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Toledo PT Endocrine System IV
Toledo PT Endocrine System IV
18
Physiology
Professional
10/10/2009

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Term
What are the 3 fates of glucose during absorptive state? lol
Definition
skeletal muscle (oxidative glycogen), adipocytes (TG), Liver (glycogen & TG by VLDL to the Adipocytes.
Term
What is the fate of TG in the absorptive state?
Definition
TG in chylomicron->lymphatic system-->general circulation turned into FFA then into TG in the adipocytes.
Term
What are the sources of adipocyte TG?
Definition
Glucose, Ingested TG, VLDL from liver.
Term
What enzyme converts TG into FFA
Definition
lipoprotein lipase
Term
Where does a-glycerophasphate come from and what does it form?
Definition
glucose and forms TG in adipocytes.
Term
What is the fate of amino acid during absorptive state?
Definition
all tissues: AA->protein synthesis-->structural protein and enzymes. Liver: AA->NH3-->urea; AA->a-ketoacids-->FFA-->TG
Term
T/F Lipolysis can generate glycerol which can help maintain normal blood glucose?
Definition
True
Term
What do a-cells produce?
Definition
glucagon
Term
What do B-cells produce?
Definition
Insulin
Term
What do g-cells produce?
Definition
Somatostatin
Term
Differences in levels of insuline between absorptive state and post-absorptive state.
Definition
Absorptive state: increase in insulin level; Post-absorptive state: decrease in insulin level
Term
What factors control insulin secretion?
Definition
plasma glucose, plasma amino acids, glucose-dependent insulintropic peptide, Activation of parasympathetic neurons, activation of sympathetic neurons: hypoglycemia, stress, exercise.
Term
Glucagon stimuli
Definition
hypoglycemia; stimulation of secretion; hyperglycemia: inhibition of secretion; Exercise: stimulation of secretion; high plasma amino acid: stimulatino of secretino; Activation of sympathetic neurons: stimulation of secretion
Term
Activation of Glucagon
Definition
major action on liver: opposite effect of insulin; increased glycogenolysis; through activation of adenylyl cyclase; which increases hepatic cAMP; increased gluconeogenesis; increased ketone synthesis
Term
What are the effects of increased concentration cortisol?
Definition
increased protein catabolism, increased gluconeogenesis, decreased insulin sensitivity -->decreased glucose transport by muscle and adipocytes, increased TG breakdown.
Term
What are the anti-insulin effects of GH?
Definition
increased lipolysis in adipocytes, increased gluconeogenesis by liver, decreased glucose transport by muscle and adipocytes.
Term
Diabetes Mellitus Type I
Definition
onset at early age; 5-10% total DM; insulin deficiency is major problem; depends on exogenous insulin
Term
Diabetes Type 2
Definition
onset at both young and old age; 90-95% total DM; insulin rsistence in insulin target cells; diet & exercise; other drugs: insulin sensitizers, e.g. glucophage; insulin is necessary at later stage.
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