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CC - PRELIM
L3 - LEC
| Question | Answer |
|---|---|
| SOURCES OF ENERGY | 1. Carbohydrates: primary source 2. Lipids 3. Proteins |
| CARBOHYDRATES (CHO) -Organic compounds composed of: | 1. Carbon 2. Hydrogen 3. Oxygen |
| CHO; Major constituents of the PHYSIOLOGIC SYSTEM | 1. Brain 2. Erythrocyte 3. Retinal cells |
| most common non-reducing sugar | SUCROSE |
| Carbs are stored in the cells of the? | LIVER & MUSCLES |
| only cells capable of breaking down glycogen to glucose because they can produceglucose-6-phosphatase | LIVER CELLS |
| not capable of breaking down glycogen to glucose and cannot produce glucose-6-phosphatase | MUSCLE CELLS |
| ALDOSE location | terminAL carbonyl group |
| KETONES location | Middle carbonyl group |
| Simple sugars that cannot be hydrolyzed to a simpler form | Monosaccharides |
| Two monosaccharides are joined by a glycosidic linkage | Disaccharides |
| Linkage of many monosaccharide units | Polysaccharides |
| Storage form of glucose in the body | glycogen |
| glucose levels rise at? | after 30mins |
| glucose levels peak at? | after 1hour |
| glucose levels go back to normal at? | after 2hours |
| GLUCOSE METABOLIC PATHWAY | 1. Embden-Meyerhoff Pathway 2. Hexose-Monophosphate Shunt |
| Provides energy for the body in the form of ATP | Embden-Meyerhoff Pathway |
| Does not directly convert glucose to glucose-6-phosphate | Hexose-Monophosphate Shunt |
| Production of reduced nicotinamide adenine dinucleotide phosphate ribose-5-phosphate | Hexose-Monophosphate Shunt |
| Breakdown of glucose to pyruvate/lactate to produce energy | Glycolysis |
| Formation of glucose-6-phosphate from non-carbohydrate sources | Gluconeogenesis |
| Breakdown of glycogen to glucose for energy | Glycogenolysis |
| Glucose to glycogen for storage | Glycogenesis |
| Decomposition of fat | Lipolysis |
| Lipolysis | Lipogenesis |
| HORMONES REGULATING GLUCOSE METABOLISM | 1. Insulin 2. Glucagon 3. Somatostatin 4. Cortisol 5. Catecholamines 6. Thyroid Hormones 7. GH 8. Adrenocorticotropic Hormone |
| Only hormone that decreases glucose | Insulin |
| immediate precursor of insulin; cleaved into insulin and c-peptide | Proinsulin |
| test that is based on the presence of proinsulin that helps in the differential diagnosis of type 1 from type 2 DM and the diagnosis of insulinomas | C-Peptide |
| Binds to receptors to facilitate entry of glucose to cells ○ Produced by the β cells of the islets of Langerhans in the pancreas | Insulin |
| Produced by the α cells of the islets of Langerhans in the pancreas | Glucagon |
| Primary hormone increasing glucose levels | Glucagon |
| Glucagon promotes | 1. Glycogenolysis 2. Gluconeogenesis |
| Insulin promotes | 1. Glycolysis 2. Glycogenesis 3. Lipogenesis |
| Produced by the δ cells of the islets of Langerhans in the pancreas ○ Not that significant in glucose metabolism but significant in growth | Somatostatin |
| Somatostatin inhibits | 1. Pancreatic hormone release of insulin and glucagon 2. Gastric acid secretion |
| Produced by the ZONA fasciculata of the adrenal cortex | Cortisol |
| Cortisol promotes | 1. Hepatic gluconeogenesis 2. Lipolysis |
| Produced by the chromaffin cells of the adrenal medulla ○ Released in times of stress (ex: epinephrin) | Catecholamines |
| Thyroid Hormones ○ Produced by | thyroid gland |
| Thyroid Hormones promotes | 1. Glycogenolysis 2. Intestinal absorption of glucose |
| GH is produced by the ? | anterior pituitary gland |
| GH promotes | 1. Glycogenolysis 2. Lipolysis |
| Adrenocorticotropic Hormone ○ Produced by the ? | anterior pituitary gland |
| Adrenocorticotropic Hormone promotes | 1. Glycogenolysis 2. Gluconeogenesis |
| Low blood glucose levels | HYPOGLYCEMIA |
| HYPOGLYCEMIA causes | 1. Insulinoma 2. Diabetic shock |
| due to hepatic disorders, endocrine disorders, neoplasms, insulinoma, septicemia, and alcohol-induced hypoglycemia | Fasting hypoglycemia |
| due to overfasting | Reactive hypoglycemia |
| Diagnostic criteria (Whipple’s Triad) of HYPOGLYCEMIA: | -Symptoms present - Low blood glucose - Relief of symptoms when glucose is raised to normal |
| High blood glucose levels | HYPERGLYCEMIA |
| HYPERGLYCEMIA fbs? | >126 mg/dL |