Session 6 Flashcards

1
Q

Which cells have an absolute requirement for Glucose?

A

CNS & RBCs

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2
Q

How can protein/Amino acids produce energy?

A

Convert to glucose and ketone bodies

Direct oxidation

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3
Q

What controls blood glucose concentration?

A

The endocrine system

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4
Q

Define Hypoglycaemia

A

Blood glucose Coma/Death

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5
Q

Define Hyperglycaemia

A

Blood glucose >7.0mM

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6
Q

What are the effects of Insulin?

A
Its Anabolic
Increases Glucose uptake
Promotes storage of Glucose as Glycogen
Promotes Lipogenesis
Promotes protein synthesis
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7
Q

What are the effects of Glucagon?

A

Its Catabolic
Promotes Gluconeogenesis
Promotes Glycogenolysis
Promotes Lipolysis

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8
Q

What does Feeding stimulate?

A

Increased concentration of substances in blood causes the endocrine Pancreas to release Insulin

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9
Q

What does Fasting stimulate?

A

Falling blood glucose concentration stimulates Glucagon secretion

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10
Q

How is blood Glucose maintained in Starvation?

A

Action of Glucagon - Breakdowns hepatic Glycogen

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11
Q

What does the decreased blood Glucose cause?

A

Stimulates the Pituitary gland so ACTH released –> Cortisol (Stimulates Gluconeogenesis from protein and fat)

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12
Q

Why does Lipolysis happen at a high rate during starvation?

A

There is a low Insulin level and a high Lipolytic hormone level. Leads to high levels of free fatty acids in the blood

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13
Q

How are fatty acids preferentially used during starvation?

A

Cortisol stimulates fat breakdown and prevents cells from using Glucose
Glycerol becomes substrate for Gluconeogenesis so less need to breakdown proteins

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14
Q

How are Ketone bodies produced during starvation?

A

Fatty acids are oxidised in the Liver

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15
Q

Why are Ketone bodies produced during starvation?

A

They can be a substitute for Glucose for the brain. (Reduces need for Gluconeogenesis so less protein used)

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16
Q

What happens after a long period of starvation?

A

Brain uses Ketones
Kidneys contribute to Gluconeogenesis
Reduced need for Gluconeogenesis
Urinary Nitrogen falls

17
Q

What is important when refeeding a starved individual?

A

Reduced urea synthesis –> down regulation of enzymes in Urea cycle so gradual reintroduction of protein into the diet needed.