Wednesday, April 2, 2008

METABOLIC RESPONSES TO HYPOGLYCEMIA

MECHANISMS TO PREVENT HYPO’S IN THE NON-DIABETIC STATE


  • Function of various glucosensors which are able to ‘measure’ the blood glucose levels
  • Stimulation of appetite and food-seeking behaviour to encourage food intake
  • Ability to release glucose from stores,especially hepatic
    glycogen, which can be used even in absence of food intake
  • Regulation of insulin secretion so that during fasting,secretion is quickly reduced with a falling blood glucose level
  • Ability of the body to use alternate energy stores, especially
    fat, thereby conserve glucose levels
  • Use of alternate energy substrates(ketone bodies, free fatty
    acids,and to a lesser extent, lactate, glycerol and amino
    acids)
  • Conversion of some amino acids into new glucose by process
    of gluconeogenesis
  • Shift of metabolic processes from glucose as energy source
    to free fatty acids and ketone acids for energy


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