Negative Feedback Explained
Both insulin and glucagon operate through negative feedback. This means that the response (change in blood glucose) acts to cancel out the original stimulus:
- Blood glucose rises → pancreas detects the rise → beta cells release insulin → glucose is taken up and converted to glycogen → blood glucose falls back to normal → insulin secretion reduces
- Blood glucose falls → pancreas detects the fall → alpha cells release glucagon → glycogen is converted to glucose → blood glucose rises back to normal → glucagon secretion reduces
The result is that blood glucose oscillates around a set point, never going dangerously high or low in a healthy person.
What Happens in Type 1 Diabetes
In Type 1 diabetes, the beta cells of the pancreas are destroyed by the immune system, so the person cannot produce insulin. Without insulin, body cells cannot take up glucose effectively, and the liver cannot convert glucose to glycogen. Blood glucose remains dangerously high after eating (hyperglycaemia). Treatment requires regular insulin injections and careful monitoring of blood glucose levels.
In Type 2 diabetes, the body still produces insulin but the cells become resistant to it: they do not respond properly. This is often linked to obesity, lack of exercise, and genetic factors. Treatment involves diet, exercise, and sometimes medication.