AQA GCSE Biology Biology Paper 2 (Foundation), June 2022: Question 10
10 marks · Standard Demand difficulty · Short Answer
Analyse blood glucose and insulin regulation, interpret a height-weight chart, and evaluate blood test results for Type 2 diabetes.
Practise this questionQuestion
Question text
10 It is important to control the concentration of glucose in the blood.
Figure 13 shows how the concentration of glucose in the blood of a person changed
over 4 hours.
Figure 13
10.1 Give one time when the concentration of insulin in the person’s blood would be high.
Use Figure 13.
[1 mark]
35Time = hours
10.2 Explain the effect a high concentration of insulin has on blood glucose concentration.
[3 marks]
Effect
Explanation
People with diabetes have difficulty controlling the concentration of glucose in
their blood.
Type 2 diabetes is linked to obesity.
Figure 14 shows how to find if an adult’s body mass is healthy for their height.
Figure 14
10.3 Person A:
• is 1.75 m in height
• has a body mass of 52 kg.
What is person A’s weight category?
*35* [1 mark]
Tick ( ) one box.
Underweight
Healthy weight
Overweight
Obese
10.4 Person B is 1.9 m in height.
Give the range of body masses that would put person B in the
healthy weight category.
[1 mark]
Range from 38 kg to kg
10.5 Person C is obese.
A doctor thinks that person C has Type 2 diabetes.
The doctor tests a sample of blood from person C.
Table 5 shows:
• the results of the blood test
• the mean results for people who do not have diabetes.
Table 5
Concentration in blood
Mean for people who
Person C
do not have diabetes
Cholesterol in mmol/dm3 6.21 5.20
Glucose in mmol/dm3 9.56 4.51
Insulin in arbitrary units 24.32 14.83
Type 2 diabetes occurs when body cells have a reduced response to insulin.
Give two ways the results of the blood test show that person C might have
Type 2 diabetes.
[2 marks]
10.6 Give two ways that a person can reduce the chance of developing
Type 2 diabetes.
[2 marks]
Mark scheme
Show the mark scheme
Question 10
AO /
Question Answers Extra information Mark
Spec. Ref.
10.1 an answer in the range 1 AO2
1.1 to 2(.0) (hours) 4.5.3.2
AO /
Spec. Ref.
10.2 effect : lowered 1 AO1
4.5.3.2
explanation:
glucose taken in 1
or
glucose converted to glycogen
or
glucose used in respiration
by cells / liver / muscles 1
AO /
Spec. Ref.
10.3 underweight 1 AO3
4.5.3.2
AO /
Spec. Ref.
10.4 (from) 67.5 (kg to) 90 (kg) allow in the range 67 to 68 (kg) 1 AO2
4.5.3.2
for 67.5 (kg)
allow in the range 90 to 90.5(kg)
for 90 (kg)
allow from 90 (kg to) 67.5 (kg)
AO /
Spec. Ref.
10.5 answers must be comparative AO3
4.5.3.2
(person C has) higher glucose allow comparison of higher 1
(than mean) glucose using numbers
allow (person C’s) glucose is too
high
(person C has) higher insulin allow comparison of higher 1
(than mean) insulin using numbers
allow (person C’s) insulin is too
high
do not accept (person C has)
higher cholesterol
ignore unprocessed data
AO /
Spec. Ref.
10.6 (more) exercise allow example of (more) 1 AO1
exercise 4.5.3.2
eat less carbohydrate / sugar allow eat less fat 1
or eat a low carbohydrate diet allow eat a carbohydrate
controlled diet
if no other marks awarded allow
1 mark for
lose weight
or maintain healthy weight
or eat less
or eat fewer calories
ignore references to healthy /
balanced diet or diet unqualified
Total Question 10 10
How to answer it
Blood Glucose Homeostasis & Type 2 Diabetes
What this question tests
This multi-part question tests your fundamental understanding of homeostasis and negative feedback, specifically how the hormone insulin controls blood sugar levels. You must be able to:
- Interpret a line graph showing blood glucose fluctuations after a meal.
- Explain the biochemical mechanism of insulin (uptake, conversion to glycogen, and target organs).
- Extract and interpret coordinate data from a body mass vs. height chart.
- Compare clinical blood test results against non-diabetic reference ranges to recognise Type 2 diabetes.
- Identify practical lifestyle interventions that reduce the risk of developing Type 2 diabetes.
Time of High Blood Insulin Concentration
Interpreting graph curves after food intake
✅ Correct Answer
Any single value in the range of 1.1 to 2.0 hours (e.g. 1.5 hours, 1.7 hours).
💡 Key Knowledge
A meal is eaten at 0.8 hours. Carbohydrates are digested into glucose and absorbed into the bloodstream, peaking at ~1.7 hours. The pancreas detects this rise and releases insulin into the blood to lower glucose back to normal levels.
🧠 Exam Technique
Do not pick the exact moment food was eaten. It takes time for food to be digested and absorbed. Insulin is only secreted at high levels while blood glucose is elevated above normal baseline (~4.3 mmol/dm³).
❌ Common Errors
- Choosing a time before the meal (e.g. 0.5 hours).
- Choosing a time after glucose has returned to resting baseline (e.g. 3.0 hours or 4.0 hours).
Mechanism of Insulin Action
Explaining how insulin lowers blood sugar
✅ Correct Answer
Effect:
- Lowers / decreases blood glucose concentration [1 mark]
Explanation:
- Glucose is taken into cells / converted into glycogen / used in respiration [1 mark]
- By liver cells / muscle cells [1 mark]
💡 Key Knowledge
Insulin acts as a chemical messenger:
- Produced by: Pancreas
- Target organs: Liver and muscles
- Action: Stimulates cells to absorb glucose from the blood and convert excess soluble glucose into insoluble glycogen for storage.
🧠 Exam Technique
To gain all 3 marks, you must state: 1) the overall effect, 2) the fate of glucose (uptake or conversion to glycogen), and 3) the specific target site (liver or muscle cells).
❌ Common Misconceptions
- Name confusion: Confusing glycogen (the storage carbohydrate) with glucagon (the hormone that raises glucose).
- Vaguely stating "insulin breaks down glucose" or "insulin eats glucose" (insulin is a signalling hormone, not an enzyme).
- Forgetting to name the target organs (liver / muscles).
Categorising Body Mass (Person A)
Reading two-variable charts
✅ Correct Answer
Tick: Underweight [1 mark]
🧠 Reading the Graph
- Locate height = 1.75 m on the vertical y-axis.
- Move horizontally to a body mass of 52 kg on the horizontal x-axis.
- The intersection point sits inside the leftmost region labelled Underweight (the healthy zone at 1.75 m only begins at ~57 kg).
Finding Healthy Weight Range (Person B)
Data reading from boundaries
✅ Correct Answer
Range from 67.5 kg to 90 kg [1 mark]
(Examiners allow 67 to 68 kg for lower boundary; 90 to 90.5 kg for upper boundary)
📐 Step-by-Step Reading
- Find 1.9 m on the vertical axis (Height).
- Follow the horizontal gridline across into the Healthy weight band.
- Read the left boundary of healthy weight: exactly halfway between 60 and 75, which is 67.5 kg.
- Read the right boundary of healthy weight: it meets the vertical gridline at 90 kg.
❌ Common Errors
Misreading axis scales. Notice that major grid lines on the x-axis go up in increments of 10 or 15 kg (40, 50, 60, 70, 80, 90...). Pay careful attention to the division spacing.
Evaluating Blood Test Evidence for Type 2 Diabetes
Data interpretation from comparative tables
✅ Correct Answer
Give any two comparative points:
- Person C has higher blood glucose (than the non-diabetic mean) [1 mark]
- Person C has higher blood insulin (than the non-diabetic mean) [1 mark]
Quoting numbers comparatively is accepted (e.g. glucose is 9.56 vs 4.51 mmol/dm³).
💡 Biological Reason
In Type 2 diabetes, the pancreas produces insulin (often in larger amounts: 24.32 vs 14.83), but the body's target cells resist or fail to respond to it. Because cells don't respond, glucose remains trapped in the blood, causing elevated blood glucose (9.56 vs 4.51).
❌ Common Errors & Examiner Warnings
- Mentioning cholesterol: The mark scheme explicitly states: "do not accept higher cholesterol". Cholesterol is a lipid linked to cardiovascular disease, not a diagnostic criterion for diabetes.
- Failing to compare: Simply writing "glucose is 9.56" without stating that it is higher than the mean scores 0 marks. Data must be comparative.
Preventing Type 2 Diabetes
Lifestyle and risk reduction
✅ Correct Answer
Any two from:
- Do (more) exercise / increase physical activity [1 mark]
- Eat less carbohydrate / less sugar (or follow a low-carbohydrate diet) [1 mark]
- Eat less fat / reduce total calorie intake / lose weight [1 mark]
🧠 Exam Technique: Be Specific!
GCSE examiners reject vague answers when asking about diet. Do NOT write:
- "Eat a healthy diet" ❌ (Ignored)
- "Have a balanced diet" ❌ (Ignored)
Always name the nutrient you need to reduce: sugar, carbohydrates, or fat.
💡 Why Exercise Works
Physical exercise forces muscle cells to respire faster, taking up glucose directly from the bloodstream without needing as much insulin. It also helps reduce obesity, which is the primary risk factor for insulin resistance.
Topics
Biology · B5: Homeostasis and Response
Question and mark scheme from the AQA GCSE Biology examination, Biology Paper 2 (Foundation), June 2022. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.