Regulation of Blood glucose Flashcards

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1
Q

how is dietary glucose absorbed?

A

GLUT-1 transporter (luminal side of mucosal cell membrane)

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2
Q

when BGL are high and insulin is secreted from beta cells of pancreas, where does the insulin bind?

A

insulin receptors (tyrosine kinase) on cell membranes

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3
Q

what is the fate of dietary glucose in liver?

A

activates GK in glycolysis
stimulate glycogenesis - activates glycogen synthase
oxided by liver for its energy needs - liver glycolysis

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4
Q

what is the fate of glucose in the peripheral tissues?

A

GLUT 4 in adipocytes and muscle
stored as glycogen in muscle
stored as TAG in adipose

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5
Q

how does glucose enter neurons?

A

GLUT 1 and 3

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6
Q

how does glucose enter RBCs?

A

GLUT 1

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7
Q

in what state is glycogen synthase active?

A

dephosphorylated state

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8
Q

when should post prandial BGL be measured after a meal and what should it be about?

A

2 hours after meal

<140 mg/dl

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9
Q

when should fasting BGL be taken and what should it be about?

A

8-10 hours after the last meal

<126 mg/dl

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10
Q

after BGL are low and the alpha cells of the pancreas secret glucagon, what does glucagon bind to?

A

cell surface receptors
activates adenylyl cyclase which increases cAMP
cAMP activates protein kinase A
which results in phosphorylation of regulatory enzymes (glycogen phosphorylase) - covalent
modification
inhibit glycogen synthase

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11
Q

what happens with glycogen phosphorylase and glycogen synthase with high levels of glucagon int he liver?

A

glycogen phosphorylase is active on phos (cov modification)

glycogen synthase is inactive on phos (rapid effect)

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12
Q

what happens to gluconeogenesis in liver with high levels of glycogen?

A

becomes active (slower effect)

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13
Q

what is similar to glucagon?

A

epinepherine

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14
Q

what maintains BGL in the initial hours of fasting>

A

glycogenolysis

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15
Q

what happens when you are insulin and you want to decrease BGL

A

no glycogenolysis - shut it down
no gluconeogenesis
no ketogenesis
no lipolysis

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16
Q

what happens when you are glucagon and epinepherine and you want to increase BGL

A

glycogenolysis
gluconeogenesis
ketogenesis
lipolysis

17
Q

what is a glucose tolerance test? when is it done? what are the normal BGL levels? what is administered?

A

performed on anyone really with a
normal FBGL >100 < 126
2 hours after the oral administration of 75 grams of glucose!

18
Q

what happens with prolonged hyperglycemia?

A

increased formation of sorbitol

non enzymatic glycation of proteins - Hb = glycated Hb A1c

19
Q

what happens in the cells of hyperglycemic patients?

A

dehydrated cells - glucose wants water in Interstiial space from ICF = coma etc.

20
Q

what are the symptoms of hypoglycemia?

A

dizziness, tachycardia, seizures, perm neuro damage if untreated - Von Geirke’s, classical Galatosemia, hereditary fructose intolerance, acute alcohol intoxication