Pancreas Endocrinology And Glucose Homeostasis Flashcards

Physiology of insulin and glucagon and pathophysiology including diabetes mellitus

1
Q

Group of cells in pancreas secreting endocrine hormones

A

Islets of Langerhans

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2
Q

Major portion of islets of Langerhans is formed by which cells

A

Beta cells

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3
Q

Alpha cells secrete

A

Glucagon

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4
Q

Alpha cells secrete

A

Glucagon

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5
Q

Beta cells secrete

A

Insulin and amylin

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6
Q

Delta cells secrete

A

Somatostatin

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7
Q

Preinsulin contain how many PP chains

A

3 (A,B,C)

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8
Q

A,B,C chains are linked by

A

Disulfide linkages

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9
Q

Binding of insulin to its receptor activates which enzyme

A

Tyrosine kinase

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10
Q

Effect of insulin on muscle during resting state w.r.t proteins

A

AA uptake increases
Protein synthesis increases
Protein degradation decreases

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11
Q

Effect of insulin on muscle with respect to potassium ions

A

Increases pottasium ions conc.in the cells

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12
Q

Effect of insulin on muscle with respect to glucose

A

During exercise or just after meal glucose upatke of muscle increases for energy or converting it into glycogen but in resting state very less upatke takes place

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13
Q

Effect of insulin on liver with respect to glucose

A

Gluconeogenesis and glycogenolysis decreases

While glycogen synthesis increases

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14
Q

Effect of insulin on liver with respect to protein

A

Protein synthesis increases

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15
Q

Effect of insulin on liver with respect to fat

A

Excess fat is is transported as triglycerides to the adipose tissue

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16
Q

Effect of insulin on adipose tissue with respect to fatty acid conversion

A

More and more fatty acids are converted to triglycerides and stored

17
Q

Effect Of insulin on adipose tissue with respect to glucose uptake

A

Glucose uptake in adipose tissue increases

18
Q

Effect of insulin deficiency with respect to fat metabolism

A

Increased lipolysis of TGs , increased cholesterol in blood stream and increase ketogenesis causing ketosis and acidosis

19
Q

Important factor for insulin release is

A

Glucose concentration of the bloodstream

20
Q

Hormones increasing the release of insulin are

A

Cortisol, growth hormone and estogen

21
Q

Amino acids that increase insulin secretion are

A

Arginine and lysine

22
Q

Main effects of glucagon are

A

Increasing glycogenolysis and gluconeogenesis in liver

23
Q

Important factor for glucagon release is

A

Glucose concentration of blood

24
Q

Somatostatin is released by

A

Anterior Pituitary gland and delta cells of islets of langerhans

25
Q

How many types of diabetes mellitus is present

A

2

Insulin dependent diabetes mellitus and non insulin dependent diabetes mellitus

26
Q

Type 1 diabetes occurs due to

A

Viral infection, autoimmune disorder or damage to beta cells

27
Q

Why does diabetic coma exist in type 1 diabetes mellitus

A

Occurs due to ketoacidosis

28
Q

Type 1 diabetes mellitus is also called

A

Diabetes mellitus because it generally occurs in people of less than 20 years of age

29
Q

Increased glucose output in urine causes loss of water from the extracellular fluid this phenomena is called

A

Osmotic diuresis

30
Q

Type 1 diabetes mellitus can lead to various disorders of other systems like

A

Gangrene ,shock ,heartattack ,arteriosclerosis, retinopathy and autonomic disorders

31
Q

Causes of type 2 diabetes mellitus includes

A

Obesity developed insulin resistance and metabolic syndrome

32
Q

Diagnostic test for diabetes

A

Glucose tolerance test checking for insulin levels and checking for fasting glucose levels