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13 Cards in this Set

  • Front
  • Back
What is the over all function of insulin?
depends on fasting or fed state

1)fed state: decrease blood glucose level and prevent hyperglycemia
2)fasting state: increase blood glucose level and prevent hypoglycemia
What is the general function of insulin in fed state?
1)anabolism of protein, fat, glycogen
2) oxidation of carbs
3) DECREASED fat catabolism
What are the 3 tissues sensitive to insulin? (3)
muscle
adipose
liver
What is the effect of insulin in muscle?
1) increase intracellular K
2) increase GLUT4 for glucose facilitated diffusion
3) glycolysis and glycogen synthesis
4) increases storage and decreases breakdown of fat
What is the effect of insulin in adipose tissue?
1)production of &alpha glycerophosphate which accepts FA for triglyceride synthesis
2) increased storage and decreased breakdown of fat
What is the effect of insulin in the liver?
1) ↑ insulin, ↑ glucokinase
2) this traps glucose in liver cells
3) decreased hepatic gluconeogenesis
4) ↓ ketogenesis
What hormones are increased in fed state vs fasting state?
fed: ↑ insulin
fasting: ↓ insulin, ↑ glucagon, ↑ glucocorticoids, ↑ growth hormone, ↑ catecholamines
What happens to glucose in the fasting state in liver?
increase glucose secretion by increasing glycogenolysis
What happens to proteins in the fasting state?
glucocorticoids cause an ↑ proteolysis
What happens to lipids/fat cells in fasting?
↑ lipolysis from catecholamines, growth hormone, glucagon and glucocorticoids
What happens to gluconeogenesis in the fasting state?
glucocorticoids and glucagon stimulate gluconeogenesis directly
What is the pattern of fuel utilization during food deprivation?
1)blood glucose: ↓ utilization by muscle and adipose
2) brain: terminal oxidation into CO2 and H2O
3) glycolysis to lactate and pyruvate in certain cell populations
4) FFA released by lipolysis
5) FFA turned into ketoacids in liver
What are the steps of insulin synthesis?
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