The body needs glucose to make ATP (via cell respiration), however the amount required will fluctuate according to demand
High levels of glucose in the blood can damage cells (creates hypertonicity) and hence glucose levels must be regulated
Two antagonistic hormones are responsible for regulating blood glucose concentrations – insulin and glucagon
These hormones are released from pancreatic pits (called the islets of Langerhans) and act principally on the liver
When blood glucose levels are high (e.g. after feeding):
Insulin is released from beta (β) cells of the pancreas and cause a decrease in blood glucose concentration by:
Stimulating the conversion of glucose into glycogen within the liver (glycogenesis)
Promoting glucose uptake by the liver and adipose tissue (fat)
Increasing the rate of glucose breakdown by cells (by increasing respiration rates)
When blood glucose levels are low (e.g. after exercise):
Glucagon is released from alpha (α) cells of the pancreas and cause an increase in blood glucose concentration by:
Stimulating the breakdown of glycogen into glucose within the liver (glycogenolysis)
Promoting glucose release by the liver and adipose tissue (fat)
Decreasing the rate of glucose breakdown by cells (by reducing respiration rates)
Diabetes mellitus is a metabolic disorder in which the body fails to either produce or respond to insulin – leading to high blood glucose concentrations (hyperglycaemia)
Normally, insulin binds to specific receptors on target cells and triggers the opening of glucose channels
A failure to detect or respond to insulin will prevent the opening of glucose channels, leading to the accumulation of glucose within the blood
Type I Diabetes
The body does not produce sufficient levels of insulin
May be caused by the destruction of the pancreatic β-cells (via autoimmunity) and usually has an early onset (occurs during childhood)
It is treated via regular insulin injections to lower blood sugar levels (mismanagement can lead to hypoglycaemia)
Type II Diabetes
The body does not respond to the insulin produced by the body
May be caused by the down-regulation of insulin receptors and usually has a later onset (occurs during adulthood)
It is controlled by managing an individual’s diet and lifestyle to maintain stable blood glucose levels