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18 Cards in this Set

  • Front
  • Back
A. Absorptive (fed or postprandial) state:

What is the major process?
Anabolic processes exceed catabolic processes
A. Absorptive (fed or postprandial) state:

1. CHO's
Converted to Glucose

Converted &stored as glycogen in the liver & then cells
A. Absorptive (fed or postprandial) state:

2. Lipid
transported in the lymph

Before entering cells they are hydrolysed to fatty acids and glycerol before passing through capillary walls

Liver, muscle and adipose tissue use lipid as their primary fuel source
A. Absorptive (fed or postprandial) state:

3. Amino Acids
primarily taken up by the body cells for protein synthesis

liver takes up amino acids for protein synthesis
Insulin:

When is it released?
During Absorptive state
Insulin:

What does it bind to?
to receptors on the membranes of target cells
Insulin:

What are the effects?
Activates facilitated (carrier protein) diffusion of glucose into cells

Enhances glucose oxidation

Stops glycogenolysis and enhances glycogen synthesis
Post absorptive (fasting) state:

Primary goal? and Why?
is to maintain blood glucose levels at about 5 mmol/L.

glucose must be maintained for the brain and the CNS, which will not use any other type of nutrient for energy
Post absorptive (fasting) state:

This blood glucose level is maintained by?
A. Making glucose available to the blood and

B. Glucose sparing processes so that glucose is available to the organs that need it.
A. Sources of Blood Glucose

Blood Glucose can be obtained from
1. Glycogenolysis in the liver

2. Glycogenolysis in skeletal muscle

3. Lipolysis in adipose tissue and liver

4. Catabolism of cellular protein
B. Glucose Sparing Reactions

What happens?
Almost every other organ in the body, except the brain switches to fats as its major source of energy, this ensures a continued glucose supply to the brain and CNS.

Body fat and amino acids are oxidised in the same pathways as CHO (glucose) this use of non-CHO sources for energy production is called glucose sparing.
Starvation:

Day 1:
liver glycogen falls to 10% of its normal concentration and stays pretty well constant at this
BGL during Starvation:
is constant 5mmol/L for about 4 weeks of a total fast
When does the rate of triglycerise metabolisim increase?
Once the supply of easily metabolised glycogen is exhausted
What increases with other forms of energy production other than glucose?
Ketone bodies start to rise in the blood

The amount of urea excreted in urine increases as proteins are degraded
If fats are readily available, why are proteins degraded so fast??
brain has a very high metabolic rate

Glucose is available from the glycerol portion of triglycerides, but no glucose is available from the fatty acid portion.

Proteins have more glucose making ability
What happens during week 4-6 in starvation?
protein sparing starts, very little protein is used when the brain starts to use ketone bodies produced from fatty acids
What happens in severre stages of starvation once fat used?
the energy requirements comes totally from protein, muscle mass heavily drained —death inevitable 1/2 normal level of protein.

Enzymes no longer functio so any food is not digested.

Pure glucose must be given intravenously