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T2 EX3 L1 (MEDCHEM ANTIDIABETICS) (GUPTA) EXAM NEW SET WITH COMPLETE SOLUTIONS!!!! ALREADY GRADED A+

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T2 EX3 L1 (MEDCHEM ANTIDIABETICS) (GUPTA) EXAM NEW SET WITH COMPLETE SOLUTIONS!!!! ALREADY GRADED A+

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T2 EX3 L1 (MEDCHEM ANTIDIABETICS) (GUPTA) EXAM NEW SET
WITH COMPLETE SOLUTIONS!!!! ALREADY GRADED A+



Dietary carbs are processed by what enzymes into monosaccharides? - (answer)Glucosidases



Monosaccharides pass through the _____ ________ ____ into the liver - (answer)Hepatic portal vein



T/F: Cellular entry of glucose into liver & brain is regulated by insulin. - (answer)False; no regulation by
insulin.



T/F: Cellular entry of glucose across the GI tract and kidneys is underwent via secondary active transport
and is regulated by insulin. - (answer)False; secondary active transport, but no insulin regulation.



Glucose entry into/across which two areas is not regulated by insulin? - (answer)1. Liver & brain

2. Across GI tract & kidneys



How does glucose enter *most* cells? - (answer)Via facilitated diffusion, regulated by insulin



GLUT (glucose transporters)



Where is glycogen synthesized? - (answer)In the liver



Describe lipogenesis (five step process) - (answer)1. Formation of glycerol

2. Formation of fatty acids

3. Glycerol + fatty acids = triglycerides

4. Increased expression of lipoprotein lipases

5. Adipose tissue deposits



When do we excrete glucose via urine? - (answer)When blood levels are too high

,T2 EX3 L1 (MEDCHEM ANTIDIABETICS) (GUPTA) EXAM NEW SET
WITH COMPLETE SOLUTIONS!!!! ALREADY GRADED A+



What cells of the pancreas produce insulin? - (answer)Beta cells



To where is proinsulin exported? - (answer)Endoplasmic reticulum (ER)



Insulin is formed how? (four step process) - (answer)1. Proinsulin -> ER

2. Mid region removed (C-peptide)

3. A- and B- chains coupled

4. Disulfide bridges -> functional insulin



Describe bodily regulation of insulin secretion in *absence* of glucose (four steps) - (answer)1. In resting
beta cell, ATP low, ADP high

2. ADP keeps ATP-dependent K+ channel open

3. K+ diffuses out through K+/ATP channel

4. Intracellular potential is hyperpolarized (-)



= No insulin secretion



*got it*



Describe bodily regulation of insulin secretion in *presence* of glucose (six steps) - (answer)1. Glucose
enters via Glut2 transporter

2. Glucoses metabolism inc. ATP conc.

3. ATP inhibits K+/ATP channel (sulfonylurea receptor = SUR1)

4. Dec. K+ conductance causes depolarization

5. Voltage-gated Ca2+ channel activated

6. Ca2+ mediates insulin secretion

, T2 EX3 L1 (MEDCHEM ANTIDIABETICS) (GUPTA) EXAM NEW SET
WITH COMPLETE SOLUTIONS!!!! ALREADY GRADED A+



= Insulin secretion



*got it*



What time of day do we typically have lowest glucose levels? Why is this significant? - (answer)At night;
pancreatic alpha cells begin to produce glucagon -> glycogenolysis, gluconeogenesis



Liver from there secretes glucose to bring from low level to normal level



Insulin binds to what receptor? - (answer)IR/IGF-1



T/F: IRS-1 is a critical adaptor. - (answer)True



Insulin activates (anabolic) (seven) - (answer)1. Growth promoting genes

2. Protein synthesis (muscles)

3. Glycogen synthesis (liver)

4. Fatty acid synthesis (adipose)

5. Lipase *in*activation (triglycerides)

6. Cell survival (antiapoptosis)

7. Glut4 translocation to membrane



T/F: GLUT4 promotes glucose intake in muscles & adipose cells. - (answer)True



What percentage of the pancreatic mass is responsible for producing insulin? - (answer)1-2% (I am not
sure if this is important)



Two hormones secreted by the beta cells of the pancreas? - (answer)1. Insulin

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