Turco 2 Flashcards
Complete pyruvate kinase defect
kills you
Diabetes glucose curve
Higher peak and takes longer to come back down…diabetic will get hungry before it ever comes back down all the way and will eat more…extra glucose in the blood for extended periods of time
Pathology of diabetes from
Glucose concentration in the blood
Insulin effect of GLUT4
GLUT 4 premade and sits in vesicles…insulin will cause vesicles to open and move to the membrane…more GLUT4 on surface means higher Vmax so more glucose entering
Type 1 vs type 2
1 - insulin scretion problem
2 - receptor problem
Obesity receptor effect
Leads to decreased eceptors
INsulin dependent tissues in body
Muscle (GLUT4)
Adipose tissue (GLUT4)
Liver (different effects)
Insulin effect on muscle of adipose
Increase uptake of glucose
IMpact of insulin on liver
Tells the liver to trap it using glucokinase…run glycolysis and create fatty acids ,etc.
Hemoglobin effect of hyperglycemia
Aldehyde from glucose reacts with amine group of hemoglobin to create A1C (glycosylated hemoglobin)
Values of A1C
6% or less is normal
7% or over is diabetic
6-7 is pre
Glucose effect on kidney
Binds transporters and renders them non-functional
Glucose effect on collage
Binds collagen and extends 1/2 life…means that capillary beds are restricted…why amputations occur
Glucose effect of brain
Hyperosmolar edema (draws water)
Glucose reaction with hemoglobin is
Non-enzymatic, irreversible
Formation of F2,6P
Formed from F6P by PFK2 using ATP
Location of F2,6P
Liver ONLY
WHere does F6P come from?
Glycolysis