KA8 Blood glucose levels and obesity Flashcards

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1
Q

What does chronic elevation of blood glucose levels lead to?

A

The endothelium cells taking in more glucose than normal, damaging the blood vessels. Atherosclerosis may develop leading to CVD, stroke or peripheral vascular disease.

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2
Q

What might damage caused by elevated glucose levels result in for small blood vessels?

A

Haemorrhage of blood vessels in the retina
In kidneys it can lead to renal failure
Peripheral nerve dysfunction

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3
Q

What is excess glucose stored as?

A

Glycogen

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4
Q

What happens when there is a decrease in blood glucose concentration?

A

Pancreatic receptors respond to lowered glucose levels by increasing the secretion of GLUCAGON from the pancreas. Glucagon activates the conversion of glycogen to glucose in the liver, increasing blood glucose concentration.
GONe -glucaGON

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5
Q

What allows the pancreas to detect changes in blood glucose concentration?

A

They have chemoreceptor cells. These receptor cells trigger the appropriate homeostatic response.

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6
Q

What is the role of adrenaline in the control of blood sugar levels?

A

During exercise and in flight or fight responses, glucose concentrations in the blood are raised by adrenaline, released from the adrenal glands, stimulating glucagon secretion and inhibiting insulin secretion.

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7
Q

What happens when there is an increase in blood glucose concentration?

A

Pancreatic receptors respond to raised blood glucose levels by increasing the secretion of INSULIN from the pancreas. Insulinactivates the conversion of glucose to glycogen in the liver decreasing blood glucose concentration.
INsulin IN the jar

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8
Q

What is obesity?

A

Obesity is a condition characterised by the accumulation of excess body fat in relation to lean body tissue (muscle)

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9
Q

What is obesity a major risk factor for?

A

Cardiovascular disease and type 2 diabetes.

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10
Q

What is Body mass index (BMI)?

A

BMI is commonly used to measure obesity. A BMI of greater than 30 indicates obesity.

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11
Q

How do you calculate BMI?

A

body mass/ height2 (squared)

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12
Q

What are the implications of the BMI method?

A

Some individuals such as body builders who have a relatively low % of body fat and an unusually high % of muscle bulk would be wrongly classified as obese by the BMI method.
To measure body fat accurately, a measurement of body density is required.

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13
Q

What are the causes of obesity?

A

Obesity is linked to high fat diets and a decrease in physical activity.

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14
Q

What are the treatments for obesity? (Energy expenditure)

A

Exercise increases energy expenditure and preserves lean tissue.

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15
Q

What is type 1 diabetes?

A

Type 1 diabetes usually occurs in childhood. A person with type 1 diabetes is unable to produce insulin and can be treated with regular doses of insulin.

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16
Q

What is type 2 diabetes?

A

Individuals produce insulin but their cells are less sensitive to it. This insulin resistance is linked to a decrease in the number of insulin receptors in the liver, leading to a failure to convert glucose to glycogen.

17
Q

When is type 2 diabetes likely to develop?

A

Type 2 diabetes develops later in life. The likelihood of developing type 2 diabetes is increased by being over weight.

18
Q

For individuals with diabetes when does their blood glucose concentrations rise? What removes glucose?

A

They will rise rapidly after a meal.

The kidneys will remove some of this glucose resulting in glucose appearing in the urine.

19
Q

What is an indicator of diabetes?

A

Testing urine for the presence of glucose

20
Q

What is the glucose tolerance test?

A

The blood glucose concentrations of the individuals are initially measured after fasting.
The individual then drinks a glucose solution and changes in their blood glucose concentration are measured for the next 2 hours.

21
Q

What are the treatments for obesity? (Energy intake)

A

The energy intake in the diet should limit FATS because they have a high calorific value per gram.
It should also limit FREE SUGARS because they require no metabolic energy to be expended in their digestion.

22
Q

Exercise can help to reduce risk factors for CVD by..

A

Keeping weight under control
minimising stress
reducing hypertension
improving blood lipid profiles.