glucose homeostasis Flashcards

1
Q

why is glucose homeostasis important

A

Neuronal tissue has few carbohydrate reserves and limited capacity to metabolize fat

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2
Q

what does the pancreas do in glucose homeostasis

A

The pancreas secretes the hormones responsible for regulating blood glucose

Insulin
Glucagon

Hormones found in Islets of Langerhans

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3
Q

what is the pancreas

A

A triangular gland located behind the stomach

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4
Q

exocrine function of pancreeas

A

Acinar cells produce an enzyme-rich juice used for digestion.

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5
Q

the endocrine function of the pancreas

A

islets of Langerhans

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6
Q

what are the 3 cells of islets

A

Alpha cells produce glucagon
Beta cells produce insulin
Delta cells produce somatostatin

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7
Q

what is the structure of glucagon cells (a-cells) 25%

A

A 29-amino-acid polypeptide hormone that is a potent hyperglycemic agent

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8
Q

what are the functions of alpha cells

A

Prevents hypoglycemia

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9
Q

what is the action of glucagon

A

Its major target is the liver, where it promotes:

Glycogenolysis (the breakdown of glycogen to glucose)

Gluconeogenesis (synthesis of glucose from non-carbs)

Release of glucose into the blood from liver cells

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10
Q

what is structure insulin (beta cells -65%)

A

51-amino-acid protein consisting of two amino acid chains linked by disulfide bonds.

Synthesized as part of proinsulin and then cleaved by enzymes, releasing functional insulin

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11
Q

what is the function of insulin

A

Prevents hyperglycaemia (lowers blood glucose levels)

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12
Q

what are the main actions of insulin

A
  • Enhances transport of glucose into cells (puts glucose transporters (GLUT-4) into membrane)
  • Liver – glucose uptake and glycogen synthesis
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13
Q

islets of langerhans cell Interactions

A

Insulin inhibits glucagon release (via somatostatin), thus preventing an opposing action on glucose levels.

Glucagon enhances insulin release, thus enabling the elevated glucose to be transported into cells.

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14
Q

what is diabetes mellitus

A

Results from a lack of secretion or effectiveness of insulin

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15
Q

what is type 1

A

insulin deficient, young

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16
Q

what is type 2

A

insulin-resistant, older, often overweight

17
Q

causes of diabetes mellitus

A

genetic, autoimmune, carbohydrate intake, environmental

18
Q

long term complications of diabetes mellitus

A
  • Atherosclerosis
  • Neuropathy
  • Nephropathy
  • Retinopathy
19
Q

whar are the symptoms of diabetes mellitus

A

Hyperglycaemia – elevated blood glucose
Polyuria – huge urine output
Polydipsia – Excessive thirst/drinking
Polyphagia – excessive hunger and food consumption

20
Q

ketosis

A

ketones in the blood, in the urine and on the breath (sweet fruity smell).

21
Q

ketoacidosis

A

20mM ketone bodies