DM Nutrition Flashcards
What are the elements of metabolic syndrome?
- High TGs
- HTN
- Central obesity
- Low HDL
- Hyperglycemia
What is the range of fasting plasma glucose to diagnose DM?
> 126 mg/dl
What is the range of random plasma glucose to diagnose DM?
> 200 mg/dl + symptoms
What is the HbA1c level to diagnose DM?
> 6.5%
What are the cells that are attacked in DM I?
Beta cells in the pancreas
Why is the C peptide level important when assessing hypoglycemia?
Exogenous insulin does not have C peptide (think munchausen’s syndrome)
What happens with amino acids uptake and synthesis with insulin?
Increase
What happens with FA synthesis with insulin action?
Increases
What happens with glycogen synthesis with insulin action?
Increases
What happens to glycolysis with insulin action?
Increases
What happen to gluconeogenesis with insulin action?
Decreases
What happen to lipolysis with insulin action?
Decreases
What happen to proteolysis with insulin action?
Decreases
Increase or decrease insulin secretion: increased blood glucose
Increase
Increase or decrease insulin secretion: leptin secretion
Decreases
Increase or decrease insulin secretion: increased amino acids
Increases
Increase or decrease insulin secretion: Increased FAs
Increases
Increase or decrease insulin secretion: incretin hormone
Increases
Increase or decrease insulin secretion: sympathetic nervous system stimulation
Decreases
Increase or decrease insulin secretion: Acetylcholine
Increases
Increase or decrease glucagon secretion: sympathetic nervous system stimulation
Increased
Increase or decrease glucagon secretion: increased circulating AAs
Increased
Increase or decrease glucagon secretion: increased circulation of FAs
decreased
Can the brain use ketones?
Yes, but only at the very end
Epinephrine acts on which pancreatic cells?
alpha and beta cells