Although the three hormones thyroid hormone, growth hormone and cortisol all have an impact on blood glucose they are not the primary hormones that maintain the blood glucose level within its normal range. Instead, this role falls to two hormones produced by the endocrine pancreas: insulin and glucagon, these two hormones regulate the concentration of glucose in the blood.
Glucagon’s major targets are the cells of the liver, muscle tissue, and adipose tissue. In these tissues, it promotes reactions that increase the levels of glucose and other metabolic fuels in the blood. These reactions include the following:
¬ The breakdown of glycogen into glucose, a process called glycogenosis;
¬ The formation of new glucose by glycogenesis in the
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Glucagon secretion is triggered by several factors, including a decrease in blood glucose concentration, stimulation from the sympathetic nervous system, and circulating catecholamine’s from the adrenal medulla. Glucagon is also secreted in response to ingested proteins. This secretion is part of an integrated hormonal response ensuring that blood glucose level remains stable during feeding. Glucagon secretion is inhibited by both an elevated blood glucose level and somatostatin (growth hormone).
Insulin is the primary antagonist of glucagon; its main effect is to promote the uptake and storage of ingested nutrients to its target cells, which lowers the level of glucose in the blood. Insulins primary target tissues are those of the liver, cardiac muscles, skeletal muscles, and certain parts of the brain. In these cells, insulin stimulates:
¬ uptake of lipids, amino acids, and glucose;
¬ synthesis of glycogen in the liver;
¬ synthesis of fat from lipids and carbohydrates; and
¬ promotion of
Glucagon signifies “the liver and muscles to turn glycogen into glucose and release glucose back into the bloodstream” (Morris 2014). The purpose of this is to prevent the blood glucose levels from reaching excessively low levels.
Glucagon acts on liver cells to promote breakdown of glycogen into glucose and formation of glucose from lactic acid and certain amino acids.
Glucagon is the other hormone produced by the Islets of Langerhans. This hormone is produced by the alpha cells in the islets, which detect when blood sugar levels are too low (around 70 mg/dL) and respond by releasing glucagon. Glucagon stimulates the breakdown of stored glycogen into glucose through a process called glycogenolysis, and releases the glucose back into the bloodstream, thus raising blood sugar levels to a higher concentration. As blood glucose levels return to its equilibrium, the concentration of glucagon lowers until the time when glucose levels rise again. In reaction to this, insulin levels rise and fall with the levels of blood glucose concentration.
The hypothalamus will send a signal to the pancreas to release glucagon, the hormone responsible for increasing glucose, to the blood. After glucagon enters the blood it will go to the target cell to bind to the receptor. After it reaches the receptor, glucagon stimulates the breakdown of glycogen, which will then secrete glucose to the blood thus increasing the blood glucose levels. This is an example of positive feedback. Once the receptors in blood detect that the glucose in the blood is increasing, the target cells will then send a signal to the to stop the stimulation of glucagon. This is called negative
These tissues are insulin-sensitive and respond to increased blood insulin levels by a rapid and reversible increase in glucose transport (Abel et al., 2001). Abel et al. suggest that this is brought about by the translocation of a latent pool of glucose transporters from an intracellular site to the plasma membrane (2001). In the absence of insulin, GLUT4 storage vesicles might slowly fuse with endosomes, vesicles in the red blood cell (Kraegen et al., 1993). Insulin would then shift GLUT4 from this cycle to a pathway that takes GLUT4 directly to the cell surface (Abel et al., 2001). Glucose uptake into muscle and adipose tissue is transported by GLUT4 is promoted by insulin based on the need for glucose in the tissue. In response to insulin, the pancreas senses the hyperglycemic state in tissues and releases insulin for uptake of
The organs involved include the liver, muscle, fat cells, liver, alpha and beta cells of the pancreas, GI tract, kidney, and brain. While the liver and muscle ideally increase glucose uptake in the fed state when insulin levels are high, with type 2 diabetes this is impaired. To further exacerbate the hyperglycemic condition, the liver not only fails to properly exhibit glucose uptake, but it actually over produces more glucose and thereby creates a cycle of glucose accumulation and further production. While this is occurring in the muscle and liver, fat cells have accelerated lipolysis. The lipolysis results in an increase in plasma free fatty acids (FFAs), which then in-turn impairs both first and second phase insulin secretion and can lead to excess fat deposition in the liver and muscle, contributing further to impaired insulin production. At the GI tract, gastric inhibitory polypeptide becomes resistant and loss of GLP-1 occurs. With impaired GLP-1, insulin resistance is again further enabled and hyperglycemia can become more profound. This occurs because glucagon suppression from the pancreatic alpha cells post meal does not occur as it would under normal circumstances, thereby enabling even more hepatic glucose production. While theories are not completely conclusive, insulin resistance in the hypothalamus may contribute to excess intake thereby contributing to additional glucose in the circulation. Finally, the kidney also plays a role in glucose dysregulation as it increases glucose reabsorption. All of these discussed mechanisms ultimately contribute to hyperglycemia and chronic hyperglycemia itself contributes to impaired beta cell function (DeFronzo,
When there is an increase in blood glucose, the beta cells detect this change and respond instantly by releasing stored insulin while rapidly producing more, vice-versa when low blood sugar levels are detected. When blood glucose levels decrease, the alpha cells also detect this change and also respond by instantly releasing glucagon and rapidly producing more of the hormone. The adrenal gland secretes a number of hormones that regulate a balance between the process of blood glucose that enters and leaves the blood which maintains a stable blood glucose level. One of these hormones is epinephrine, also known as adrenaline is secreted by the medulla of the adrenal glands. Epinephrine can be released into the bloodstream, resulting in an increase in glucose metabolism. This reaction known as “fight or flight” ultimately prepares the body for intense activity. The effectors of this mechanism is the liver that is referred to on the model, adipose tissue and the skeletal muscles. The diagram shows that the liver both stores glycogen and produces glucose, helping the blood glucose levels to remain constant. It produces glucose by the breakdown of poly saccharide glycogen that is stored in the liver cells. These liver cells
It increases levels of insulin, glucagon, growth hormone, prolactin and epinephrine and norepinephrin in the blood leading to a reduction in glucose release from the liver10.
Glucose is the main response of the sympathetic nervous system is to activate the endocrine system to produce a chemical called adrenalin. Adrenalin travels around the body in the bloodstream and causes many other responses, including increased heart rate and blood pressure, and the released of stored glucose into the bloodstream. Adrenalin floods into your system, causing an increase in the strength and rate of the heartbeat, raising your blood pressure and speeding up the conversion of glycogen into glucose, which provides energy to the muscle.
The main roles of insulin in our bodies is specifically in controlling the blood glucose level. Insulin helps muscle, fat and liver cells to absorb glucose from the bloodstream and lowering blood glucose levels. On the other hand, it also stimulates the muscle tissue and liver to store excess glucose in
Insulin is a very important hormone that is essential for the storage and use of blood glucose. Insulin's primary job is to get blood glucose into our cells so it can be utilized properly. People with type 2 diabetes are
Hormonal regulation of metabolism is the levels of glucose in the blood that are regulated by the hormones insulin and glucagon from the pancreas and t3 and t4 from the thyroid. Thyroxine determines how fast or slow the chemical reactions of metabolism proceed in the human body. Only insulin can lower blood glucose.
Insulin is a hormone produced by the pancreas that helps our body cells absorbs the glucose found in our blood. The glucose that is not absorbed from the blood is stored in the muscles and liver as glycogen and stops the use of fat as a source of energy.
By definition insulin is refer as a hormones which assumes a key in the regulation of blood glucose levels and an absence of insulin can lead to the improvement of the symptoms of diabetes (The global diabetes community, 2014). Decrease insulin concentrations trigger adipose tissue lipase causing lipolysis of triglycerides in glycerol and free fatty with consequent elevation of fatty acid transport into mitochondria where ketone body development happens (Keays, 2007). Understanding the significance of insulin serves to know more about how the body utilizes it for energy. As we know our body is made up of millions of cells, thusly to create energy, this cells need food in exceptionally straightforward structure (Type 2 diabetes, 2014). When we eat or drink, a great part of the nourishment is broken down into a straightforward sugar called ‘glucose’. Basically, glucose is transported through the circulatory system to these body cells where it can be utilized to provide the energy the body requirements for daily exercise. The decrease of glucose levels in blood is caused when the amount of glucose in the blood ascents to certain level; hence, the pancreas discharge more insulin to push more glucose into cells. While to keep blood glucose levels from getting
Two of the main pancreatic hormones are insulin, which acts to lower blood sugar, and glucagon, which acts to raise blood sugar. Maintaining proper blood sugar levels is crucial to the functioning of key organs including the brain, liver, and kidneys. (Columbia, 2015)