IGCSE - Biology Homeostasis (Part 1) Shervin Koohi Definition Sef-regulating process of the body aimed at keeping the internal environment of the body constant by adjusting to conditions that are optimal for survival. Why? To help the cells work as efficiently as possible. Examples Controlling blood glucose concentration Controlling body temprature Removal of urea, toxins, excess water and ions by the kidneys Controlling blood glucose concentration Importance of glucose: Cells need a steady supply of glucose to allow them to respire No glucose -> No energy! -> cell death Controlling blood glucose concentration Problems with too much glucose It can create an osmotic gradient -> water moves out of the cells and into the blood -> cells shrink and will not have enough water to carry on their normal metabolic process Controlling blood glucose concentration How is blood glucose controlled Hormones (Insulin + Glucagon) Secreted by pancreas Role of insulin -> REDUCE glucose contentration in the blood Role of Glucagon -> INCREASE glucose concentration in the blood https://www.youtube.com/watch?v=OHrX3X3LGzI Controlling blood glucose concentration Pancreas Two glands in one 1. Ordinary gland cells (MOST of pancreas)-> makes pancreatic juice -> flows along the pancreatic duct into the duodenum 2. Islet cells -> Make hormones (Insulin + Glucagon) -> secreted into Liver Glucagon -> causes liver to break down glycogen into glucose -> glucose released to blood -> increase of concentration and normal glucose levels Controlling blood glucose concentration Insulin & glucagon work by a system of Negative Feedback 3 components of negative feedback: Set point (range of normal values) Normal blood glucose concentration: 0.8 – 1.1 mg/cm3 We have 5 dm3 of blood -> 4g of circulating glucose Pancreas & liver work together to keep the values within the set points Receptors (measuring device) -> to keep track of the level If the level goes outside of the set point -> events get triggered to bring it back Controlling blood glucose concentration Insulin -> causes liver to absorb glucose from the blood -> some is used for respiration -> by breaking it down to carbon dioxide & water -> some is converted into glycogen (insoluble polysaccharide) -> to be stored in the liver Goal -> blood glucose falls back to normal Controlling blood glucose concentration Glucagon -> causes liver to break down glycogen into glucose -> glucose released to blood Goal -> increase of concentration and normal glucose levels Controlling blood glucose concentration Controlling blood glucose concentration What can push the concentration beyond / below the set points? Controlling blood glucose concentration Diabetes https://www.youtube.com/watch?v=bFnO8Uc9gjQ Definition Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. (WHO) Type I Diabetes The Islet cells that produce insulin die Why? Autoimmune -> body’s own immune system attacks and destroys the cells Usually appears at a young age Type I Diabetes What if a patient with Type I Diabetes eats too much carbohydrates? Normally, this would trigger an increase in the secretion of insulin, but in these patients it cannot happen This causes the glucose concentration to stay above the set point and remain high Symptoms: Dry mouth – Blurred vision – feeling thirsty – increase in heart rate & breathing rate Type I Diabetes What if a patient with Type I diabetes does not eat carbohydrates for a long time? In these patients, there is no built up stores of glycogen (because there is no insulin secreted previously to trigger liver to turn the extra glucose into glycogen) This means that they do not have glucose to compensate for the low blood sugar -> blood sugar levels drop and remain below the set point -> cells will not have enough energy Symptoms: feeling tired – confusion - irrational behaviour – eventually loss of consciousness What should they do when this happens? Eat something sweet! Type I Diabetes Treatment: The patient should the blood sugar levels frequently The patient should be educated on how much carbohydrates to eat, and should balance his intake / day Most patients, will need an insulin injcetion Rapid acting insulin -> before/after eating a meal Long-acting insulin -> for a ‘background dose’ of insulin. To be taken daily at the same time Type I Diabetes Type I Diabetes