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  1. monosaccharide transporters) Glucose/Galactose active transport and passive-This mechanism involved 2 transporters, which are they?
    -sodium/potassium ATPase pump on basolateral membrane

    -sodium/glucose facilitated diffusion symport
  2. monosaccharide transporters) glucose/galactose active transport- what does the sodium/potassium ATPase pump on basolateral membrane do?
    creates a sodium gradient in enterocyte by removing sodium from cell
  3. monosaccharide transporters) glucose/galactose active transport- what does the sodium/glucose facilitated diffusion symport create?
    sodium gradient pulls sodium through SGLT1 but only if glucose or galactose monosaccharide comes too.
  4. monosaccharide transporters) Passive- what are 3 steps glucose/galactose have to take when they go through passive?
    -glucose/galactose enter apical surface through GLUT2

    -exit basolateral membrane through GLUT2

    -migrates to cell surface in response to insulin
  5. monosaccharide transporters) what route does fructose take?
    apical surface GLUT5 (facilitative) and exits GLUT2
  6. Is fructose abosrobed slower or faster than glucose and galactose?
  7. how can one increase their absoprtion rate of fructose?
    by adding the presence of glucose or galactose
  8. why is fructose absorption increased in the presence of glucose/galactose?
    • -an increase of GLUT2 receptors which are produced due to glucose presence
    • *these are capable of taking glucose into the cell
  9. after the monosaccharides exit the enterocyte through GLUT2 transporters in basolateral membrane, where do they enter?
    portal vein
  10. After entering the portal vein, where do the monosaccharides travel to?
    • the liver
    • *most of metabolism occurs here
  11. At the liver) fructose and galactose gets converted to...
  12. At the liver) monosaccharides enter...
    hepatocytes through facilitated diffusion
  13. Why is it good that very little fructose or galactose are found in the blood stream?
    fructose and galactose do not respond to hormonal regulation.
  14. what 3 things may happen to glucose once its in the liver?
    -stored as glycogen in the liver

    -return to blood stream to maintain blood glucose levels

    -catabolized for energy according to livers needs
  15. Does the liver remove all the glucose from the bloodstream? (2)
    no some passes through bloodstream and some get distributed to muscle,kidney,brain,and fat tissues
  16. How does glucose enter muscle,kidney,brain,and fat tissues?
    facilitated diffusion
  17. when cell receptor senses insulin, in what 4 ways does the cell respond?
    -more GLUT4 is translated/transcribed and sent to golgi

    -golgi releases the stored GLUT4, these migrate to cells plasma membrane membrane

    -GLUT4 fuses with membrane and glucose is removed from the blood

    -glucose is taken into the cell for storage or use
  18. How is diabetes described?
    condition which impairs the body's ability to clear glucose from the blood stream
  19. description of type 1 diabetes
    the pancreas has trouble secreting insulin
  20. what are 2 causes for type 1 diabetes?
    -no glut 4 migration

    -autoimmune attack on pancreas
  21. description of type 2 diabetes
    pancreas secretes insulin but the cells signaling is unresponsive (insulin resistant)
  22. 3 causes for type 2 diabetes
    -no glut4 migration

    -obesity/sedentary lifestyle

    -abdominal adiposity
  23. type 1 diabetes treatment
    -exogenous insulin injections
  24. type 2 diabetes treatment (3)
    -insulin sensitizing drugs

    -lifestyle changes

    -exogenous insulin in advanced stages
  25. what 3 effects can tight blood glucose control prevent?
    -kidney disease

    • -glycosylation of nerves
    • *neuropathy,retinopathy

  26. What can foods with high GI cause? and what do they lead to?
    an over response of insulin which may make the blood sugar swing down below baseline which leads to carb chasing (craving for more carbs)
  27. which 5 factors make GI fluctuate?
    -temperature of food

    -growing conditions

    -how the food was processed

    -patients insulin sensitivity

    -patients activity levels
  28. Where are most of monosaccharides absorbed?
    by the end of jejunum
  29. Once the saccharide is broken down by di-trisaccharides, where is glucose absorbed and by which 2 methods?
    -glucose is absorbed into enterocyte through active transport and facilitated transport
  30. What is active transport used for?
    move items against their concentration gradient
  31. What does active transport create?
    concentration gradients
  32. description of facilitated diffusion
    -special protein transporters transport large substances to cross membrane
  33. Is facilitated diffusion passive or active?
  34. Facilitated diffusion- Cotransport:
    a way to move an item against its concentration gradient without energy expenditure
  35. how does Cotransport work?
    attach the item to another item that is already moving down to a concentration gradient
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2014-01-26 01:01:02

carbs one and two
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