Diabetes Flashcards
(22 cards)
Glucose
source of energy for body tissues
What Regulates Glucose
Liver, pancreas, muscle
Liver
Releases stored or synthesizes glucose (gluconeogenesis)
Pancreas
Exocrine, Endocrine glands
Exocrine
digestive enzymes
Endocrine
Beta Cells, Alpha cells, Delta cells, F cells
Beta cells
hypoglycemia hormone - insulin
Alpha cells
hyperglycemic hormone - glucagon
F cells
polypeptides used in digestion
Skeletal muscle in regards to diabetes
target organ of insulin; most of insulin receptor sites where insulin binds, facilitating entry of glucose into the cell
Insulin
secretion regulated by coordinated interaction of serum glucose levels, GI/pancreatic hormones, autonomic neurotransmitters. Most commonly triggered by high serum glucose level.
Primary function of Insulin
lowers serum glucose levels by stimulating peripheral uptake, especially in skeletal muscle and fat.
Tissues that do not require insulin to absorb glucose
nerve tissues, erythrocytes, kidney epithelium (tubules), cells of brain, intestines, liver, and retina
Gestational
insufficient pancreatic function to overcome resistance for anti-insulin hormones serrated by placenta.
Type 1
Autoimmune disorder- destruction of insulin secreting beta cells. it is an absolute insulin deficiency
Type 2
Insulin Resistance usually from decrease in insulin production.
No appreciable loss of beta cells
No decrease in plasma insulin concentration but peripheral tissues resist insulin with resultant lack of glucose uptake
Linked closely to obesity, sedentary lifestyle, lack of activity
Basal Insulin
continuous secretion maintaining glucose homeostatsis
Prandial insulin
secretion stimulated in response to meals
Indications of Insulin
low blood glucose and in hyperkalemia
sliding scale
dr. prescribes amount of insulin to give give blood glucose levels
Renal dysfunctions
insulin is filtered by glomerulus with 98% reabsorbed so this reduces the amount excreted with resultant reduction in required insulin dose required
What does Insulin do?
Mimics effect of endogenous insulin
Increases cell membrane permeability to insulin, amino acids, and fatty acids
Maintains constant glucose level by changing glycogen into glucose
Converts excess glucose into glycogen
Promotes storage of fat by combining alpha-glycerophosphate with fatty acids to form triglycerides.