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Item 2 Tenzin, a 35-year-old female, is 5 feet, 8 inches and weighs 250 pounds.

ID: 3480481 • Letter: I

Question

Item 2

Tenzin, a 35-year-old female, is 5 feet, 8 inches and weighs 250 pounds. She works, goes to school, and has a 6-month-old baby. She has very little time to cook meals at home or to exercise.

Tenzin’s mother had gestational diabetes when she was pregnant with Tenzin, and Tenzin had the same diagnosis with her recent pregnancy. Because of this, Tenzin is being monitored for the development of diabetes.

Part B

To help us understand Tenzin’s diagnosis, let’s review blood glucose regulation.

Compare and contrast the pathways for glucose regulation by insulin and glucagon.

(THE CHOICES FOR THE FILL IN THE BLANK)

decrease

increase

insulin

glucagon

alpha

beta

1. In the absorptive state, blood glucose levels .

2. This stimulates the secretion of the hormone.

3. This hormone is secreted from the cells in the islets of Langerhans in the pancreas.

4. This hormone signals a(n) in glycogen synthesis.

5. This hormone signals a(n) in glycogenolysis.

6. This hormone signals a(n) in fatty acid and triglyceride synthesis.

7. This hormone signals a(n) in lipolysis.

8. This hormone signals a(n) in gluconeogenesis.

9. These actions result in a(n) in blood glucose levels.

10. These actions result in a(n) in further secretion of this hormone.

11. In the postabsorptive state, blood glucose levels .

12. This stimulates the secretion of the hormone.

13. This hormone is secreted from the cells in the islets of Langerhans in the pancreas.

14. This hormone signals a(n) in glycogen synthesis.

15. This hormone signals a(n) in glycogenolysis.

16. This hormone signals a(n) in fatty acid and triglyceride synthesis.

17. This hormone signals a(n) in lipolysis.

18. This hormone signals a(n) in gluconeogenesis.

19. These actions result in a(n) in blood glucose levels.

20. These actions result in a(n) in further secretion of this hormone.

Explanation / Answer

1)In the absorptive state, blood glucose levels increases

2)  This stimulates the secretion of the insulin hormone.

3)  This hormone is secreted from the beta cells in the islets of Langerhans in the pancreas

4)this hormone signals a(n) increase in glycogen synthesis.

5) This hormone signals a(n) increase in glycogenolysis.

6) This hormone signals a(n) increase in fatty acid and triglyceride synthesis.

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