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 question

Question

The question consists of six parts: Figure 13 shows blood glucose concentration in mmol/dm³ against time in hours over 4 hours, with a meal eaten at 0.8 hours leading to a peak at around 1.7 hours. Part 10.1 asks for a time when insulin concentration would be high. Part 10.2 asks for the effect and explanation of high insulin concentration on blood glucose concentration. Figure 14 is a body mass index chart plotting height in metres against body mass in kilograms, divided into underweight, healthy weight, overweight, and obese zones. Part 10.3 asks to identify the weight category for person A (1.75 m, 52 kg). Part 10.4 asks for the range of healthy body masses for person B (1.9 m tall). Table 5 compares blood concentrations of cholesterol, glucose, and insulin between person C and non-diabetic mean values. Part 10.5 asks for two ways the results indicate Type 2 diabetes. Part 10.6 asks for two ways to reduce the chance of developing Type 2 diabetes.
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 The mark scheme specifies: 10.1: an answer in the range 1.1 to 2.0 hours (1 mark). 10.2: effect: lowered (1 mark); explanation: glucose taken in / converted to glycogen / used in respiration (1 mark) by cells / liver / muscles (1 mark). 10.3: underweight (1 mark). 10.4: from 67.5 (allow 67 to 68) to 90 (allow 90 to 90.5) kg (1 mark). 10.5: person C has higher glucose than mean (1 mark) and person C has higher insulin than mean (1 mark). 10.6: more exercise (1 mark) and eat less carbohydrate/sugar or low-carbohydrate diet (1 mark). Total: 10 marks.

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.
Question 10.1 • 1 Mark

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).
Mark distribution: [1 mark] for any numeric time from 1.1 to 2.0 hours.
Question 10.2 • 3 Marks

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).
Mark distribution: 1 mark for effect (lowered); 1 mark for process (glucose absorbed / turned to glycogen); 1 mark for location (liver / muscles / cells).
Question 10.3 • 1 Mark

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).
Mark distribution: [1 mark] for ticking 'Underweight'.
Question 10.4 • 1 Mark

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

  1. Find 1.9 m on the vertical axis (Height).
  2. Follow the horizontal gridline across into the Healthy weight band.
  3. Read the left boundary of healthy weight: exactly halfway between 60 and 75, which is 67.5 kg.
  4. 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.

Mark distribution: [1 mark] for providing both correct values in the accepted ranges.
Question 10.5 • 2 Marks

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.
Mark distribution: 1 mark for higher glucose; 1 mark for higher insulin. Both must be comparative.
Question 10.6 • 2 Marks

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.

Mark distribution: 1 mark each for two distinct, valid lifestyle changes (Exercise + Low sugar/carb diet). Maximum 2 marks.

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.