Test 5 Flashcards

(42 cards)

1
Q

*What is diabetes? (handout 1)

A

Disease where one’s blood glucose (sugar) levels are too high

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2
Q

What is insulin?

A

A hormone that helps glucose get into one’s cells to give energy or storing it as fat/glycogen

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3
Q

*What is Type I diabetes? (handout 2)

A

(usually genetic) body does not make insulin

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4
Q

*What is Type II diabetes? (handout 3)

A

(lifestyle) body does not make or use insulin well (most common)

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5
Q

*What happens from diabetes overtime? (handout 4)

A

Over time - too much glucose/sugar in the blood can cause problems (2-3)
- damage to eyes, kidneys, nerves
- cause heart disease, stroke, increased BP
- removal of limbs

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6
Q

*What about pregnant women and diabetes? (handout 5)

A

Pregnant women can get gestational diabetes

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7
Q

*What are the methods of controlling diabetes? (Handout 6-10)

A

1) A1C test (glycohemoglobin) usually given 2x year
2) Exercise
3) Monitor blood glucose levels
4) Take med, if prescribed
5) Meal Plan

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8
Q

*What are the aspects of A1C test? (Handout 6)

A
  • measures average blood glucose over past 3 months
  • determines how well one his managing diabetes
  • Normal A1C level is below 5.7%
  • Prediabetes is 5.7-6.4% (risk for getting type II)
  • Type II is above 6.5%
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9
Q

*What are the aspects of meal plans for diabetes? (Handout 10)

A

List 3-4
- Limit foods high in sugar
- eat smaller portions spread out over the day
- control carbs
- eat whole grains, fruits, veggies DAILY
- eat less fats
- Use less salt
- Limit alcohol use

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10
Q

Homeostasis:

A

Balanced internal state

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11
Q

Set point:

A

Single value the body works to maintain
e.g. O2, H2O, glucose, protein, fat, etc.

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12
Q

Allostasis:

A

Process by which the body responds to stressors in order to regain homeostasis

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13
Q

Basal Metabolism:

A

Energy used to maintain constant body temperature while at rest

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14
Q

Poikilothermic:

A
  • Amphibians, reptiles, fish (ectothermic)
  • Body temp matches environment temperature
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15
Q

Homeothermic:

A
  • Mammals & birds (endothermic)
  • Use physiological mechanisms to maintain almost constant body temperature despite variations in environment temp
  • Shivering
  • Sweating
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16
Q

Human Body Temp:

A

98.6*F 37C
- above 103 F reason for concern

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17
Q

What areas of the brain are responsible for temperature regulation?

A
  • POA-AH:
    – preoptic area: most critical for temperature control
    – hypothalamus: key player, specifically anterior hypothalamus
18
Q

POA-AH

A
  • Send output to hindbrain’s raphe nucleus which controls sweating, shivering, heart rate, metabolism, and blood flow to the skin
  • In brain stem
  • Damage impairs ones ability to regulate body temperature
19
Q

Fever:

A
  • Increases body temperature
  • Caused by bacterial/viral infection
  • Body’s defense against illness
  • Leukocytes mobilize and attack the bacteria or virus
    – releasing cytokines (protein) which in turn produce
    – Prostaglandin E1 & E2
    – which can cross BBB, increasing body temp and sleep
20
Q

What are the general things about Thirst? (Why need fluid, why loose water, what happens in brain when need water)

A
  • Need fluid in the circulatory system to maintain normal Blood Pressure
  • Loose water by sweating, urinating, defecating
  • When body needs water posterior pituitary gland releases vasopressin (antidiuretic hormone)
    – raises BP by constricting blood vessels
    – enables kidneys to reabsorb water and secrete highly concentrated urine
21
Q

Osmotic Thirst:

A
  • Caused: increase solute concentrations in body fluids & blood
  • OVLT: organum vasculosum lamina terminalis
    – area responsible for detecting osmotic thirst/pressure
    *Best relieved by drinking clear H2O
22
Q

Hypovolemic thirst:

A
  • Caused: low blood volume
  • BP and blood volume are low the blood cannot carry enough water or nutrients to the cells
  • Detecting blood volume loss
    *Best relieved by drinking water with solutes
23
Q

How is blood volume lost detected?

A

(hypovolemic thirst): 2 ways
1) Baroreceptors: attached to large veins which detect the pressure of blood returning to the heart
2) SFO (subfornical organ) adjoining the third ventricle
- when blood volume drops kidneys release renin which converts to angiotensin II which constricts blood vessels compensates for drop in BP

24
Q

What percentage of the body is water?

25
What is sodium-specific hunger?
(salt cravings) - **adrenal glands** produce **aldosterone** causing -- kidneys, salivary glands, sweat glands to conserve sodium and excrete more fluids/water than usual -- increase in salt tastes - angiotensin II increases salt cravings in response to decreased sodium and increased blood levels
26
What are the aspects of the digestive system?
- Mouth, esophagus, stomach, sphincter muscle, intestines
27
Small intestines:
- Main site for absorption of digested food stuffs into blood --> - cells --> nutrients & store excess fat, glucose, & protein -- later these reserves convert into glucose (body's main fuel)
28
Large intestines:
- Absorbs water & minerals - Lubricates the remaining material to pass as feces
29
Pairing food with illness:
Conditional taste aversion
30
Lactose intolerance:
Consume milk products = cramping and gas
31
Stomach and satisfaction
- Full stomach tells the brain it is satisfied -- Vagus nerve: -- Splanchnic nerve:
32
Vagus nerve and satisfaction
- CN X, - conveys information about the **stomach walls stretching** (satiety)
33
Splanchnic nerve and satisfaction
- celiac plexis in abdominal cavity, - carries information to the brain regarding **nutrients** in the stomach
34
Duodenum:
- Part of the small intestine where it connects to the stomach - 1st digestive site that absorbs significant nutrients - inhibits appetite by releasing CCK
35
What does CCK do?
(cholecystokinin): - closes sphincter muscles causing stomach to fill quickly - sends message to neuromodulator in brain that decreases eating
36
Hypothalamus and eating:
- Lateral hypothalamus: control of feeding -- lesion in this area --> under eating & weight loss - Ventral medial hypothalamus (VMH) -- lesion in this area --> overeating & weight gain
37
Glucose
Fuel for brain, energy for body
38
Glucagon:
Stimulates the liver to convert glycogen --> glucose --> increased BGL
39
Anorexia:
- low weight, fear of gaining wight, desire to be thin, restrict food intake - increased cortisol (like depressed people) - Comorbid with depression, anxiety, OCD
40
Bulimia:
- binge and purge, normal weight - increased YY + PYY neuromodulator peptide - decreased CCK
41
Obesity:
Can be genetic and environmental - genes can effect metabolic rate: higher --> lower weight, lower --> higher weight,
42
Those with Anorexia are likely to have family members with what disorder?
OCD