Main Hormones Regulating Blood Glucose Levels Flashcards
Which organ is most dependent on extracellular glucose concentration
Brain
Which cells are most damaged by hyperglycaemia
Endothelial cells
Normal blood sugar level
4-5.4 mmol/L before eating
Less than 8 mmol/L 2 hrs after eating
What molecules is glucose converted to for storage
Glycogen
Triglycerides
What is the process of insulin secretion
Glucose enters beta cells -> glucokinase senses glucose -> ATP/ADP ratio incr -> ATP sensitive K channels close -> membrane depolarisation -> voltage gated Ca channels open -> inctracellular Ca incr -> insulin containing granules secreted
What cells secrete insulin
Beta cells
Increase in what intracellular concentration triggers insulin secretion in beta cells
Calcium
What is the role of glucokinase in insulin secretion
Glucose sensor
Which amino acids can stimulate insulin release
Leucine
Arginine
How do amino acids increase intracellular ATP/ADP ratio
Catabolism
What molecules can cause insulin release other than glucose
Leucine
Arginine
Glucagon like peptide 1 GLP1
Glucose dependent insulinotrophic peptide GIP
Fatty acids
ACh
Cholecystokinin
How do muscles and adipocytes take up glucose in response to insulin
GLUT4 translocates to the plasma membrane
What enzyme is activated in muscles in response to insulin
Glycogen synthase
What does glycogen synthase kinase do
Inhibits glycogen synthase
What does insulin stimulate in muscles
Glucose uptake
Glycogen synthesis
What does processes does insulin stimulate and inhibit in adipocytes
Stim Lipogensis
Inhibit lipolysis
How does insulin stimulate lipogenesis
Incr glucose uptake
AcetylCoA carboxylase activation
Incr lipogenic gene expression
How does insulin inhibit lipolysis in adipocytes
Inhibits hormone sensitive lipase preventing hydrolysis of triglycerides
What molecule inhibits beta oxidation of FFAs in adipocytes
Malonyl CoA
What processes does insulin effect in the liver
Incr glucose uptake
Incr glycogenesis
Incr lipogenesis
Inhibits Gluconeogenesis
Which processes are activated in the post absorptive state
Processes releasing glucose and fatty acids
Which hormones are active in the post absorptive state
Glucagon
Insulin counter regulatory hormones