Glucagon secretion

Amylin analogue Pramlintide Suppress glucagon secretion and slow gastric emptying SC injection6... 

In clinical studies, selective DPP-4 inhibition increased active circulating concentrations of GLP-1 and GEP by two- to threefold. This was associated with increased glucose-induced insulin secretion and suppression of glucagon secretion, although changes in satiety and gastric emptying have not been repotted. 

Factors that stimulate glucagon secretion include a decrease in blood glucose an increase in blood amino acids sympathetic nervous stimulation stress and exercise. Factors that inhibit glucagon secretion include insulin and an increase in blood glucose. Table 10.2 summarizes the major functions of the hormones discussed in this chapter. 

Glucagon secreted in response to hypoglycemia and functioning via a membrane-associated receptor that increases cAMP concentration... 

Hypotension T ACTH secretion T Insulin secretion T Glucagon secretion... 

Sitagliptin is a dipeptidylpeptidase-4 inhibitor that increases insulin secretion and lowers glucagon secretion. Sitagliptin is available for oral administration. It is indicated in patients with type 2 diabetes mellitus in combination with either metformin (biguanide) or a sulphonylurea or a thiazolidinedione. 

Byetta ) peptide dependent insulin secretion by the pancreatic (3-ceUs, suppresses inappropriately elevated glucagon secretion, and slows gastric emptying ... 

The endocrine pancreas responds to this by altering its hormone release—there is an increase in insulin secretion and a reduction in glucagon secretion. The increase in the insu-lin/glucagon quotient and the availability of substrates trigger an anabolic phase in the tissues—particularly liver, muscle, and adipose tissues. 

The answer is D. This student is still in the fed or absorptive state within 1 hour of a meal, so elevated levels of many nutrients derived from food digestion would be observed in her blood. This would include all items in the list except glucagon. High nutrient levels in the blood evoke increased insulin secretion from the beta cells and suppression of glucagon secretion by the alpha cells of the islets of Langerhans. Therefore, blood levels of glucagon would be decreased relative to other nutritional states. 

In the first few hours after a meal, the blood glucose level is diminished slightly, and tissues receive glucose released from liver glycogen. There is little or no synthesis of lipids. By 24 hours after a meal, blood glucose has fallen further, insulin secretion has slowed, and glucagon secretion has increased. These hormonal signals... 

T Fatty acid mobilization (adipose tissue) T Glucagon secretion i Insulin secretion... 

The a cell is responsive to a variety of stimuli that signal actual or potential hypoglycemia (Figure 23.10). Specifically, glucagon secretion is increased by ... 

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