lecture 25 redone Flashcards
robust beta cells increase insulin secretion
susceptible beta cells become dysfunctional
target carbohydrate absorption
enzymes that break down carbohydrates have
alpha glucosidase activity
inhibitors of this enzyme have been used to inhibit breakdown
AGIs alpha glucosidase inhibitors
AGIs can cause discomfors because indigested carbohydrates pass from
SI to colon
targeting renal glucose excretion (more glucose in urine)
SGLT inhibitors prevent reabsorption of glucose causing
excretion in urine
increase risk of UTIs
target insulin secretion
sulphonylureas bind to SUR1 in the potassium ATP channels of beta cells, its an agonist can caused the channel to close therefore more insulin is secreted
targeting insulin secretion
incretin receptors
incretin = intestinal peptides produces in reponse to food and they stimulate insulin release
eg GIP and GLP-1
DPP4 inhibitors would increase half life od GLP-1
secretes insulin depending on blood glucose levels
metformin targets the liver
PPAR gamma drugs favour adipocyte prliferation
eg TZDs
histon acetylase causes exposure of chromatin
in creases transcription