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CHO
Carbrohydrates
Question | Answer |
---|---|
General formula for a carbohydrate | Cx(H20)y |
Where are carbohydrates stored? | liver and muscle glycogen |
Trioses | 3 carbons |
tetroses | 4 carbons |
pentoses | 5 carbons |
hexoses | 6 carbons |
Disaccharide sugars | maltose, lactose, surcrose |
Monosaccharide sugars | fructose, galactose, glucose |
Reducing agents | maltose lactose, fructose,galactose and glucose |
Is sucrose a reducing agent? | NO |
Reducing agents must contain ______ and ______ | ketone and an aldehyde group |
Enzymes | breakdown carbs |
Amylase | enzyme in saliva |
pancreatic amylase | produced in the panceas |
What is the goal of the metabolism of carbohydrates? | to break glucose down into co2+H20+ATP (energy) |
glycolysis | Anaerobic, good for tissue |
glycolysis pathway | Metabolism of glucose molecule to pyruvate or lactate for production of energy. |
Gluconeogenesis Pathway | Formation of glucose-6-phosphate from noncarbohydrate source |
Glycogenolysis | Breakdown of glycogen to glucose for use as energy |
Glycogenesis pathway | 3rd Pathway ! Conversion of glucose to glycogen for storage |
Lipogenesis pathway | Conversion of carbohydrates to fatty acids |
Lipolysis pathway | Decomposition of fat |
anabolism | building up metabolism |
catabolism | Breaking down metabolism |
Insulin | responsible for entry of glucose into the cell increases glycogenesis, glycolysis and lipogenesis Decreases glycogenolysis |
Glucagon | Responsible for increasing glucose levels increases glycogenolysis and gluconeogenesis |
ACTH(cortisol) | increases plasma glucose by decreasing intestinal entry into the cell and increasing gluconeogenesis, liver glycogen and lipolysis |
Epinephrine | Increases plamsa glucose by inhibiting insulin secreation. Increases glycogenolysis and promotes lipolysis |
GH | Growth Hormone increaases plasma glucose by decreasing the entry of glucose into the cells and increases glycolysis |
Diabetes Mellitus Type 1 | B-cell destruction Absolute insulin deficiency Autoantibodies |
Diabetes Mellitus Type 2 | Insulin resistance with an insulin secretory defect Relative insulin deficiency |
Gestational diabetes | Glucose intolerance during pregnancy due to metabolis and hormonal changes |
Infants born to diabetic mothers | At risk for respiratory distress syndrome, hypoglicemia and hyperbillirubinemia |
Normal Fasting Glucose | FPG < 100 mg/dL ( 5.6mmol/L ) |
Impaired fasting glucose ( pre-diabetes) | FPG 100-125 mg/dL (5.6-6.9 mmol/L ) |
Provisional diabetes diagnosis | FPG > 126 mg/dL (7.0mmol/L ) |
Hypoglycemia | Decrease in plasma glucose levels |
Hyperglycemia | Increase in plasma glucose levels |
Expected values for CSF glucose | 60-70% of plasma glucose level |
Glucose oxidase | Serum test |
Hexokinase | Serum test |
Clinitest | Urine test for glucose |
Random | |
Diabetes Mellitus Type 1 | B-cell destruction Absolute insulin deficiency Autoantibodies |
Diabetes Mellitus Type 2 | Insulin resistance with an insulin secretory defect Relative insulin deficiency |
Gestational diabetes | Glucose intolerance during pregnancy due to metabolis and hormonal changes |
Infants born to diabetic mothers | At risk for respiratory distress syndrome, hypoglicemia and hyperbillirubinemia |
Normal Fasting Glucose | FPG < 100 mg/dL ( 5.6mmol/L ) |
Impaired fasting glucose ( pre-diabetes) | FPG 100-125 mg/dL (5.6-6.9 mmol/L ) |
Provisional diabetes diagnosis | FPG > 126 mg/dL (7.0mmol/L ) |
Hypoglycemia | Decrease in plasma glucose levels |
Hyperglycemia | Increase in plasma glucose levels |
Expected values for CSF glucose | 60-70% of plasma glucose level |
Glucose oxidase | Serum test |
Hexokinase | Serum test |
Clinitest | Urine test for glucose |
Random plasma glucose | Nonfasting >200 mg/dL |
Fasting plasma glucose | 8-10hr fast >126 mg/dL |
OGTT | Oral glucose tolerance test 2 hrs after 75g glucose loads >200 mg/dL 3 hr 1, 2, 3, hr samples after 75, used for GDM screening only |
Whole blood glucose | 2 hr post-prandial Daily self monitoring diabetics Less than 11% than plasma 2hr after meal Fasting and 2 hr sample |