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Antidiabetics
part 1
26
Nursing
Graduate
11/17/2014

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Term
IN GENERAL WHAT 2 THINGS DOES THE PANCREAS SECRETE INTO THE GI TRACT?
Definition
BICARBONATE AND DIGESTIVE ENZYMES. 99% OF MASS OF PANCREAS IS TO SECRETE DIGESTIVE ENZYMES
Term
WHAT DOES THE ISLETS OF LANGERHANS DO?
Definition
SMALL ENDOCRINE GLANDS IN THE PANCREAS THAT SECRETE HORMONES.
Term
WHAT DOES THE ALPHA CELLS OF THE ISLETS OF LANGERHANS RELEASE?
Definition
GLUCAGON. IT HAS A + INOTRIPIC/CHRONOTROPIC EFECT IN HEART THROUGH CAMP. IT IS CONSIDERED A CATABOLIC HORMONE. IT MOBILIZES GLUCOSE FROM FAT
Term
WHAT DOES THE BETA CELLS OF THE ISLETS OF LANGERHANS RELEASE?
Definition
INSULIN AND AMYLIN.
Term
WHAT DOES AMYLIN DO?
Definition
SUPPRESSES GLUCAGON RELEASE, HAS SATIETY EFECT, AND SLOWS GASTRIC EMPTYING
Term
WHAT DOES DELTA CELLS OF THE ISLETS OF LANGERHANS RELEASE?
Definition
SOMATOSTATIN AND GASTRIN
Term
WHAT DOES PP CELLS OF THE ISLETS OF LANGERHANS RELEASE?
Definition
PANCREATIC POLYPEPTIDE
Term
WHAT IS RELEASED AFTER WE EAT A MEAL?
Definition
INSULIN AND AMYLIN ARE RELEASED FROM THE B-CELLS. INSULIN INCREASES SKELETAL MUSCLE UPTAKE OF GLUCOSE FOR STORAGE. AMYLIN SUPPRESSES ENDOGENOUS GLUCOSE PRODUCTION FROM LIVER. THEY ARE BOTH CONSIDERED GROWTH HORMONES.
Term
WHAT 4 THINGS COUNTER BALANCE TO INCREASE GLUCOSE?
Definition
GLUCAGON, CATECHOLAMINES, GLUCOCORTICOIDS, AND GROWTH HORMONE
Term
WHAT DOES GLUCOCORTICOIDS ANTAGNOIZE?
Definition
INSULIN
Term
WHERE IS GROWTH HORMONE RELEASED FROM AND WHAT DOES IT REGULATE?
Definition
PITUITARY GLAND. REGULATES GLUCOSE LEVELS
Term
WHAT SHOULD A FASTING GLUCOSE BE?
Definition
<100MG/DL
Term
AFTER A MEAL, COMPLEX CARBS ARE BROKEN DOWN INTO WHAT?
Definition
MONOSACCHARIDES (GLUCOSE, GALACTOSE, AND FRUCTOSE) IN THE GI TRACT AND ARE TRANSPORTED TO THE BLOOD STREAM.
Term
WHEN YOU HAVE ELEVATED GLUCOSE IN THE BLOOD STREAM WHAT 2 HORMONES DOES THAT SIGNAL TO BE RELEASED?
Definition
INSULIN AND AMYLIN
Term
WHAT DOES FLUCAGON-LIKE PEPTIDE (GLP-1) DO?
Definition
IT IS FROM THE GI TRACT AND FURTHER ENHANCES INSULIN RELEASE BY THE B-CELLS
Term
WHERE ARE THE MAIN TARGETS OF INSULIN? (ORGANS)
Definition
ANY ORGAN WHERE THERE ARE A LOT OF INSULIN RECEPTORS. LIVER (MAIN METABOLIC FACTORY), SKELETAL MUSCLE, ADIPOSE TISSUE AND ANY OTHER PALCE THAT CAN STORE OR USE GLUCOSE LIKE BRAIN.
Term
WHAT DOES PEROXISOME PROLIFERATOR-ACTIVATED RECEPTOR GAMMA STIMULATION DO?
Definition
STIMULATION BY FATTY ACID LIGANS CAUSE THE LIVER AND OTHER TISSUES TO LOWER THEIR GLUCOSE PRODUCTION AND INCREASE THEIR SENSITIVITY TO INSULIN. THIS IS THE SYTEM THAT SAYS WE HAVE GLUCOSE IN THE BLOOD AND WE NEED TO EITHER STORE IT OR USE IT. IT DECREASES PRODUCTION AND INCREASES UPTAKE.
Term
IN THE FASTING STATE WHAT DOES THE ALPHA AND BETA CELLS DO?
Definition
ALPHA CELLS INCREASE GLUCAGON SECRETION AND THE BETA CELLS DECREASE GLUCAGON SECRETION BECAUSE THEY RELEASE INSULIN AND AMYLIN
Term
WHAT DOES ADENOSINE 5'-MONOPHASPHATE-ACTIVATED PROTEIN KINASE (AMPK) DO?
Definition
IT IS A COMPLEX ENZYME PATHWAY THAT CAUSES THE BODY TO 1) INCREASE GLUCOSE UPTAKE 2) DECREASE GLUCOSE PRODUCTION 3) HELP ENERGY REGULATION IN LOW-ATP/ENERGY STATES. IT BRINGS FROM ANABOLIC TO CATABOLIC STATE.
Term
WHAT IS THE STRUCTUTE OF AN AMINO ACID PROTEIN WITH 2 PEPTIDE CHAINS CONNECTED BY 2 DISULFIDE BRIDGES?
Definition
INSULIN
Term
DOES ALMOST ALL TISUES EXPRESS INSULIN RECEPTORS, BUT ENERGY-STORING TISSUES HAVE MUCH HIGHER CONCENTRATION OF THE RECEPTORS?
Definition
YES
Term
EXTRACELLULAR BINDING OF INSULIN ACTIVATED WHAT RECEPTOR? WHAT DOES THAT DO?
Definition
IT ACTIVATED THE INTRACELLULAR TYROSINE KINASE WHICH DIMERIZES. IN THE LIVER, INSULIN CAUSES GLUCOSE TO BECOME "TRAPPED" IN HEPATOCYTES (STORAGE). IN SKELETAL MUSCLE AND ADIPOSE TISSUE, INSULIN STIMULATES TRANSLOCATION OF GLUCOSE RECEPTORS/TRANSPORTERS
Term
WHAT IS THE NAME OF THE GLUT RECEPTOR ON SKELETAL MUSCLE?
Definition
GLUT 4
Term
INSULIN IS RAPIDLY BROKEN DOWN BY WHAT ENZYME IN THE LIVER AND KIDNEY?
Definition
INSULINASE ENZYME
Term
WHAT IS THE CIRCULATING HALF/LIFE OF INSULIN?
Definition
ONYL 6 MINUTES
Term
WHAT DOES INSULIN DO TO THE NA/K ATPASE PUMP?
Definition
CAUSES AN INWARD SHIFT OF POTASSIUM VIA THE ATPASE PUMP. IT SHIFTS POTASSIUM INTO CELL. THAT'S WHY WE GIVE IT FOR HYPERKALEMIA.
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