L7. Exercise and metabolic control in type II diabetes Flashcards
What is the primary role of exercise in type 2 diabetes management?
To improve glycemic control and reduce insulin resistance
What is insulin resistance?
Reduced glucose uptake in response to insulin, common in type 2 diabetes
How does insulin facilitate glucose uptake in muscle?
By phosphorylating Akt and TBC1D4, allowing GLUT-4 translocation
What role does GLUT-4 play in glucose regulation?
It transports glucose into muscle cells from the bloodstream
How does exercise promote glucose uptake independently of insulin?
Through AMPK activation, which increases GLUT-4 translocation
What is the primary molecular adaptation in muscles after regular exercise?
Increased mitochondrial biogenesis and GLUT-4 content
What is the gold standard for measuring insulin sensitivity?
The hyperinsulinemic-euglycemic clamp test
How does resistance training improve glycemic control?
By increasing muscle mass and glycogen storage capacity
Why is high-intensity interval training (HIIT) effective for diabetes management?
It improves insulin sensitivity with a reduced time commitment
What is the effect of exercise on fasting plasma glucose?
It reduces fasting glucose levels by increasing insulin sensitivity
How does skeletal muscle respond to a single bout of exercise?
With increased glucose uptake and glycogen synthesis
What happens to glucose metabolism during high-intensity exercise?
Splanchnic glucose production increases to meet muscular demand
What is the relationship between sedentary behavior and type 2 diabetes?
Increased sedentary behavior elevates the risk of developing type 2 diabetes
What are the ADA recommendations for aerobic exercise in diabetes?
At least 150 minutes of moderate-to-vigorous activity per week
What is the effect of muscle contractions on glucose uptake?
They amplify glucose uptake independent of insulin
Why is glucose uptake impaired in insulin-resistant individuals?
Due to increased serine phosphorylation of IRS-1