Glucose Metabolism and Diabetes Overview

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Questions and Answers

What are the two most important hormones involved in glucose homeostasis?

  • Insulin and glucagon (correct)
  • Epinephrine and norepinephrine
  • Thyroid hormone and parathyroid hormone
  • Growth hormone and cortisol

What is the name of the precursor molecule that is cleaved to form insulin and C-peptide?

Proinsulin

Which of the following hormones cause an increase in glucose levels in the blood?

  • Adrenaline
  • Growth hormone
  • Glucocorticoids
  • All of the above (correct)

The condition of increasing blood glucose level is called ______.

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

Type 1 diabetes mellitus is characterized by a decreased response to insulin known as insulin resistance.

<p>False (B)</p> Signup and view all the answers

Match the following diabetic conditions with their primary characteristics:

<p>Type 1 diabetes mellitus = Autoimmune destruction of insulin-producing cells Type 2 diabetes mellitus = Insulin resistance and decreased insulin production Gestational diabetes mellitus = Glucose intolerance developing during pregnancy Hypoglycemia = Abnormally low blood glucose level</p> Signup and view all the answers

Which of the following tests is used to determine whether the body has difficulty metabolizing ingested glucose?

<p>Oral glucose tolerance test (D)</p> Signup and view all the answers

The HbA1c test provides an average measure of blood glucose levels over the past 3 months.

<p>True (A)</p> Signup and view all the answers

What is the normal range for HbA1c levels in individuals who are not diabetic?

<p>Below 5.7%</p> Signup and view all the answers

C-peptide is a hormone that is produced by the pancreas and acts directly on cells to promote glucose uptake.

<p>False (B)</p> Signup and view all the answers

Which of the following conditions may lead to a false-positive result in a urine glucose test?

<p>Low renal threshold (D)</p> Signup and view all the answers

What is the primary function of the enolase enzyme?

<p>Enzymes catalyze or speed up the chemical reaction of glycolysis.</p> Signup and view all the answers

What is the primary characteristic of the fructosamine test?

<p>The fructosamine test measures the average blood glucose level over the past 2-3 weeks.</p> Signup and view all the answers

Flashcards

Glucose Estimation

Determining the amount of glucose in the blood or other fluids.

Dietary Carbohydrates

Carbohydrates obtained from food.

Glycogenolysis

Breakdown of glycogen to glucose.

Gluconeogenesis

Production of glucose from non-carbohydrate sources.

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Blood Glucose Concentration

The amount of glucose in the blood.

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Insulin

A hormone that lowers blood glucose levels.

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Glucagon

A hormone that raises blood glucose levels.

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Type 1 Diabetes

An autoimmune disease where the body attacks insulin-producing cells.

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Type 2 Diabetes

A condition where the body's cells don't respond properly to insulin.

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Insulin Resistance

Reduced response of cells to insulin.

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Hyperglycemia

High blood glucose levels.

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Hypoglycemia

Low blood glucose levels.

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Random Blood Glucose (RBG)

Blood glucose measured at any time.

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Fasting Blood Glucose (FBG)

Blood glucose after an overnight fast.

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Postprandial Blood Glucose (PPG)

Blood glucose after a meal.

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Renal Threshold

Blood glucose level at which kidneys start excreting glucose.

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Ketones

Substances produced when body burns fat for energy.

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Diabetic Ketoacidosis (DKA)

Serious complication of uncontrolled diabetes.

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Oral Glucose Tolerance Test (OGTT)

Test to assess body's glucose metabolism.

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HbA1c

Measures average blood glucose over 3 months.

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Fructosamine Test

Measures average blood glucose over 2-3 weeks.

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C-peptide Test

Evaluates insulin production by beta cells.

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Study Notes

Glucose Estimation

  • The body gets glucose from dietary carbohydrates and internal production via glycogenolysis and gluconeogenesis.
  • Blood glucose levels rely on the balance of glucose intake and utilization.
  • Key hormones in glucose homeostasis are insulin (lowers glucose) and glucagon (raises glucose).
  • Insulin is a 51 amino acid polypeptide, secreted by beta cells in the pancreas in response to high blood sugar. It's initially proinsulin, then cleaved into insulin and C-peptide.

Other Hormones That Increase Glucose Levels

  • Adrenaline
  • Growth hormone
  • Glucocorticoids
  • Cortisol

Disorders in Hormonal Circulation

  • Hyperglycemia: High blood glucose levels.
  • Hypoglycemia: Low blood glucose levels.

Type 1 and Type 2 Diabetes

  • Type 1 (Insulin-dependent): Autoimmune disease affecting insulin-producing cells in the pancreas. Treatment involves insulin injections.
  • Type 2 (Non-insulin-dependent): Body cells become resistant to insulin. Treatment involves lifestyle changes and potentially insulin.

Gestational Diabetes Mellitus (GDM)

  • Occurs during pregnancy.
  • Placenta hormones can cause rising blood glucose levels, needing higher insulin levels.
  • Mothers with GDM may later have Type 2 diabetes.

Diagnosing Diabetes

  • Blood samples (e.g., random blood glucose, fasting blood glucose)
  • Urine sample tests (detect glucose, ketones)
  • Oral glucose tolerance test (OGTT): Measures blood glucose after ingestion of glucose solution.

Glycemic Control Tests

  • HbA1c (hemoglobin A1c): Average blood glucose levels over 3 months.
  • Fructosamine test: Average blood glucose over 2-3 weeks.
  • C-peptide test: Measures the amount of insulin produced by the body.

Prediabetes and Diabetes

  • Prediabetes: Blood glucose level between normal and diabetic levels.
  • Diabetes Mellitus: Elevated blood glucose levels.

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