Type 2 Diabetes Risk Factors and Mechanisms

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Questions and Answers

What percentage of individuals with type 2 diabetes are typically obese?

  • 50 to 70 percent
  • 80 to 90 percent (correct)
  • 10 to 20 percent
  • 30 to 50 percent

How does excess body fat primarily contribute to the development of type 2 diabetes?

  • By impairing insulin's effect and promoting glucose production (correct)
  • By increasing insulin production by pancreatic beta cells
  • By increasing secretion of adiponectin
  • By promoting glucose utilization in skeletal muscle

What biological product is secreted by fat cells that dampens the effect of insulin?

  • Tumor necrosis factor (correct)
  • Leptin
  • Insulin
  • Adiponectin

What role does adiponectin play in relation to insulin sensitivity?

<p>It promotes insulin action and has anti-inflammatory activity (B)</p> Signup and view all the answers

What happens to fat cells when they become full of fat in relation to insulin?

<p>They secrete products that impair insulin effects (D)</p> Signup and view all the answers

Flashcards

Obesity

The condition of having an excessive amount of body fat, particularly around the abdomen.

Adipokines

Hormone-like substances produced by fat cells that can interfere with insulin's ability to regulate blood sugar.

Adiponectin

A protein produced by fat cells that helps improve insulin sensitivity and has anti-inflammatory properties.

Glucose Utilization

The process by which the body uses glucose (sugar) for energy.

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Hepatic Glucose Production

The production of glucose by the liver, independent of food intake.

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Study Notes

Type 2 Diabetes Risk Factor

  • Obesity is the major risk factor for type 2 diabetes.
  • About 80-90% of people with type 2 diabetes are obese (at least 20% above recommended weight).
  • Obesity directly causes type 2 diabetes in these individuals.
  • This chapter focuses on factors linked to excess body fat and type 2 diabetes.

Mechanisms of Obesity-Induced Diabetes

  • Excess abdominal fat releases biological products (resistin, leptin, TNF-alpha, free fatty acids).
  • These products reduce insulin effectiveness,
  • hinder glucose usage by muscles,
  • increase glucose production by the liver,
  • and impair insulin release from the pancreas.
  • Increased fat cells also decrease secretion of substances that enhance insulin action.
  • Adiponectin, a novel protein made by fat cells, is one such compound.
  • Adiponectin improves insulin sensitivity and has anti-inflammatory effects.

Multiple-Choice Questions (Example)

  1. Which of the following is the primary risk factor for type 2 diabetes, according to the text? a) High blood pressure b) Genetics c) Obesity d) Lack of exercise

  2. How do fat cells contribute to the development of type 2 diabetes? a) They increase the secretion of insulin. b) They decrease glucose production in the liver. c) They release substances that impair insulin's action and glucose utilization. d) They produce a protein that promotes insulin sensitivity

  3. What is the role of adiponectin in relation to type 2 diabetes? a) It decreases insulin production. b) It promotes inflammation. c) It enhances insulin sensitivity and has an anti-inflammatory effect. d) It is not related to diabetes.

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