Diabetes 1
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Questions and Answers

What is the role of insulin in regulating sugar in the body, and how does its absence or resistance lead to diabetes?

Insulin helps cells use sugar for energy, but without insulin or with insulin resistance, sugar builds up in the blood and can lead to diabetes.

What are the differences between Type I and Type II diabetes, and how do they affect insulin production and usage in the body?

Type I diabetes involves no insulin production, while Type II diabetes involves insufficient insulin production or ineffective insulin usage.

How do fatty acids and ketone bodies contribute to energy production in the body, and what role do they play in diabetes?

Fatty acids can be stored or used for energy, and ketone bodies can provide energy for the heart during fasting. In diabetes, there may be issues with utilizing these energy sources effectively.

What are some non-lifestyle factors that can contribute to Type II diabetes?

<p>Genetics, immune response, fatty acid levels, inflammation, and mitochondrial dysfunction can contribute to Type II diabetes.</p> Signup and view all the answers

What are some other types of diabetes besides Type II diabetes?

<p>Other types of diabetes include gestational diabetes, which affects pregnant women, and specific genetic defects or diseases of the pancreas or endocrine system.</p> Signup and view all the answers

What are some ways to manage Type II diabetes?

<p>Type II diabetes can be managed with healthy eating habits, exercise, and sometimes insulin medication.</p> Signup and view all the answers

What are some factors besides high BMI that can contribute to Type II diabetes?

<p>Genetics, immune response, fatty acid levels, inflammation, and mitochondrial dysfunction can contribute to Type II diabetes.</p> Signup and view all the answers

What are the different types of diabetes besides Type II diabetes?

<p>Other types of diabetes include gestational diabetes, which affects pregnant women, and specific genetic defects or diseases of the pancreas or endocrine system.</p> Signup and view all the answers

What are some ways to manage Type II diabetes?

<p>Type II diabetes can be managed with healthy eating habits, exercise, and sometimes insulin medication.</p> Signup and view all the answers

What are some non-obesity-related factors that can contribute to Type II diabetes?

<p>Genetics, immune response, fatty acid levels, inflammation, and mitochondrial dysfunction.</p> Signup and view all the answers

What are the other types of diabetes, besides Type II diabetes?

<p>Gestational diabetes, and specific genetic defects or diseases of the pancreas or endocrine system.</p> Signup and view all the answers

Why is it important to understand the metabolism of hormones such as insulin to diagnose and manage diabetes?

<p>Because insulin plays a crucial role in regulating blood sugar levels, which is a key factor in diagnosing and managing diabetes.</p> Signup and view all the answers

What is insulin and what are its functions in the body?

<p>Insulin is a hormone that sends messages to other parts of the body. Its actions can lead to the conversion of fatty acids into phospholipids and triglycerides, as well as the production of ketone bodies that provide energy to the heart during fasting.</p> Signup and view all the answers

What is the difference between type 1 and type 2 diabetes?

<p>Type 1 diabetes is associated with the destruction of beta cells that produce insulin, while type 2 diabetes is associated with insulin resistance and high BMI.</p> Signup and view all the answers

Why is diabetes considered an emerging global pandemic?

<p>Diabetes is considered an emerging global pandemic because of its increasing prevalence worldwide.</p> Signup and view all the answers

What are the contributing factors to the pathogenesis of Type 2 Diabetes?

<p>Inheritable factors, immune responses, raised levels of fatty acids, inflammatory cytokines, mitochondrial dysfunction, and build up of amyloid protein deposits in the pancreas.</p> Signup and view all the answers

What are the potential treatments for Type 2 Diabetes?

<p>A healthy diet and exercise, and possibly insulin medication.</p> Signup and view all the answers

What are some of the damaging effects of Type 2 Diabetes on the body?

<p>Raised levels of fatty acids, inflammatory cytokines, mitochondrial dysfunction, and build up of amyloid protein deposits in the pancreas.</p> Signup and view all the answers

What is the primary way to control Type 2 Diabetes?

<p>Healthy diet and exercise</p> Signup and view all the answers

What are some factors that contribute to the pathogenesis of Type 2 Diabetes?

<p>Immune responses</p> Signup and view all the answers

Why is understanding insulin metabolism important in managing diabetes?

<p>It helps differentiate between types of diabetes</p> Signup and view all the answers

What can control Type 2 diabetes?

<p>Type 2 diabetes can be controlled with a healthy diet and exercise, but may eventually require insulin medication.</p> Signup and view all the answers

What factors contribute to the pathogenesis of Type 2 diabetes?

<p>Inheritable factors, immune responses, raised levels of fatty acids, inflammatory cytokines, mitochondrial dysfunction, and build up of amyloid protein deposits in the pancreas contribute to the pathogenesis of Type 2 diabetes.</p> Signup and view all the answers

Why is understanding insulin metabolism important in managing diabetes?

<p>Understanding the actions and consequences of insulin metabolism is crucial in managing diabetes, as well as classifying and differentiating between types of diabetes.</p> Signup and view all the answers

Which hormone affects metabolism by binding to an insulin receptor and activating a signaling cascade that leads to cell division?

<p>Insulin</p> Signup and view all the answers

Which type of hormone release occurs through interstitial spaces to nearby cells?

<p>Paracrine</p> Signup and view all the answers

Which hormone is responsible for regulating appetite and food intake?

<p>Leptin</p> Signup and view all the answers

What are hormones and how do they affect cellular responses?

<p>Hormones are chemicals released by cells or glands that affect cells in other parts of the organism. They can be transported in the blood and bind to specific receptors, leading to cellular responses.</p> Signup and view all the answers

Which hormones affect metabolism and what are their functions?

<p>Several hormones affect metabolism, including insulin, growth hormone, cortisol, glucagon, epinephrine, thyroxine, leptin, adiponectin, ghrelin, and PYY. They have various functions, such as regulating blood sugar levels, promoting growth and development, and controlling appetite.</p> Signup and view all the answers

What is the difference between Diabetes I and II?

<p>Diabetes I and II are characterized by differences in insulin production and signaling. In type I diabetes, the body does not produce enough insulin, whereas in type II diabetes, the body becomes resistant to insulin and is unable to use it effectively.</p> Signup and view all the answers

What is the role of MEK in insulin and glucose metabolism?

<p>MEK phosphorylates ERK on Thr and Tyr residues, activating it and initiating signaling transduction.</p> Signup and view all the answers

How does phosphorylation of GSK3 affect glycogen synthase activity?

<p>Inactivated GSK3 cannot convert glycogen synthase (GS) to its inactive form by phosphorylation, so GS remains active, and synthesis of glycogen from glucose is accelerated.</p> Signup and view all the answers

What is the mechanism by which insulin stimulates glucose uptake in cells?

<p>IRS-1, phosphorylated by the insulin receptor, activates PI3K by binding to its SH2 domain, which converts PIP₂ to PIP 3. PKB, activated by PIP 3, phosphorylates GSK3 on a Ser residue, inactivating it, and stimulates the movement of glucose transporter GLUT4 from internal membrane vesicles to the plasma membrane, increasing uptake of glucose.</p> Signup and view all the answers

What is the role of MEK in insulin and glucose metabolism?

<p>MEK phosphorylates ERK on Thr and Tyr residues, activating it and initiating signaling transduction.</p> Signup and view all the answers

How does PKB affect glucose uptake in cells?

<p>PKB, activated by PIP 3, phosphorylates GSK3 on a Ser residue, inactivating it, and stimulates the movement of glucose transporter GLUT4 from internal membrane vesicles to the plasma membrane, increasing uptake of glucose.</p> Signup and view all the answers

What are some effects of insulin on blood glucose?

<p>Effects of insulin on blood glucose include an increase in glucose uptake, glycogen synthesis, glycolysis, and triacylglycerol synthesis.</p> Signup and view all the answers

What are the hormones involved in regulating glycogen synthesis and glycogenolysis?

<p>insulin and glucagon</p> Signup and view all the answers

What is the energy source during prolonged fasting resulting from beta-oxidation of fatty acids?

<p>ketone bodies</p> Signup and view all the answers

What are the metabolic processes involved in the well-fed state and fasting state?

<p>lipogenesis in the liver and gluconeogenesis and glycolysis, respectively</p> Signup and view all the answers

What is the mechanism behind the complications of DM caused by chronic hyperglycemia?

<p>Unknown</p> Signup and view all the answers

What are the types of diabetes and their associated characteristics?

<p>Type 1 diabetes is associated with insulin production, occurs early in life, and requires insulin injections for life; Type 2 diabetes is associated with insulin resistance, occurs late in life, and is linked with high BMI</p> Signup and view all the answers

What are the other types of diabetes besides types 1 and 2 and what are their causes?

<p>Other types include genetic defects, diseases of the exocrine pancreas, endocrinopathies, drug-induced, infections, immune-mediated, and syndromes; each type has its own specific cause</p> Signup and view all the answers

What are some factors that can increase the risk of type 2 diabetes?

<p>Being overweight with a BMI of 35 or more, and having a waist-to-hip ratio of more than 1:1 in men and 0.8:1 in women.</p> Signup and view all the answers

What are some possible causes of type 2 diabetes?

<p>Inheritable factors, immune response, raised levels of fatty acids, inflammatory and other cytokines, mitochondrial dysfunction and amyloid deposits in the pancreas.</p> Signup and view all the answers

What is the difference between hyperglycemia and hypoglycemia in relation to insulin and glucagon?

<p>Hyperglycemia stimulates insulin, while hypoglycemia stimulates glucagon.</p> Signup and view all the answers

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