9.3 - Hormonal Regulation of Stress and Blood Sugar

Recap Questions

  • Negative Feedback System for T3 and T4

    • Regulates hormone levels in the blood.

    • T3 and T4 stimulate metabolic processes.

  • Humoral Stimulation of Thyroid and Parathyroid Glands

    • Regulates calcium ion levels.

    • Antagonistic hormones work to maintain balance.

9.3 Hormonal Regulation of Stress and Blood Sugar

Regulation of Stress

Adrenal Gland

  • Location: On top of the kidneys.

  • Structure: Inner layer (adrenal medulla) and outer layer (adrenal cortex).

Adrenal Medulla: Short-Term Stress Response

  • Fight or Flight response.

  • Hormones Produced: Epinephrine and norepinephrine.

  • Stimulus: Neural signal from the hypothalamus.

    • Direct stimulation of the adrenal medulla.

Stress Response: Short Term

  • Physiological Effects:

    • Increase in heart rate and blood pressure.

    • Rise in blood glucose levels.

    • Energization of muscles.

Adrenal Medulla Function

  • Rapid physiological responses include:

    • Increase in breathing rate and heart rate.

    • Blood flow redirected to the heart and muscles.

    • Short-lived increase in glucose availability via liver glycogen conversion.

    • Dilation of pupils and decrease in blood flow to extremities.

Adrenal Cortex: Long-Term Stress Response

  • Hormones Produced: Glucocorticoids (cortisol) and mineralocorticoids (aldosterone).

  • Regulation Pathway:

    • Corticotropin Releasing Hormone (CRH) -> Adrenocorticotropic Hormone (ACTH) -> Adrenal Cortex

Adrenal Cortex Function

  • Sustained physiological responses:

    • Cortisol: Raises blood glucose and suppresses immune functions.

    • Aldosterone: Increases sodium reabsorption in kidneys, raising blood pressure.

Long term vs Short term stress response

  • Short term:

    • Rapid, brief control, quick energy use.

  • Long term:

    • Sustained effects increasing blood pressure, heart rate, and metabolism.

Chronic Stress Effects

  • Sustained cortisol and aldosterone levels:

    • Impairments in cognition (memory recall).

    • Hypertension and high blood sugar (diabetes).

    • Increased vulnerability to infections, anxiety, depression, weight fluctuations.

    • "Karoshi": Japanese term for death due to overwork.

Addison’s Disease

  • Condition of adrenal gland damage:

    • Insufficient secretion of mineralocorticoids and glucocorticoids.

    • Symptoms include hypoglycemia, rapid weight loss, and electrolyte imbalance.

  • Historical Note: JFK suffered from Addison's, managed with hormone injections.

Regulation of Blood Sugar

Pancreas

  • Contains endocrine cells:

    • Alpha (glucagon) and beta (insulin) cells.

Hormonal Regulation of Blood Sugar

  • Insulin Functions:

    • Liver stores glucose as glycogen.

    • Muscle cells convert glucose into glycogen and proteins.

    • Adipose tissue uses glucose for fat.

  • Blood glucose homeostasis:

    • Normal levels: 75 - 110 mg/100 mL blood.

  • Glucagon Functions:

    • Secretes when blood glucose is low to increase glucose availability.

Diabetes Mellitus

  • Condition characterized by high blood glucose levels post-meals (hyperglycemia).

Types of Diabetes

  • Type I:

    • Occurs in childhood; abrupt onset; caused by degeneration of beta-cells leading to no insulin production.

  • Type II:

    • Manifests in adulthood; gradual onset; characterized by insulin resistance.

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