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The Hormonal Control of Blood Glucose and the Management of Diabetes

The regulation of blood glucose by negative feedback

  • 3 things to know
  • Components 01, 02 and 03

Overview

Recall questions on how β cells secrete insulin, insulin receptors, GLUT4 and target tissues, glycogenesis, glucagon from α cells, glycogenolysis through cyclic AMP, gluconeogenesis, why muscle glycogen cannot raise blood glucose, and insulin and glucagon as antagonistic hormones.

What you need to know

Answer each one before you reveal it.

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Key term

How does a rise in blood glucose concentration cause a β cell to secrete insulin?

Key term

Why is the control of insulin secretion described as negative feedback?

Key term

Which cells of the pancreas detect a rise in blood glucose concentration?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    Which cells of the pancreas detect a rise in blood glucose concentration?

    Model answer

    The β cells of the Islets of Langerhans.

  2. 2

    How does a rise in blood glucose concentration cause a β cell to secrete insulin?

    Model answer

    Glucose enters the β cell and is respired, and the extra ATP closes potassium ion channels in the cell surface membrane; the membrane depolarises, voltage-gated calcium ion channels open, and the calcium ions entering cause vesicles of insulin to fuse with the membrane and release it by exocytosis.

  3. 3

    Why is the control of insulin secretion described as negative feedback?

    Model answer

    The rise in blood glucose is the stimulus for insulin release, and insulin lowers the glucose concentration, which removes the stimulus and stops further secretion.

  4. 4

    Insulin is a protein hormone. Explain why it acts at the cell surface rather than inside the cell.

    Model answer

    As a large, water-soluble protein it cannot cross the phospholipid bilayer, so it binds to specific receptors on the outer surface of the cell surface membrane and brings about changes inside the cell indirectly.

  5. 5

    Name three types of target tissue on which insulin acts.

    Model answer

    Liver cells, skeletal muscle cells and adipose tissue.

  6. 6

    How does insulin increase the rate at which a muscle cell takes up glucose?

    Model answer

    Insulin binding to its receptor causes vesicles carrying GLUT4 glucose transporter proteins to fuse with the cell surface membrane, so there are more channels through which glucose can enter by facilitated diffusion.

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