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Symptoms of Diabetes Mellitus
Fatigue, weight loss without trying, appetite increase, thirst frequent urinating
Three P’s for Diabetes
Polydipsia (increased thirst/drinking), Polyphagia (increased eating), Polyuria (increased urinating)
Urinalysis
Clinical Test #1 for Diabetes; sample of urine is tested with a dipstick and is used to see if excess glucose in in the urine (meaning so much in blood that its spilling into kidneys)
Serum Blood Glucose Test
Clinical Test #2 for Diabetes'; patient fasts for 8 hours and a vial of blood is drawn to measure level of glucose in plasma
Normal Glucose Level
70-100 mg/dl
Oral Glucose Tolerance Test (OGTT)
Clinical Test #3 for Diabetes; patient chugs liquid with 100g of glucose and over the next 3 hours, 5 vials of blood are drawn and tested for glucose; Normal=glucose rises fast then falls to below 140mg/dl in the next 2 hours
Endocrine System
system of glands that secrete hormones to control the body’s functions
Important Brain Glands
Hypothalamus, Pituitary gland, and Pineal gland
Important Neck Glands
Thyroid and Parathyroid glands
Important Abdomen Glands
Pancreas and Adrenal Glands
Important Chest-Thoracic Gland
Thymus
Important Pelvis Gland
Testes/Ovaries
2 Main Control Systems of the Body
Endocrine and Nervous System
Endocrinology
study of hormones and endocrine organs
Nervous System (from chart)
Quickly initiate short duration responses, acts via action potentials and neurotransmitters, acts at specific locations determined by axon pathways, neurotransmitters act over very short distances
Endocrine System (from chart)
Slowly initiate long duration responses, act via hormones released into blood, acts at diffuse locations (anywhere blood reaches), hormones act over long distances
Exocrine Glands
have ducts; produce non-hormonal substances (saliva, sweat); secrete products into ducts to carry secretion to outside surface or into an organ cavity
Endocrine Glands
Produce hormones; lack ducts; secrete directly into blood
Glands with both Endocrine and Exocrine Functions
Pancreas, Gonads, and Placenta (secrete directly into bloodstream and out into ducts into organs or body surfaces)
Hormones
chemical messengers of endocrine system (travel long distances in blood)
Water-based Soluble Hormones
Amine, Peptide/Protein, and Eicosanoid hormones; all amino acids EXCEPT thyroid hormone; CANNOT ENTER CELL (think phospholipids)
Lipid-based Soluble Hormones
Synthesized from cholesterol; bind to receptor inside the cell; steroid and thyroid hormones; directly activate genes
G-Protein “Second Messenger”
Amine, Peptide, and Protein hormones use this cell pathway; called G-Protein because it’s made of Guanine compounds; these hormones NEVER MAKE IT TO CELL
G-Protein Step 1
hormone binds to G-Protein
G-Protein Step 2
enzymes move around in cytoplasm and turn ATP into cyclic AMP molecule
G-Protein Step 3
cAMP activates (called cascade)
G-Protein Step 4
cell responds and does what the hormone wants
Lipid Soluble Hormones Step 1
Lipid-based hormone diffuses right through plasma membrane
Lipid Soluble Hormones Step 2
Receptor-hormone complex enters nucleus and binds to specific region of DNA
Lipid Soluble Hormones Step 3
Initiates DNA transcription to produce mRNA
Lipid Soluble Hormones Step 4
mRNA move to Ribosomes, then translated into specific protein (proteins have various functions)
Lipid-Soluble Pharmacology
can be taken by mouth, since they can easily cross the intestinal lining and not get damaged in the stomach (steroids and thyroid hormones)
Water-Soluble Pharmacology
get broken down by stomach acid & digestive enzymes that break peptide bonds (ie. why insulin, a protein, must be injected)