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GLUCOSE

HOMEOSTASIS
(REGULATION OF BLOOD
GLUCOSE)
` Definition
Maintenance of the stable level of
glucose in blood
COMPONENTS
Liver

Extrahepatic tissues

Several hormones
FACTORS REGULATE
BLOOD GLUCOSE

(1)DIFFERENT
TISSUES & (2)HORMONES
ORGANS
1)REGULATION BY DIFFERENT
TISSUES & ORGANS
 Gastro-intestinal tract

 Glucose uptake by different tissues

 Liver

 Kidneys

 Adipose tissues

 Skeletal muscle
GASTRO-
INTESTINA
L TRACT
 Protects body from sudden and excessive increase in
blood glucose by:

 ~gradual evacuation of gastric contents allow good time


for absorption and utilization of glucose.

 ~secretion GIT hormones

++insulin secretion (B-cells of pancreas)

Insulin : secreted to portal blood before absorption of


glucose
GLUCOSE
UPTAKE BY
DIFFERENT
 Mediated through different protein transporter
(GLUT 4)

 Function of GLUT 4 :
Insulin dependent in
skeletal muscle,heart
and adipose tissues
LIVER
(MAIN
ORGAN)
 Responsible for glucose homeostasis mechanism

 Uptake or output glucose

directly related to blood glucose level


HYPERGLYCEMIA
 Definition : increases glucose level in blood

~increase rate of glucose utilization in :

Oxidation
Glycogenesis
Lipogenesis

~decrease rate of :

Glycogenolysis
Gluconeogenesis
KIDNEYS
 Regulates blood glucose through :

*Oxidation

*Glycogenesis

*Glycogenolysis

*Gluconeogenesis
 Prevent loss of glucose in urine

 Renal tubules-reabsorp glucose completely from glomerular


filtrate up to the level of 180mg/dl

 Normally : urine is free from glucose

 Renal glucosuria :~present of glucose in urine


~renal threshold abnormally low
ADIPOSE
TISSUES
FUNCTION
 Play role in glucose homeostasis mechanism

 Increases blood glucose level : increases uptake of


glucose by tissues

 Increases utilization through oxidation & lipogenesis


 Fasting/CHO deficiency :

decreases uptake & utilization of glucose

++lipolysis

increases glycerol & free F.A


 Free F.A : utilized by different tissues.

 Increases of oxidation F.A(liver)

++Gluconeogenesis , --Glycolysis

*Released of glycerol (lipolysis)

acts as substrate for gluconeogenesis


SKELETAL
MUSCLE
 CHO feeding Increases glucose uptake

Increases glucose oxidation

Increases gluconegenesis

 Fasting : Decreases glucose level muscle oxidize


F.A & ketone bodies

A.A released from muscle utilized as


substrate for gluconeogenesis(liver)
 Severe muscle exercise lactate produced
used as substrate for gluconeogenesis(liver)
2)REGULATION BY HORMONES

 Hormones are present in balance.

 Formed by insulin and anti-insulin


GLUCAGON

INSULIN ADRENALINES

HORMONES

GROWTH
GLUCOCORTICOIDS HORMONES
INSULINS
 Decreases blood glucose :

Glucose enterance to cells


Muscle and liver glycogenesis
Gluconeogenesis
Glycogenolysis
Ketogenesis
Lipolysis
Lipogenesis
Protein synthesis
GLUCAGON
 Increases blood glucose :

Glycogenolysis in liver

Gluconeogenesis
GROWTH HORMONES
 Increases blood glucose level :

glucose uptake by the tissues

mobilization of fatty acids,which glucose


utilization
GLUCOCORTICOIDS
 It is hyperglycemic hormone :

Gluconeogenesis by provision of amino acids


and by induction of required enzymes

Facilitate the action of glucagons,adrenaline


and growth hormones.
ADRENALINE
 It is hyperglycemic hormone :

Glycogenolysis

Insulin secretion

Gluconeogenesis
MEMBERS’ GROUP NAME:
 NUR AISYAH BINTI MOHAMAD AKIL
 NURATIQAH DIYANA BT MAD YUSOF
 NUR IZZATI BT ZAMBRI
 NUR AIN BT ZULALIZA
 NOOR FATIN FAKHRIAH BT MOHD FADZIL
 NURFATIHAH BT EKRAM
 NUR FAJWAHANI BT IZHAR
 NOR FARHANA BINTI MOHD ZIN
 NURFARAHIN BT EKRAM
 NUR FAZLIYANA AQMAR BT ZAINUDDIN
 NUR LIYANA BT AHMAD ZAKI
 NUR MASTURA BT WAZIR

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