treatment
- Treatment: insulin therapy
Type II Diabetes
- Cause: Cells are insulin resistant; related to obesity
- Symptoms: gradual weakness; kidney failure, vision loss, infections and amputations
- Treatment: weight loss
Glycemic Effect
- How much a food will affect blood sugar
- High glycemic foods are rapidly abosrbed (simple sugars)
- Low glycemic foods are absorbed slowly (starch)
Juice
Refined Grains
Low - fiber and other nutrients
*fortifying/enriching adds back some nutrients
Refined sugar
- Lowers nutrient density of food
- Contributes to dental caries
- Source of Calories; large contribution to weight gain
The active ingredient in alcohol:
ethanol
Alcohol is denoted with a(n):
OH
Congeners
- impurities in beverages produced during fermentation
Congeners of beer
- hops
- malt
- asbestos
- yeast
- cobalt
Congeners of Wine
resveratrol
congeners of hard liquor
asbestos
Variations in enzymes:
- ADH: fast version in African Americans; slow version in Native Americans (prolongs ethanol action so increased addiction)
- ALDH: slow version in Asians (results in flushing, more product is acetaldehyde)
Ethanol ->
Acetaldehyde -> Acetic Acid
ADH then ALDH
More alcohol from each drink reaches the blod in women than men because:
- Women make lower levels of enzymes
- Women weigh less, generally
- Women typically have less lean mass
Absorption of alcohol is:
- very efficient
- 95% of alcohol in women gets abosrbed
- 75% of alcohol in men gets abosrbed
1 drink =
15 g EtOH (ethanol)
- Beer: 12 oz
- Wine: 5 oz
- Hard Liquor: 1 oz
True or False: there are health benefits of consuming more than 1-2 drinks per day
False - there are NO health benefits of more
Liver has enzymes called
- Microsomal ethanol oxidative system
- cytochrome P450 system
Enzymes of the liver metabolize ethanol, but also:
- Make free radicals - damage liver
- metabolizes other drugs
- Increases risk of cancer by making carcinogens
Ethanol is stored as:
- fat
- contains 7 kcal/g
> 2-5 drinks per week
- Benefit: None
- Consequence: Raise BP; Increase HR and stroke risk
3-9 drinks per week
- Benefit: Reduce CVD risk by rasing HDL
- Consequence: None if stay at this level
4-6 drinks per sitting
- Benefit: None
- Consequence: Decrease fat burning by 33%; “Holiday Heart”
Polyphenols
- Benefit: Reduce blood clotting so reduce heart attack and stroke risk
- Consequence: None
Ethanol’s bad effects:
- Mutagenic - causes mutations in DNA
- Increase cancer risk
- stomach, pancreas, liver, colorectal, breast, prostate
- Displacement of protective nutrients with alcohol calories
- Beverage content is unregulated
Fetal Alcohol Syndrome
- the largest known cause of mental retardation
- Symptoms: attention deficit, impulsive, inability to tell cause-and-effect
Drinking during pregnancy?
NEVER - never safe to drink during pregnancy
What does Alcohol target?
- Alcohol targets brain receptors that control rewards and pleasure
Alcoholism
- Caused by:
- 50% Genes
- 50% environmental causes
Nutrient
An essential substance to the body that we cannot synthesize or live without
Where does toxicity usually come from?
Concentrated supplements