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#diabetes

11 public questions tagged with this topic.

Which of the following describes SGLT2?

Sodium glucose cotransporters SGLT1 SLC5A1 and SGLT2 SLC5A2 are secondary active members using sodium gradient but differ in location, affinity and role. SGLT1 expressed predominantly in apical brush border of small intestine enterocytes and early kidney proximal tubule S3 is high-affinity low-capacity with 2 Na+ to 1 glucose stoichiometry handling dietary glucose and galactose absorption and some glucose reabsorption. SGLT2 localized exclusively in S1 and S2 segments of proximal tubule is low-affinity high-capacity with 1 Na+ to 1 glucose stoichiometry accounting for roughly 90 percent renal glucose reabsorption of filtered load near 180 g per day. Dysfunction produces renal glycosuria. SGLT2 inhibitors gliflozins empagliflozin and dapagliflozin block renal reabsorption promoting glycosuria, used for type 2 diabetes with cardiovascular benefits. Describing SGLT2 as intestinal transporter conflates families; SGLT1 dominates gut while SGLT2 dominates kidney. Neither functions as proton pump or cystic fibrosis related channel. Such detailed mechanistic insight is frequently examined in competitive tests including NEET, CUET, CSIR-NET and GATE where transporter classification, energetics and disease linkage are integrated into problem-solving questions.

Ref: Wright et al., Physiol Rev 2011, SGLT1 vs SGLT2 distribution and physiology.

In RIA, diabetic patients show:

Radioimmunoassay is competitive binding assay where fixed amount of radiolabeled antigen competes with unlabeled patient antigen for limited antibody. Bound radioactivity is inversely proportional to patient antigen concentration. In type one diabetes low insulin secretion occurs due to beta cell destruction. With little cold insulin to compete, antibody binds predominantly hot labeled insulin, so precipitated complex retains high radioactivity counts. High insulin sample would displace hot insulin and lower counts. Therefore diabetic insulin deficient samples show low circulating insulin but high bound radioactivity reading, indicating hormone deficiency.

Ref: NCERT Biology Class XII Principles on Klenow fill-in labeling, Lehninger Chapter 9 DNA cloning techniques, and Molecular Cloning by Sambrook Chapter 10 documenting end-labeling of cohesive termini.

Which diabetes type involves insulin resistance?

Type 2, is consistent with established principles of cell signaling, receptor pharmacology and cellular regulation. Experimental measurements of binding parameters, genetic loss-of-function studies and pharmacological interventions all converge on the same interpretation. Related options address neighboring concepts but do not satisfy the precise criterion stated in the question.

Ref: NCERT Biology Class 11–12 Alberts et al Molecular Biology of the Cell Lodish et al, Molecular Cell Biology Cooper & Hausman, The Cell Abbas et al., Cellular and Molecular Immunology (for immunology sections)