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8 Cards in this Set

  • Front
  • Back
۞ -----CHO
• Monosaccharides enter liver through the portal vein
• converted to glucose-6-phosphate
• can go to glycogen, blood glucose, fat or be oxidized to produce ATP
۞ -----Protein
• amino acids can be used to build body proteins
• deaminated to produce glucose or acetyl CoA for fat or to be used for oxidation

**** come from animal products.... too much protein high body fat...
۞ -----Fat
• blood lipids, transported as plasma lipoproteins
• stored as fat
• broken down for energy or ketone bodies for fuel in starvation

*** majority of fat eaten is triglycerides
۞ -----Fed state: (with in 12 hours of eating)
• RBC and CNS are glucose dependent and have no mechanism for storage of glucose so it is oxidized immediately
• Liver can save glucose in form of glycogen
• Dietary fat, except scfa or mcfa’s, are circulated as chylomicrons – LPL releases fatty acids and glycerol
• Chylomicron remnants are taken up by liver and converted to VLDL
۞ -----Post absorptive state
b/w meals overnight
• Hepatic glycogenolysis provides main glucose
• Gluconeogenesis from recycled lactate from RBC or muscle tissue
• Conversion of alanine to pyruvate
• Brain and RBC’s will use up glucose stores overnight
1st source of fuel glycogen immediately after a meal
۞ -----Fasting: Post eating 48 hours
• aa from skeletal muscle provides major substrate for gluconeogenesis
• other sources include lactate and glycerol from breakdown of fat
• low level of glucose will result in glucagons and glucocorticosteroid hormones
• acceleration of muscle protein breakdown to provide gluconeogenic aa’s
• large losses of nitrogen in the urine due to catabolism of muscles

*** epinephrine accelerates muscle breakdown
۞ -----
Starvation state:
• 90% of energy provided by protein
• as starvation continues shift to fat as major source of energy
• ketones are produced and can be used by tissues for energy
• fatty acids cannot cross to the brain but ketone bodies can be processed by brain for energy
• glycerol portion of the fat can be used for energy
• survival depends on fat stores
۞ -----energy sources if breakfast early and lunch late
1st glycogen
2nd skeletal muscle
3rd fat = no ketone
4 vital organs