Type 1 Diabetes & Vetkoek Metabolism

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Questions and Answers

In type 1 diabetes mellitus, which metabolic process is primarily affected due to insulin deficiency?

  • Impaired glucose utilization leading to hyperglycemia (correct)
  • Increased glucose uptake by cells
  • Enhanced fatty acid storage in adipose tissue
  • Unrestrained glycogen synthesis in the liver

Which clinical finding is LEAST likely to be associated with prolonged, uncontrolled type 1 diabetes mellitus?

  • Hypoglycemia (correct)
  • Increased risk of cardiovascular disease
  • Peripheral neuropathy
  • Diabetic ketoacidosis

What is the purpose of glycolysis in the context of carbohydrate metabolism after consuming a carbohydrate-rich meal?

  • Synthesizing fatty acids from excess glucose
  • Exporting glucose out of the cell
  • Storing glucose molecules as glycogen
  • Breaking down glucose to generate ATP and metabolic intermediates (correct)

Activation of which enzyme is MOST directly involved in the initial steps of glycogen synthesis following a carbohydrate-rich meal?

<p>Glycogen synthase (C)</p> Signup and view all the answers

How do hormones like insulin primarily contribute to maintaining metabolic homeostasis after a meal?

<p>By promoting the storage of excess glucose as glycogen (B)</p> Signup and view all the answers

Enzymes play a crucial role in metabolic regulation. Which of the following mechanisms is LEAST likely to be a direct mode of enzyme regulation in metabolic pathways?

<p>Passive diffusion of substrate across cellular membranes (B)</p> Signup and view all the answers

Cellular compartmentalization is vital for metabolic regulation. Which process is MOST directly facilitated by the separation of metabolic pathways into different cellular compartments?

<p>Prevention of futile cycles (A)</p> Signup and view all the answers

What is the underlying mechanism that explains how genetic factors can predispose individuals to metabolic disorders?

<p>Altered expression levels or functions of key metabolic enzymes and proteins (A)</p> Signup and view all the answers

A researcher is investigating the effect of a novel drug on glucose metabolism. They observe that the drug increases the activity of phosphofructokinase-1 (PFK-1) in liver cells. What is the MOST likely downstream effect of this drug?

<p>Increased rate of glycolysis (A)</p> Signup and view all the answers

Hormones and enzymes interact to fine-tune metabolic processes. How does insulin counteract the effects of glucagon on glycogen metabolism in the liver?

<p>By promoting glycogen synthesis and inhibiting glycogen breakdown (D)</p> Signup and view all the answers

Flashcards

Type 1 Diabetes Mellitus

A chronic metabolic disorder characterized by the body's inability to produce insulin, resulting in high blood sugar levels.

Glycolysis

The breakdown of glucose by enzymes, releasing energy and pyruvic acid.

Metabolic Homeostasis

Mechanisms that maintain a stable internal environment despite external changes.

Enzymes

Biological catalysts that speed up chemical reactions in the body.

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Hormones

Chemical messengers produced by the body that regulate various physiological processes.

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Cellular Compartmentalization

The process where cells are divided into specific sections to maximize efficiency and regulate many metabolic pathways.

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Study Notes

  • Section A contains 3 questions
  • Each question in the section is worth 10 marks, totaling 30 marks for the section

Question 1: Type 1 Diabetes Mellitus

  • Discuss the dysregulation of metabolic activities in type 1 diabetes mellitus
  • Elucidate clinical manifestations that are associated with type 1 diabetes
  • Identify the type of metabolic disease that it represents
  • Delineate specific metabolic irregularities contributing to its onset and progression

Question 2: Vetkoek (Gwinya) Metabolism

  • Discuss the metabolic pathways that are involved in processing the carbohydrates from vetkoek due to its high nutritional content
  • Elaborate on how the body converts carbohydrates into usable energy
  • Highlight key enzymes and steps specifically in glycolysis
  • Highlight any subsequent pathways that are involved in energy extraction and storage
  • Consider regulatory mechanisms involved in maintaining metabolic homeostasis in response to energy input from carbohydrates

Question 3: Metabolic Regulation

  • Explore how enzymes, hormones, genetics, and cellular compartmentalization work to together regulate metabolic processes and maintain homeostasis in the body
  • Explain each regulatory mechanism
  • Illustrate how each regulatory mechanism contributes to the overall balance of metabolic activities within cells and tissues

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