lecture 4 diabetes Flashcards

1
Q

what are additional symptoms of diabetes

A

cells are unable to uptake nutrients from blood - weight lost

fatigue

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2
Q

what kind of disorder is diabetes

A

a metabolic disorder

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3
Q

what makes diabetes a metabolic disorder

A

chronic hyperglycaemia and disturbances of carbohydrate, fat and
protein metabolism

defects in insulin secretion and actiom

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4
Q

what does having diabetes mellitus fail to maintain

A

blood glucose homeostasis

cells cannot absorb glucose from the blood

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5
Q

what is high glucose levels counteracted with

A

thirst (polydipsia)

urinary volume (polyuria)

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6
Q

what’s a sign of diabetes

A

production of ketones -> acetone

ketones will be detected in urine

lowers pH in blood

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7
Q

what is another name for type 1 diabetes

A

Insulin dependent diabetes mellitus (IDDM)

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8
Q

what is another name for type 2 diabetes

A

non-insulin dependent diabetes mellitus (NIDDM)

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9
Q

who develops gestational diabetes

A

pregnant women

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10
Q

facts about gestational diabetes?

A

body does not produce enough insulin to meet demands of pregnancy

resolves after the birth of baby

30% more risk of type 2 after baby

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11
Q

what chains and bonding does insulin have

A

A and B subunits

disulphide bonds

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12
Q

what cells produce insulin and from where

A

Beta cells

islets of pancreas

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13
Q

what are the actions of insulin for lipids

A

increases triglyceride synthesis

increases fatty acid transport into adipose cells

activates lipoprotein lipase in capillary walls

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14
Q

what does insulin do for proteins

A

increases active transport of amino acids into cells

increases protein synthesis

decreases protein breakdown

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15
Q

what does insulin do for glucose

A

increase glucose transport to muscles

increase glycogen

decrease glycogenesis

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16
Q

cell types in the islets of pancreas

A

B cells - insulin

Alpha cells - glucagon

delta cells - somatostatin (inhibits insulin release)

PP cells - produce pancreatic polypeptide

17
Q

what are the 3 stages of glucose induced insulin secretion

A

glucose transport and metabolism

electrical

secretatory

18
Q

what are electrochemical membranes

A

polarised cell membrane

19
Q

what are electrochemical membranes maintained by

A

maintained by pumps that use ATP

20
Q

How is glucose transported

A

glucose is transported through GLU2 receptors

glucokinase -> G6P > pyruvate

21
Q

what happens at the electrical stage

A

cell membrane is polarised

ATP inhbits the potassium channel maintaining polarisation

membrane depolarises

depolarisation spreads

Ca2+ channel opens and Ca2+ enters

22
Q

what happens at the secretatory stage

A

insulin-containing secretory granules fuse with the membrane

insulin is released by exocytosis

23
Q

when is insulin released

A

when glucose is high

enables glucose to transport to tissues

24
Q

when is glucagon released

A

when glucose is low

25
Q

what inhibits insulin release

A

glycogenolysis

gluconeogenesis

26
Q

what does the liver do for glucose

A

stores glucose as glycogen

Release when needed

27
Q

when does insulin inhibit glucagon release

A

when blood glucose increases

28
Q

when are GLP-1 and GIP released

A

after a meal

29
Q

where are GLIP and GLP-1 released

A

by the small intestine

30
Q

what does the release of GLP-1 and GIP do

A

Stimulates insulin secretion

31
Q

what stimulates the incretin release

A

Glucose in small intestine

32
Q

what are incretins

A

Hormones released in response to food ingestion

33
Q

What do incretins do

A

They modulate the insulin secretory response to ingestion of food