RUHS, Jaipur, M.Sc Nursing Entrance Exam-2019
Biochemistry & Nutrition
Medium

In following which is not a function of the insulin?

Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2019

Explanation

  • Gluconeogenesis is the metabolic pathway that generates new glucose from non-carbohydrate sources, such as amino acids and glycerol.
  • The primary role of insulin is to lower blood glucose levels after a meal.
  • To achieve this, insulin actively inhibits or suppresses the process of gluconeogenesis in the liver.
  • Therefore, performing or promoting gluconeogenesis is contrary to insulin's purpose and is not one of its functions.

Why Other Options Were Wrong

  • Option A: This is incorrect because inhibiting the breakdown of stored glycogen (glycogenolysis) is a key function of insulin. By decreasing glycogenolysis, insulin prevents the liver from releasing glucose into the bloodstream, which helps lower overall blood glucose levels.
  • Option C: This is incorrect because insulin is a major promoter of lipogenesis. It facilitates the conversion of excess glucose that cannot be stored as glycogen into fatty acids and triglycerides for long-term storage in adipose tissue.
  • Option D: This is incorrect because promoting glycogenesis (the formation of glycogen from glucose) is a primary function of insulin. It stimulates the liver and muscle cells to take up glucose and store it as glycogen.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain The metabolic functions of the hormone insulin, specifically its role in regulating blood glucose as background academic context rather than a clinical decision trigger.
  • Understanding insulin's functions is fundamental for managing diabetes mellitus. In Type 1 diabetes, the absence of insulin leads to unchecked gluconeogenesis and glycogenolysis, causing severe hyperglycemia.
  • Administering insulin to a diabetic patient mimics these natural functions: it helps cells take up glucose, promotes storage, and stops the liver from releasing excess glucose.
  • A common and serious side effect of insulin therapy is hypoglycemia, which occurs if the dose is too high or food intake is insufficient, as insulin's powerful glucose-lowering effects become unopposed.
How to Approach the Question
  • First, identify the core subject of the question: the functions of the hormone insulin.
  • Note the negative keyword 'NOT'. This signals that you must find the option that is inconsistent with insulin's known actions.
  • Recall the primary goal of insulin: to lower blood glucose.
  • Evaluate each option based on this goal: Does the process lower blood glucose, or does it raise it?
  • Processes that store glucose or prevent its release (Glycogenesis, Lipogenesis, Decreasing glycogenolysis) are functions of insulin.
  • Processes that create new glucose (Gluconeogenesis) are opposed by insulin. Therefore, gluconeogenesis itself is not a function of insulin; inhibiting it is.
Concept Tested & Keywords
  • Concept Tested: The metabolic functions of the hormone insulin, specifically its role in regulating blood glucose.
  • Stem keywords: insulin, function
  • Lead-in keywords: NOT
  • Negative lead-in flag: The question asks to identify the process that is NOT a function of insulin.

Question ID

Q9buwCaMOVZNbRpEEYHgNO

Reference Book

E6 Physiology Guyton 4SAE Part 3 p. 2-4

E6 Physiology Essentials Sembulingam 10e Part 2 p. 63-65

E6 Textbook of Biochemistry for medical StudentsDM Vasudevan Part 1 (pp 26-370 of 370) p. 193-195

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