Level of glucose in the blood

In this post I'm bringing here one of the most typical representative of the flow diagram. This one explains the process of working on the steady level of glucose ( type of simple sugar) in the blood. This is achieved by so-called negative feedback loop. Negative, because it negates any bigger changes from the balance, and restore the level towards the stable position - within the norm. The mechanism is two-fold.

 

The pancreas creates two hormones called the insulin and the glucagon, and they act in antagonistic way, meaning they function in contrast. Insulin takes glucose from bloodstream into the cells that need it, and this way lower the level of glucose in the blood. Glucagon, on the other hand, supress the action of insulin, so the glucose in the blood starts accumulating again. If I may offer an analogy, they work just like the gas pedal and the break pedal in the car.

 

But this is all pretty basic knowledge. I took this picture out of the GCSE book on Human biology (Letts, 1994)  and technically, we talk the language of sixteen years old pupils. So let's go a bit deeper. The healthy blood glucose level is within the range of  4 to 6 mmol/l. Of course, that level fluctuates during the day as the reflection of having meals containg carbohydrates.
 

After such a meal, the level tends to rise, because the food needs to be digested and all micronutrients (results of digestion) go into the bloodstream. This is the signal for pancreas to release the insulin, which takes the glucose molecules across the cell membrane into the cells. Glucose molecule is too big to cross the plasma (cell) membrane by itself, so it needs the insulin to help widen a gap a little bit.

But then, when you don't eat for a while, the level goes down, and this is a signal for pancreas to release the glucagon, which stops the insulin from doing its job. This way the glucose can't get inside anymore, and stays in the blood. By this mechanism, the relatively stable level is achieved, falling in the healthy range of 4-6 mmol/l. This could be translated as 4-6 milimole per litre of blood, in which one milimole (or thousanth of one mole) is 180 mg of glucose.

I know that this is probably really hard to imagine, so I put it into the perspective. Fluctuation during the day within this healthy range is ok, but hit the level of 10 mmol/l, and you'll be diagnosed with hyperglycemia - which basically means having too much of glucose (sugar) in the blood. Or on the other hand, if your level sinks under 3 mmol/l, then you'll be diagnosed with hypoglycemia - which means not enough glucose in the blood.

So why is so important for the body to have always a stable supply of glucose? Well, many reasons, but probably the biggest one is that the glucose is the only food for the brain, and the whole nervous system. And you probably want those parts to work all the time, and properly. Plus the glucose is used as a fuel for movement. Fat is also a fuel, but glucose is much more readily available for immediate actions and reactions. Lipids chips in mostly when you move very slowly, or not at all (holding the position of the body). But all rapid movements, including your fingers, eyes, or ankles, are down to glucose, so without it (or with low level of it), the body would be pretty slow and stiff. That's why.