pancreas - insulin and glucagon Flashcards

1
Q

pancreas location

A

in the abdominal cavity (head and neck in the c-shaped curve of the duodenum and the body extends behind the stomach.

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2
Q

exocrine gland of the pancreas

A

secretes digestive enzymes

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3
Q

endocrine gland of the pancreas

A

pancreatic islets - 2% of mass
made of beta cells that produce insulin and
alpha cells that produce glucagon

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4
Q

blood glucose concentration

A

must be maintained high enough at all times for normal functioning. 3.5-6 mmolL
the brain must be suppled wiht glucose at all times, as glucose is the only fuel that the brain uses.
blood glucose concentration changes throughout the day as we use fuel continuously but we eat intermediately

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5
Q

the fed state

A

we have just eaten, usually more glucose uptake than what we need at that time
cellular uptake of nutrients and anabolic metabolism. (synthesis of glycogen, protein and fat)

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6
Q

the fasting state

A

haven’t eaten in a while mobilisation of nutrients and catabolic metabolism (breakdown of glycogen, protein and fat)

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7
Q

how is blood glucose concentration regulated?

A

Hormonal regulation

insulin and glucagon maintain blood glucose concentration between 3.5-6 mmoL-1

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8
Q

Insulin

A

regulates fuel storage
secreted by BETA cells and secreted into the blood stream.
beta cells are the sensor and the integrator
insulin is the only hormone that can decrease the blood glucose concentration
insulin is a peptide hormone
target cells have membrane receptors
liver is a big glycogen and fat storage
muscle is more for protein storage and glycogen and protein synthesis

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9
Q

type I diabetes mellitus symptoms

A
high blood glucose (hyperglycaemia) 
glucose in urine (glycosuria) 
large urine volumes (polyuria)
thirst (polydipsia) 
hunger
typically in younger children and teenagers
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10
Q

type I diabetes mellitus causes

A

insulin producing beta cells have been destroyed (autoimmune disease) and insulin levels are low/ zero.
so there is too much glucose in the blood. there is no back up system as beta cells are the only cells in the body that produce insulin.

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11
Q

type I diabetes mellitus treatment

A

insulin injections with regular testing of blood glucose concentrations

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12
Q

type II diabetes mellitus causes

A

cells are resistant to insulins signal to store fuel e.g. there are fewer receptors so insulin level is also lowered
symptoms are the same as type I.
reduced number or functioning of the cells
altered intracellular signalling in the target cells.

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13
Q

type II diabetes mellitus treatment

A

insulin injections, drugs promoting insulin release much as incretins.
research shows that life style changes - dietary changes of reduced fat and increased protein and more exercise can reduce hyperglycaemia for type II diabetics already on a drug treatment.

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14
Q

complications of diabetes

A

over time hyperglycaemia damages many parts of the body
- atherosclerosis - can lead to stroke or heart attack
- kidney disease
- nerve damage
- retinal changes (blindness)
glucose changes the chemistry of cells, proteins will become damaged, small capillaries will become damaged

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15
Q

Glucagon

A

regulates fuel release
pancreatic islet alpha cells secrete glucagon
alpha cells are the integrator and the sensor
target cells are the liver cells which increase the breakdown of glycogen, increase glucose synthesis and increase ketone synthesis
liver is main target as glucose is stored ay glycogen and fats in the liver
a peptide hormone target cells have membrane receptors
not the only hormone that can increase blood glucose concentration

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16
Q

glycogenolysis

A

new glucose being made

17
Q

gluconeogenesis

A

new glucagon being made

18
Q

glycogen

A

stored form of glucose