Endocrinology Study Guide


DISCIPLINE: NUTRITION

Resource Faculty: Dr. B.W. Tobin

I. INTRODUCTORY INFORMATION

NOTE: For the study of Nutrition both Shils and the CD-ROM program will be used to answer the objectives.

Primary References:

1.

Shils. Modern Nutrition in Health and Disease. 1999. {WB 400 M689 1999}

2.

Diabetes and Weight Management. Nutrition in Medicine CD-ROM Program. Academic Version 3.0 Ed. Steven H. Ziesel, 2000. LRC

Optional Reference:

3. Integrative Concepts: Regulation of Complex Functions: Weight Management Station. LRC.

 TOPIC: THYROID

OBJECTIVE 1

Know the symptoms of the iodine deficiency disorders and be able to describe iodine toxicity.

Primary Reference:

1.

Clugston and Hetzel. Iodine. In: Modern Nutrition in Health and Disease. 1999, pp 256-262.

 

TOPIC: OVARY - FEMALE REPRODUCTIVE

OBJECTIVE 1

Describe the methods of and rationale for the nutritional assessment of the pregnant woman.

OBJECTIVE 2

Discuss the recommended dietary allowances for pregnancy and lactation.

OBJECTIVE 3

Identify which vitamins and minerals are important for anemia prevention during pregnancy and describe the biochemical basis for these needs.

OBJECTIVE 4

Discuss nutritional supplements, caffeine, alcohol, drugs and exercise in pregnancy; note the impact of maternal risk factors on fetal birth weight.

Primary Reference:

1.

McGanity. Maternal Nutrition. In: Modern Nutrition in Health and Disease. 1999, pp. 811-835.

 

 

TOPIC: DIABETES, INSULIN DEFICIENCY AND FUEL HOMEOSTASIS

SUBTOPIC:  GLUCOSE METABOLISM

OBJECTIVE 1.

Review glucose metabolism including digestion absorption and transport.

OBJECTIVE 2.

Contract glucose storage and gluconeogenesis in different tissues.

 

SUBTOPIC: GLUCOSE REGULATION

OBJECTIVE 1.

Describe insulin, glucagon and epinephrine actions on glucose metabolism.

OBJECTIVE 2.

Describe insulin and glucagon actions in liver, muscle, and adipocytes.

OBJECTIVE 3.

Compare and contrast glucose, glycogen, and fat metabolism.

OBJECTIVE 4

Compare and contrast Type 1 and Type 2 diabetes mellitus.

OBJECTIVE 5.

Describe obesity and insulin metabolism in Type 2 diabetes.

 

SUBTOPIC: FUEL METABOLISM

OBJECTIVE 1

Show how intake and expenditure influence energy balance.

OBJECTIVE 2

Contrast metabolic changes due to over/under feeding.

OBJECTIVE 3

Describe the long term health consequences of over-feeding.

Primary Reference:

1.

Glucose Metabolism, Glucose Regulation, Fuel Metabolism. In: Diabetes and Weight Management. Nutrition in Medicine CD-ROM Program. Academic Version 3.0 Ed. Steven H. Ziesel, 2000. LRC

 

TOPIC: INTEGRATIVE CONCEPTS: REGULATION OF COMPLEX FUNCTIONS

SUBTOPIC: ENERGY PRODUCTION AND METABOLISM; HORMONES AND NUTRIENT METABOLISM

SUBTOPIC: APPETITE REGULATION

OBJECTIVE 1

Describe effects of insulin, cortisol, and glucagon on appetite.

OBJECTIVE 2

Compare actions of NPY, galanin, and corticotropin.

OBJECTIVE 3

Describe how diet influences serotonin production.

OBJECTIVE 4

Compare serotonin, dopamine, and norepinephrine action on appetite.

OBJECTIVE 5

Explain how appetite regulation can lead to excessive weight gain.

OBJECTIVE 6

List mechanisms that conserve weight during dieting.

 

 

SUBTOPIC: GLUCOSE MANAGEMENT

OBJECTIVE 1

Explain the acute and chronic consequences of energy imbalance.

OBJECTIVE 2

List causes, signs and consequences of hypo and hyperglycemia.

OBJECTIVE 3

Describe the complications of diabetes and how to reduce risks.

OBJECTIVE 4

Elaborate on the medical nutritional therapy goals for diabetes.

OBJECTIVE 5

Compare dietary strategies for Type 1 and Type 2 diabetes.

OBJECTIVE 6

Identify the tools for achieving glucose regulation.

Primary Reference:

1.

Appetite Regulation, Glucose Management. In: Diabetes and Weight Management. Nutrition in Medicine CD-ROM Program. Academic Version 3.0 Ed. Steven H. Ziesel, 2000. LRC

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Last Revised: 08/28/02


© 1999 Mercer University School of Medicine.  All rights reserved.
Send Comments/Questions to Dr. Brian Tobin
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