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Absorptive state
fed state → 4 hours after eating began → absorption of nutrients → nutrients can be used immediately to meet energy needs (excess can be stored)
Post absorptive state
fasting state → between meals when GI tract is empty → energy source is supplied by breaking down reserves to maintain blood glucose level
Absorptive state → anabolism vs catabolism
anabolism exceeds catabolism → focus more on using incoming nutrients and storing excess/ building
Absorptive state - carbohydrates
glucose is the major energy fuel → converted to fat or glycogen to be stored (glycogenesis + lipogenesis)
Absorptive state - triglycerides
most glycerol and fatty acids are convereted to triglycerides to be stored
energy source for muscles and liver cells (hepatocytes)
Absorptive state - amino acids
amino acids are used in protein synthesis
excess are deaminated → then stored as fat or used for ATP (in the liever)
Hormonal control of absorptive state
Insulin → secreted when blood glucose level is elevated/ high
hypoglycemic (lowers blood sugar) hormone
Insulin effect on metabolism
glucose
glucose oxidation, glucogenesis, lipogenesis, glucoconeogenesis
Amino acid
moves glucose into muscle or adipose cells (brain and liver take glucose without insulin)
stimulates glucose oxidation (glucose →atp)
stimulates glucogenesis and lipogenesis (glucose → glycogen and triglyceride for energy storage)
inhibits gluconeogeneisis (prevent liver from making new glucose when glucose is already high)
active transport of amino acids to tissue cells + promotes protein synthesis
Diabetes mellitus
inadequate insulin production or abnormal insulin receptors
→ glucose becomes unavailable to cells (can’t enter) → high blood glucose → kidney can’t reabsorb it so it spills into urine
→ fats and proteins are used for energy instead
Effects of fats and proteins being used from diabetes mellitus (3)
weight loss
protein waste
fat breakdown → lots of acetyl CoA → ketogenesis → lots of ketone bodies → lowers blood pH (metabolic acidosis)
Post absorbtive state - catabolism vs anabolism
catabolism of fat, glycogen, and protein exceeds anabolism → focused more on breaking down stored nutrients
Goal of post absorptive state
maintain blood glucose levels / make glucose available to blood
+
promote use of fat for energy (glucose sparing )
Glucose sparing
saving glucose for organs that need it most → use fat as energy instead (fatty acids)
Sources of blood glucose during post absorptive state (fasting)
glycogenolysis in liver and skeletal muscle (glycogen → glucose)
lipolysis in adipose tissue and liver → breaks down triglyceride into glycerol and fatty acid → glycerol can be used for glyconeogensis (production of glucose from non carbs) in the liver
Catabolism of cellular protein → glucose
Hormonal control of postabsorptive state
what stimulates it to be released (2)
what does it promote (2)
glucagon - hyperglycemic hormone (raises blood glucose)
stimulated by declining blood glucose level and rising amino acid level
promotes glycogenolysis + gluconeogenesis in liver (increase glucose)
promotes lipolysis in adipose tissue (fatty acid and glycerol increased in blood
Neural control of postabsorptive state
sympathetic nervous system interacts with hormones to control events in post absorptive state
ex: epinephrine and cortisol