Glucose Metabolism Flashcards

1
Q

amino acids are used as an energy source during ___ or ____; excess amino acids ingested are converted to ____ and stored

A

fasting; metabolic stress; carbs

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2
Q

plasma glucose concentration is the result of:

A

intake, production, and tissue utilization

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3
Q

insulin is secreted by ____; glucagon secreted by ____

A

beta cells; alpha cells (both are pancreatic cells)

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4
Q

insulin signaling cascades transfer the signal from the insulin molecule to target molecules such as ____ in key pathways or the membrane glucose transporter, ____

A

regulatory enzymes; GLUT-4

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5
Q

insulin promotes anabolism in ____, ____, and ____

A

liver; adipose tissue; muscle

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6
Q

glucose transport in muscle and adipose tissue is mediated by the ____ and is insulin dependent; glucose transporter in the liver is ____ and is insulin independent

A

GLUT-4 transporter; GLUT-2

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7
Q

in humans, insulin doubles recruitment of the ___ to ____

A

transporter; cell membrane

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8
Q

muscular contraction ____ the expression of GLUT-4 ____ of insulin

A

increases; independently

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9
Q

fatty acids ___ the expression of GLUT-4 in ____

A

decrease; muscle

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10
Q

main contributors to type II diabetes

A

inadequate synthesis of insulin, secretion, and most commonly unable to exert normal effect

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11
Q

glucagon (anti-insulin hormone) functions

A
  • mobilized glucose
  • increases blood glucose
  • stimulates catabolism
  • suppresses anabolism
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12
Q

glucagon action is confined to the ____

A

liver

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13
Q

epinephrine is a catecholamine that is secreted by the ____; it inhibits ____ and ____, but stimulates ____

A

adrenal gland; glycolysis; lipogenesis; gluconeogenesis

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14
Q

____ occurs while eating and for several hours afterward

A

high insulin/ low glucagon (fed state)

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15
Q

____ occurs when fasting between 6-12 hours (fasting state)

A

low insulin/high glucagon

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16
Q

gluconeogenesis key substrates

A

lactate, alanine, glycerol

17
Q

glucose contribution from ____ increases as fasting continues

A

gluconeogenesis

18
Q

____ are major energy substrate during prolonged fasting or starvation

A

free fatty acids

19
Q

anti-insulin hormones

A

epinephrine (epi), glucagon, and cortisol

20
Q

response to stress

A
decreased anabolism (glycogen synthesis and lipogenesis)
increased catabolism (glycogenolysis, lipolysis, proteolysis, and increased insulin dependent glucose uptake)
21
Q

the response to stress is ____ and is broadly analogous to ____

A

catabolic; fasting

22
Q

diabetes leads to ___ and ____

A

microangiopathy; macroangiopathy

23
Q

microangiopathy includes:

A

kidney failure, blindness, impaired nerve function

24
Q

macroangiopthy includes:

A

heart attack, vascular disease, cardiovascular disease

25
Q

type 1 diabetes characterized by destruction of ____

A

beta cells

26
Q

type 1 diabetics prone to ____ and are dependent on ____

A

ketoacidosis; insulin

27
Q

type 2 diabetes involves ____ and impaired ____

A

insulin resistance; insulin secretion

28
Q

gluconeogenesis and lack of uptake causes ____ in type 1 diabetics

A

fasting hyperglycemia

29
Q

____ is major complication of type 1 diabetes

A

ketoacidosis

30
Q

____ and ____ contribute to vascular complications

A

oxidative stress; glycoxidation

31
Q

____ can be modified by glycation

A

hemoglobin