This is the complex homeostatic process by which the body maintains blood glucose concentrations within a narrow, physiological range. Effective regulation is essential for cellular energy supply and preventing the systemic damage associated with chronic hyperglycemia or hypoglycemia. This process involves the coordinated action of several key hormones and their respective target tissues.
Origin
The understanding of glucose regulation is foundational to endocrinology, stemming from the early 20th-century discovery of insulin and its counter-regulatory hormones. The term reflects the body’s evolutionary necessity to manage energy substrates for survival. It is intrinsically linked to pancreatic islet cell function and the subsequent hormonal signaling cascade.
Mechanism
Regulation is primarily orchestrated by the pancreatic hormones insulin and glucagon, which act antagonistically to control glucose uptake and release. Insulin promotes glucose entry into muscle and adipose tissue and suppresses hepatic glucose production. Glucagon stimulates the liver to release stored glucose via glycogenolysis and gluconeogenesis. Other hormones, including cortisol and epinephrine, also influence this balance by temporarily elevating blood glucose during periods of physiological stress.
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