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what are the two sources of glucose
food
gluconeogenesis
how does glucose enter hepatocytes, WBC, RBC, platelet and neurone
GLUT-2
hormone-independent
how is insulin triggered
GH (antagonist)
glucose
glucagon
amino acids
how does epinephrine act on glucose pathway
inhibit insulin
beta 2 adrenergic receptor of hepatocytes - glycogenolysis
alpha 2 adrenergic recetpor - more GHRH so more GH and less uptake
what are the two things causing fasting normoglycaemia
insulin
glucagon
what are the two things cuasing post-prandial hyperglycasemia
absorption
glucagon
transient hyperglycaemia cuases
post prandial
excitement
steroid associated
dioestrus
which one is more common in dogs for DM
DM I
what cuases DM II in cats
pancreatic insular amyloidosis
obesity
pancreatic DM
pancreatitis
pancreatic carcinoma
less insulin production
endocrine DM
acromegaly
glucagonoma
HAV
hyperpituitarism
thyroid disorders
phaemochromocytoma
bovine milk feber
canine hepatocutaneous syndrome
anti what
anti-insulin antibodies
cat insulin resistance cuases
obesity - more in cats
hyperthyroidism
denatl disease
UTI
hyperadrencorticism a bit
kidney disease more
acromegaly in cats
pancreatitis a bit
prengnacy or dioestrus
what are teh two hormones that require MG2+ as a cofactor
phosphopyruvate hydratase
glucose oxidase
what are teh three things you could measure for glucose
plasma glucose
calculated plasma glucose
whole blood glucose
two ketoamines
glycated haemoglobin
fructosamine
requirements of glycated haemoglobin
depends onn RBC half life in different species
whole blood
interpretation differs
cat levels for glucosuria in blood
250-300 mg/dL
13.88-16.65 mmol/L
decreased gluconeogenesis cuases of hypoglycaemia
hepatic insufficiency/failure
hypoadrenocorticism
neonatal or juvenily hypoglycaemia
starvation/malnutrition
chewing gum substance
xylitol toxicosis
normoglycaemia with insulin:glucose ratio increased
insulin resistance so type II DM or non-pancreatic
due to high insulin, but no response from glucose