Insulin, Glucagon, and Diabetes Mellitus

50 questions available

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Questions

Question 1

What is the primary source of energy for the fetus before birth?

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Question 2

For how long is the glucose stored as glycogen in a newborn's body sufficient to supply its needs after birth?

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Question 3

What is the primary reason for the prevention of significant gluconeogenesis in the liver of a neonate?

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Question 4

What often happens to an infant's blood glucose concentration on the first day after birth due to limited gluconeogenesis?

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Question 5

To what level can a neonate's blood glucose concentration frequently fall on the first day of life?

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Question 6

Why is the glucose concentration in the neonate's blood described as unstable and low during the first week of life?

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Question 7

What condition develops in the islets of Langerhans of an infant born to an untreated diabetic mother?

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Question 8

What is the immediate consequence for the infant's blood glucose shortly after birth due to hypertrophy and hyperfunction of the islets of Langerhans?

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Question 9

In an infant born to an untreated diabetic mother, to what level might the blood glucose concentration fall shortly after birth?

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Question 10

What is a notable finding about the clinical effects of very low blood glucose concentration in a neonate compared to an adult?

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Question 11

What does the text identify as the most common cause of large babies (macrosomia)?

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Question 12

How is maternal type 2 diabetes characterized in the text?

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Question 13

In a mother with type 2 diabetes, what is believed to stimulate fetal growth and contribute to increased birth weight?

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Question 14

What two factors may contribute to increased fetal growth in the case of a mother with type 2 diabetes?

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Question 15

In a large baby born to a mother with type 2 diabetes, what is the primary composition of the increased fetal weight?

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Question 16

In infants of mothers with type 2 diabetes who experience increased fetal weight, what is the typical effect on body length?

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Question 17

What term is used in the text to describe the increased size of some organs that may occur in the fetus of a mother with type 2 diabetes?

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Question 18

What is the potential effect on fetal growth when a mother has uncontrolled type 1 diabetes?

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Question 19

According to the text, what causes uncontrolled type 1 diabetes?

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Question 20

What is the reason given for stunted fetal growth and maturation in cases of uncontrolled maternal type 1 diabetes?

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Question 21

What effect does consuming a high-carbohydrate diet have on muscle glycogen stores compared to a mixed diet?

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Question 22

According to the data provided, what are the approximate muscle glycogen stores for a person on a high-fat diet?

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Question 23

What are the approximate muscle glycogen stores for a person who consumes a high-carbohydrate diet, according to the provided data?

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Question 24

Based on the data provided, muscle glycogen stores on a high-carbohydrate diet are approximately how many times greater than on a high-fat diet?

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Question 25

How does diet composition affect endurance, as measured by the time an athlete can sustain a race until exhaustion?

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Question 26

What is the approximate endurance time, until complete exhaustion, for an athlete on a mixed diet?

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Question 27

What is the approximate endurance time, until complete exhaustion, for an athlete who has consumed a high-carbohydrate diet?

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Question 28

During the first few seconds or minutes of exhaustive exercise, from where is most of the energy derived?

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Question 29

In endurance athletic events lasting longer than 4 to 5 hours, what does the muscle primarily depend on for energy after its glycogen stores are depleted?

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Question 30

At the time of exhaustion during a prolonged exercise event, what percentage of energy is being derived from fats rather than carbohydrates?

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Question 31

Besides stored muscle glycogen, what is another major source of carbohydrate energy for muscles during exercise?

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Question 32

During prolonged athletic events like marathons, what percentage of the required energy can be provided by glucose solutions given to an athlete to drink?

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Question 33

What is the primary dietary message for athletes before participating in a grueling athletic event?

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Question 34

Following exhaustive exercise, approximately how long does it take for full recovery of muscle glycogen for a person on a high-carbohydrate diet?

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Question 35

Under which condition does the text show very little recovery of muscle glycogen even after 5 days?

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Question 36

After intense exercise, what happens to the remaining lactic acid in the body once energy is available from oxidative metabolism?

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Question 37

How does the rate of ATP formation from the glycogen-lactic acid system (anaerobic glycolysis) compare to the rate from the oxidative mechanism of mitochondria (aerobic system)?

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Question 38

Which energy system is used by muscles for maximal power surges lasting a few seconds, such as in a 100-meter dash or weight lifting?

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Question 39

For which duration of maximal muscle activity is the glycogen-lactic acid system primarily used?

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Question 40

What is the effect of maintaining body fitness through exercise on the risk of developing chronic metabolic disorders like type 2 diabetes?

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Question 41

Besides type 2 diabetes, what other chronic metabolic disorder associated with obesity does the text mention is reduced by exercise and body fitness?

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Question 42

What is the specific effect of moderate exercise on the body's response to insulin?

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Question 43

Under what key condition has moderate exercise been shown to improve insulin sensitivity?

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Question 44

What is a potential clinical impact of improved insulin sensitivity from moderate exercise for patients with type 2 diabetes?

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Question 45

What does the text conclude about the relationship between the beneficial effects of regular exercise on chronic diseases and changes in body weight or adiposity?

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Question 46

Which of the following statements about exercise and type 2 diabetes is best supported by the provided text?

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Question 47

According to the text, what is the most important factor that determines muscle endurance during prolonged exercise?

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Question 48

What is the key recommendation given to athletes regarding their activity level in the 48 hours preceding a grueling event?

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Question 49

How does the text describe the difference in clinical outcomes between a neonate and an adult experiencing very low blood glucose levels (e.g., lower than 20 mg/dl)?

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Question 50

Based on the data for diet and endurance provided in Chapter 85, which of the following conclusions is accurate?

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Other chapters

Functional Organization of the Human Body and Control of the “Internal Environment”The Cell and Its FunctionsGenetic Control of Protein Synthesis, Cell Function, and Cell ReproductionTransport of Substances Through Cell MembranesMembrane Potentials and Action PotentialsContraction of Skeletal MuscleExcitation of Skeletal Muscle: Neuromuscular Transmission and Excitation-Contraction CouplingExcitation and Contraction of Smooth MuscleCardiac Muscle; The Heart as a Pump and Function of the Heart ValvesRhythmical Excitation of the HeartThe Normal ElectrocardiogramCardiac Arrhythmias and Their Electrocardiographic InterpretationThe Circulation: Overview of the Circulation; Medical Physics of Pressure, Flow, and ResistanceVascular Distensibility and Functions of the Arterial and Venous SystemsThe Microcirculation and the Lymphatic System: Capillary Fluid Exchange, Interstitial Fluid, and Lymph FlowLocal and Humoral Control of Tissue Blood FlowNervous Regulation of the Circulation and Rapid Control of Arterial PressureCardiac Output, Venous Return, and Their RegulationMuscle Blood Flow and Cardiac Output During Exercise; the Coronary Circulation and Ischemic Heart DiseaseCardiac FailureCirculatory Shock and Its TreatmentThe Body Fluid Compartments: Extracellular and Intracellular Fluids; Interstitial Fluid and EdemaUrine Formation by the Kidneys: I. Glomerular Filtration, Renal Blood Flow, and Their ControlUrine Formation by the Kidneys: II. Tubular Reabsorption and SecretionRenal Regulation of Potassium, Calcium, Phosphate, and Magnesium; Integration of Renal Mechanisms for Control of Blood Volume and Extracellular Fluid VolumeRegulation of Acid-Base BalanceKidney Diseases and DiureticsRed Blood Cells, Anemia, and PolycythemiaResistance of the Body to Infection: I. Leukocytes, Granulocytes, the Monocyte-Macrophage System, and InflammationResistance of the Body to Infection: II. Immunity and AllergyBlood Types; Transfusion; Tissue and Organ TransplantationHemostasis and Blood CoagulationPulmonary VentilationPrinciples of Gas Exchange; Diffusion of Oxygen and Carbon Dioxide Through the Respiratory MembraneTransport of Oxygen and Carbon Dioxide in Blood and Tissue FluidsRespiratory Insufficiency—Pathophysiology, Diagnosis, Oxygen TherapyPhysiology of Deep-Sea Diving and Other Hyperbaric ConditionsOrganization of the Nervous System, Basic Functions of Synapses, and NeurotransmittersSensory Receptors, Neuronal Circuits for Processing InformationThe Eye: I. Optics of VisionThe Eye: II. Receptor and Neural Function of the RetinaCortical and Brain Stem Control of Motor FunctionContributions of the Cerebellum and Basal Ganglia to Overall Motor ControlCerebral Cortex, Intellectual Functions of the Brain, Learning, and MemoryBehavioral and Motivational Mechanisms of the Brain—The Limbic System and the HypothalamusStates of Brain Activity—Sleep, Brain Waves, Epilepsy, PsychosesThe Autonomic Nervous System and the Adrenal MedullaCerebral Blood Flow, Cerebrospinal Fluid, and Brain MetabolismGeneral Principles of Gastrointestinal Function—Motility, Nervous Control, and Blood CirculationPropulsion and Mixing of Food in the Alimentary TractSecretory Functions of the Alimentary TractMetabolism of Carbohydrates and Formation of Adenosine TriphosphateLipid MetabolismProtein MetabolismThe Liver as an OrganDietary Balances; Regulation of Feeding; Obesity and Starvation; Vitamins and MineralsEnergetics and Metabolic RateBody Temperature Regulation and FeverIntroduction to EndocrinologyPituitary Hormones and Their Control by the HypothalamusThyroid Metabolic HormonesAdrenocortical HormonesParathyroid Hormone, Calcitonin, Calcium and Phosphate Metabolism, Vitamin D, Bone, and Teeth