O Levels Biology (5090)•5090/12/M/J/18

Explanation
Insulin Facilitates Glucose Uptake to Prevent Glucosuria
Steps:
- In diabetes, high blood glucose exceeds kidney reabsorption capacity, leading to glucose in urine (glucosuria).
- Insulin binds to cell receptors, activating glucose transporters (GLUT4) to move glucose into cells.
- This lowers blood glucose levels below the renal threshold (about 180 mg/dL).
- Reduced blood glucose prevents spillover into urine.
Why B is correct:
- Insulin promotes glucose uptake into cells by stimulating GLUT4 translocation, as defined in cellular physiology, reducing blood glucose and avoiding renal filtration excess.
Why the others are wrong:
- A: Insulin does not increase urine water; it indirectly reduces osmotic diuresis by lowering glucose.
- C: Insulin acts post-digestion; it does not prevent starch breakdown into glucose in the gut.
- D: Insulin has no direct role in raising blood pressure; it primarily regulates metabolism.
Final answer: B
Topic: Blood glucose control
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