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Blood Sugar Levels

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)

Regulating Blood Sugar Levels
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Diabetes

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)

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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

    Type I vs Type II Diabetes
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