Diabetes mellitus one group, whereas type 2 encompasses four categories. This is hoped to improve diabetes treatment by tailoring it more specifically to the subgroups. Insulin is the principal hormone that regulates the uptake of glucose from the blood into most cells of the body, especially liver, adipose tissue and muscle, except smooth muscle, in which insulin acts via the IGF-1. Therefore, deficiency of insulin or the insensitivity of its receptors play a central role in all forms of diabetes mellitus. The body obtains glucose from three main sources: the intestinal absorption of food; the breakdown of glycogen (glycogenolysis), the storage form
Glucose cycle Glucose cycle The glucose cycle (also known as the hepatic futile cycle) occurs primarily in the liver and is the dynamic balance between glucose and glucose 6-phosphate. This is important for maintaining a constant concentration of glucose in the blood stream. The glucose cycle is required for one of the liver functions; the homeostasis of glucose in the blood stream. When the blood glucose level is too high, glucose can be stored in the liver as glycogen. When the level is too low, the glycogen can be catabolised and glucose may re-enter the blood stream. The catabolic process occurs at