Molecular Basis of Type II DM Flashcards

1
Q

___ is responsible for most of the glucose uptake

A

muscle

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2
Q

__ is responsible for fasting glucose output

A

liver

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3
Q

4 fucked up tissues of Type II DM

A

Muscle (less uptake) Liver (more output) Fat (increased lipolysis) Pancreatic B cells (less insulin production)

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4
Q

Rate limiting step of insulin function

A

transporting glucose across the cell membrane

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5
Q

The only glucose transporter regulated by insulin

A

GLUT4

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6
Q

The central signaling kinase in insulin signaling is

A

AKT4

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7
Q

Exercise stimulates glucose uptake by transporting GLUT4 via

A

AMPK

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8
Q

Insulin turns off the ____ in the liver after a meal to decrease gluconeogenesis

A

FOXO1

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9
Q

In the liver, after feeding, lipogenesis is done by the __ gene

A

SREBP1c

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10
Q

Selective insulin resistance in the liver means what

A

gluconeogenesis is affected (make too much bc signal is faulty) but lipogenesis is not affected (continue to do so with no issues)

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11
Q

Diabetics can have ____ due to continued lipogenesis

A

non alcoholic fatty liver disease

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12
Q

There is also a positive correlation between insulin resistance and increased plasma ___

A

triglycerides

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13
Q

Adipocytes will take up more fat from the blood via ___ during the fed state

A

LPL

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14
Q

During the fasting state, adrenergic signaling causes __ to break down lipid molecules and increase __

A

HSL; FFA

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15
Q

Insulin resistance there is increased ___ and __ release from adipose tissue

A

lipolysis; FFA release

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16
Q

___ tissue may protect against diabetes until the system is overwhelmed and ___ fat deposition occurs

A

adipose; ectopic

17
Q

Fat releases ___, which decreases in adipose resistance

A

adiponectin

18
Q

Thiazolidinediones, anti-diabetic drugs, are agonists for __, the master adipose regulator. Side effects include weight __

A

PPR-gamma; gain

19
Q

_ fat may be protective

A

Subcutaneous

20
Q

Beta cells have GLUT_ cells so they’re always taking up glucose

A

1/2

21
Q

The important thing about beta cell function in the pancreas is the

A

number of beta cells

22
Q

__/___ stress in the beta cell can lead to their failure

A

ER/oxidative

23
Q

The ___ ___ has an effect on glucose levels

A

circadian rhythm

24
Q

Monogenetic diabetes cause insulin resistance via single enzyme changes like __ or ___

A

AKT; PPAR-gamma