Fed Fast Flashcards

1
Q

what are the main hormone regulators of BGL?

A
  • insulin
  • glucagon
  • epinephrine
  • cortisol
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2
Q

where is GLUT 2 used?

A

used for liver uptake of glucose
used for liver release of glucose

It is the principal transporter for transfer of glucose between liver and blood, and for renal glucose reabsorption.

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3
Q

which organ buffers BGL?

A

liver

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4
Q

which tissue stores and degrades glucose?

A

adipose tissue

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5
Q

when is GLUT 4 used?

A

in adipose tissue after a meal to take up glucose and FA –> then TAGS are synthesized

muscles use to take up glucose

Heart uses it too

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6
Q

what do muscles do after a meal?

A

take up glucose via GLUT 4 and amino acids and perform glycogen synthesis and protein synthesis

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7
Q

what is GLUT 1 for?

A

the brain - it always needs glucose!

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8
Q

what is postprandial?

A

2-3 hours after a meal - high insulin/glucagon ratio

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9
Q

what has a central role in reducing postprandial glucose levels?

A

the liver

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10
Q

what happens in the postprandial phase?

A

dietary monosaccharide take up by intestinal mucosal cells via SGLT -1 and GLUT 5 and are released via GLUT 2 into the portal vein?

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11
Q

what is the order to events after eating!

A

glycogen stores filled
glycolysis - liver, adipose, muscle
FA, TAG and cholesterol synthesis
protein synthesis

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12
Q

what is postabsorptive phase?

A

5-7 hours after food intake - low insulin/glucagon ratio

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13
Q

what is the order of events in postabsorptive phase?

A

release glucose - glycogen degrad, gluconeogenesis
hepatocytes release free glucose by GLUT 2
mobilize TAGS - FA + glycerol
beta oxidation - liver and muscle
ketone body synthesis - liver

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14
Q

what is the major role of the liver in postabsorptive phase?

A

to prevent a major drop of BGL

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15
Q

when are liver glycogen stores empty

A

after one day

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16
Q

what happens during early phases of starving/fasting? - 2,3 days after food

A

release of glucose in blood by liver glycogen degradation and gluconeogenesis

17
Q

what happens after liver glycogen stores are depleted (after 24 hours)?

A

only gluconeogenesis will provide blood glucose

18
Q

what happens under stress situations? - just read…

A
  • the pituitary gland releases ACTH which stimulates release of cortisol from the adrenal cortex
  • Cortisol leads in the adrenal medulla to methylationof norepinephrineto epinephrine (PNMT, using SAM) and release of both catecholaminesinto the blood
  • Epinephrine inhibits insulin release from b-cells of pancreas and stimulates glucagon release from a-cells of pancreas
19
Q

what is metabolic homeostasis?

A

results from communication between tissues regarding fuel energy in the body

20
Q

how is metabolic homeostasis achieved?

A

by availability of substrates via levels of hormones and also some from the nervous system

21
Q

why is a continuously high BGL bad?

A

leads to non-enzymatic glycosylation of proteins, including hemoglobin HbA1 which leads to HbA1c.

22
Q

where are there glucagon receptors? where are there insulin receptors?

A

glucagon receptors - liver heptaocyte

insulin receptors - found in many cells

23
Q

how does epinephrine support liver metabolism?

A

supports liver glycogen degadation (phosphorylation cascade)

24
Q

how does cortisol support liver metabolism?

A

supports gluconeogenesis by induction of PEPCK

25
Q

what is needed for long term gluconeogenesis?

A

cortisol

26
Q

what inhibits insulin release?

A

epinephrine

27
Q

what stimulates insulin release?

A

glucose and aa - esp. leucine (dietary ess. aa) and arginine

28
Q

what inhibits glucagon release?

A

glucose

29
Q

what is glucagon release stimulated by?

A

epinephrine and aa - esp. alanin and arginine

30
Q

what leads to both release of insulin and glucagon?

A

arginine

31
Q

what are the key factors in regulation of inside cells and via hormones in blood?

A
  • availability of substrate - min
  • allosteric regulation by positive / negative heterotropic effectors - min
  • covalent modification of enzymes (phos/dephos) - min –> hr
  • synthesis of new enzymes molecules - hr–> days
32
Q

what does active protein kinase A (cAMP) do?

A

phos key enzymes - associated with glucagona nd epinephrine

33
Q

what does high insulin do to lipoprotein lipase?

A

activate it! - to synthesize TAGS and store FA!

34
Q

what uses BCAA for energy metaoblism

A

muscle cells insulin ruling