BLOOD SUGAR REGULATION
In addition to
secreting digestive enzymes, the pancreas is an important endocrine gland. Its
hormones, insulin and glucagon, are secreted by cells that form little
clusters, the islets of Langerhans, throughout the pancreas. About one
million islets are present in the human pancreas. They are composed of beta
cells, which secrete insulin and alpha cells, which secrete
glucagon.
Insulin
stimulates cells of many tissues, including muscle and fat cells, to take up
glucose from the blood. Once glucose enters muscle cells, it is either used
immediately as fuel or is stored as glycogen. Insulin also inhibits the liver
cells from releasing glucose. Thus, insulin activity results in lowering the
glucose level from the blood.
The actions of
glucagons are the opposite to those of insulin. The main effect of glucagons is
to raise blood sugar levels. It does this by stimulating liver cells to both
convert glycogen into glucose and to make glucose from other metabolites.
Glucagon mobilises fatty acids and amino-acids as well as glucose.
Insulin and glucagon secretions
are regulated by glucose concentration
Insulin abd
glucagon secretions are directly controlled by the concentration of glucose in
the blood. After a meal, when blood concentration rises as a result of intestinal absorption, beta cells are stimulated
to increase insulin production. Then, as cells remove glucose from the blood,
decreasing its concentration, insulin secretion decreases accordingly, as
follows:
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When one has not
eaten for several hours, the concentration of glucose in the blood begins to
fall. When it falls from its normal fasting level of about 90 mg of glucose per
100 mL of blood to about 70 mg of glucose, the alpha cells of the islets of
Langerhans increase their secretion of glucagon. Glucose is mobilised from
storage in the liver cells, and blood sugar concentration returns to normal:
stimulates
alpha cells
glucagon secretion increases
blood
glucose concentration increases

Insulin and
glucagon work antagonistically.
