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Renin Angiotensin Mechanism.

Hormonal regulation of blood glucose level and Diabetes mellitus.

 

Definition:

Diabetes mellitus is a disorder related to carbohydrate metabolism caused due to deficient secretion or utilization of insulin and is characterized by many symptoms collectively called Syndrome X.

  • The pancreas secretes insulin and glucagon. Both hormones work in balance to play a vital role in regulating blood sugar levels. If the level of one hormone is higher or lower than the ideal range, blood sugar levels may spike or drop.

Hormonal regulation of blood glucose levels:

  • When semi digested chyme enters the duodenum the first part of the small intestine “S Cells” of the small intestine gets activated due to presence of the glucose in the chyme and secretes “Secretin” which influences the secretions of the pancreas..

  • The rising glucose levels in small intestine stimulates “K Cells” to secrete a glucose dependent polypeptide which activates secretion of Insulin from pancreas.

  • The secreted insulin then activates the enzyme glycogen synthase which proceeds to form Glycogen, the polymer of glucose -------> Blood Glucose level falls.

  • Insulin is also needed for the entry of glucose molecules inside the cell (Except Brain); the decreased sensitivity of insulin receptors on cells towards insulin leads to hyperinsulinemia (Increased blood insulin levels).

  • Once blood glucose levels start following the Alpha cells of islets of Langerhans of Pancreas start secreting the “Glucagon” which has inhibitory effect on glycogenesis and also causes breakdown of the Glycogen (Glycogenolysis) stored in liver hence increasing the blood sugar levels.

  • Delta cells of islets of Langerhans of Pancreas secrete “Somatostatin” which is a local hormone and controls secretion of other hormones of Pancreas.

  • Together, insulin and glucagon help maintain a state called homeostasis in which conditions inside the body remain steady. When blood sugar is too high, the pancreas secretes more insulin. When blood sugar levels drop, the pancreas releases glucagon to raise them.

Normal Blood Sugar Levels:

  • Fasting blood sugar levels: 80 to 130 mg/dl

  • Post prandial blood sugar levels

    • A normal blood sugar is lower than 140 mg/dl. 

    • A blood sugar between 140 and 199 mg/dl is considered to be prediabetes, and a blood sugar of 200 mg/dl or higher can indicate diabetes.

Complications of Diabetes mellitus:

  • The symptoms of high blood sugar include:

    • Frequent urination.

    • Excessive thirst (Polydipsia)

    • Feeling excessively hungry.

    • unexplained weight loss

    • slow healing

    • itchy, dry skin

    • increased likelihood of infections

    • headaches

    • fatigue or difficulty concentrating

    • blurred vision

    • erectile dysfunction

  • The symptoms of low blood sugar include:

    • dizziness

    • rapid heartbeat

    • weakness

    • tingling, particularly in the tongue, lips, arms, or legs

    • hunger alongside nausea

    • fainting

    • confusion and difficulty concentrating

    • Irritability.

Commonly Asked Questions,

  1. What is Diabetes mellitus? Discuss causes and symptoms.

  2. Write a short note on Hormonal regulation of blood glucose levels.


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