AQA GCSE Biology Biology Paper 2 (Higher), June 2022: Question 3

10 marks · Standard Demand difficulty · Short Answer

Analyse blood glucose regulation after eating, interpret a BMI chart for weight categories, and evaluate blood test results indicating Type 2 diabetes.

Practise this question

Question

Question 3 is divided into six parts. Figure 2 shows a line graph of blood glucose concentration (mmol/dm³) over 4 hours, remaining flat at around 4.4 mmol/dm³ until a meal is eaten at 0.7 hours, peaking at 5.9 mmol/dm³ around 1.7 hours, dropping to a minimum of 4.2 mmol/dm³ at 2.5 hours, and leveling back to 4.4 mmol/dm³ by 3 hours. Question 03.1 asks for a time insulin concentration is high. Question 03.2 asks for the effect and explanation of high insulin concentration. Figure 3 shows a height versus body mass chart divided into categories: Underweight, Healthy weight, Overweight, and Obese. Question 03.3 asks for Person A's category given 1.75 m and 52 kg. Question 03.4 asks for the healthy weight range for Person B who is 1.9 m tall. Table 2 displays blood concentrations of cholesterol, glucose, and insulin for Person C compared to mean values for people without diabetes. Question 03.5 asks for two ways the results show Person C might have Type 2 diabetes. Question 03.6 asks for two ways to reduce the risk of developing Type 2 diabetes.
Question text

03 It is important to control the concentration of glucose in the blood.

Figure 2 shows how the concentration of glucose in the blood of a person changed

over 4 hours.

Figure 2

03.1 Give one time when the concentration of insulin in the person’s blood would be high.

Use Figure 2.

[1 mark]

9 Time = hours

03.2 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 3 shows how to find if an adult’s body mass is healthy for their height.

Figure 3

03.3 Person A:

• is 1.75 m in height

• has a body mass of 52 kg.

What is person A’s weight category?

*09* [1 mark]

Tick ( ) one box.

Underweight

Healthy weight

Overweight

Obese

03.4 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 12 kg to kg

03.5 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 2 shows:

• the results of the blood test

• the mean results for people who do not have diabetes.

Table 2

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]

03.6 Give two ways that a person can reduce the chance of developing

Type 2 diabetes.

[2 marks]

Mark scheme

Show the mark scheme Mark scheme for Question 3: 03.1 accepts an answer in the range 1.1 to 2.0 hours (1 mark). 03.2 awards 1 mark for effect: lowered, and 2 marks for explanation: glucose taken in or converted to glycogen or used in respiration, by cells/liver/muscles. 03.3 awards 1 mark for underweight. 03.4 awards 1 mark for 67.5 (allow 67 to 68) kg to 90 (allow 90 to 90.5) kg. 03.5 awards 2 marks for stating Person C has higher glucose and higher insulin than the mean (answers must be comparative; do not accept higher cholesterol). 03.6 awards 2 marks for (more) exercise and eat less carbohydrate/sugar or eat a low carbohydrate diet.

Question 3

AO /

Question Answers Extra information Mark

Spec. Ref.

03.1 an answer in the range 1 AO2

1.1 to 2(.0) (hours) 4.5.3.2

AO /

Spec. Ref.

03.2 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.

03.3 underweight 1 AO3

4.5.3.2

AO /

Spec. Ref.

(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)

03.4 allow in the range 90 to 90.5(kg)

for 90 (kg)

allow from 90 (kg to) 67.5 (kg)

AO /

Spec. Ref.

03.5 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.

03.6 (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 3 10

How to answer it

Blood Glucose Regulation & Diabetes Study Guide

WHAT THIS QUESTION TESTS

Core Specification Reference: AQA GCSE Biology 4.5.3.2 (Hormonal control in humans – Blood glucose monitoring and Type 2 diabetes).

  • Graph interpretation: Identifying peak hormone release windows following carbohydrate intake.
  • Biological mechanisms: Stating the physiological effect and cellular action of insulin (conversion of glucose to glycogen in liver/muscle cells).
  • Data analysis: Reading height-weight charts (BMI classifications) and extracting ranges accurately.
  • Diagnostic evaluation: Interpreting blood test biomarkers (glucose vs insulin levels) for insulin resistance.
  • Lifestyle interventions: Specific ways to reduce the risk of Type 2 diabetes.
QUESTION 03.1

Time of Peak Insulin Concentration

1 Mark • Assessment Objective 2 (Application of Knowledge)

✅ Correct Answer

Any single value or range between 1.1 hours and 2.0 hours.

Example: 1.6 hours (or 1.7 hours )

Award 1 mark for any time within the accepted window of 1.1 to 2.0 hours.

💡 Key Knowledge

Insulin is secreted by the pancreas directly in response to rising blood glucose levels after a meal.

  • The meal is eaten at around 0.8–0.9 hours.
  • Blood glucose rises steeply and peaks around 1.6–1.7 hours.
  • Therefore, insulin levels peak concurrently to bring glucose back down.
QUESTION 03.2

Mechanism of Insulin Action

3 Marks • Assessment Objective 1 (Recall of Facts)

✅ Model Answer

Effect:

Blood glucose concentration is lowered / decreases. [1 mark]

Explanation:

Glucose is converted into glycogen (or taken in / used in respiration) [1 mark] by liver or muscle cells. [1 mark]

Total: 3 marks. 1 mark for the overall effect + 2 marks for the explanation (cellular process + target organ/cell).

❌ Common Errors & Confusions

  • Confusing insulin and glucagon: Glucagon turns glycogen into glucose. Insulin converts glucose into insoluble glycogen.
  • Vague target sites: Just stating "absorbed by the body" does not gain the target organ mark; you must name liver cells, muscle cells, or cells generally.
  • Missing the effect: Forgetting to write the simple statement that blood glucose is lowered.
QUESTION 03.3

Interpreting Weight Category for Person A

1 Mark • Assessment Objective 3 (Analysing Information)

✅ Correct Answer

Tick box: Underweight

Award 1 mark for the correct box ticked.

🧠 Exam Technique: Reading the Chart

  1. Find 1.75 m on the vertical axis (Height).
  2. Trace horizontally across to 52 kg on the horizontal axis (Body mass).
  3. The intersection falls entirely inside the first light grey band labeled Underweight.
QUESTION 03.4

Healthy Weight Range for Person B

1 Mark • Assessment Objective 2 (Application)

📐 Step-by-Step Chart Reading

  1. Find 1.9 m on the vertical axis.
  2. Move horizontally to find the left boundary of the "Healthy weight" zone: reads at 67.5 kg.
  3. Move horizontally to find the right boundary of the "Healthy weight" zone: reads at 90 kg.

✅ Accepted Range

Range from 67.5 kg to 90 kg

Allow lower limit anywhere between 67 and 68 kg.
Allow upper limit anywhere between 90 and 90.5 kg.
Award 1 mark for giving both correct boundary values.
QUESTION 03.5

Blood Test Analysis for Type 2 Diabetes

2 Marks • Assessment Objective 3 (Data Evaluation)

✅ Correct Answer (Any Two Points)

  • Person C has a higher glucose concentration than the mean / normal level (9.56 vs 4.51 mmol/dm³). [1 mark]
  • Person C has a higher insulin concentration than the mean / normal level (24.32 vs 14.83 units). [1 mark]
Answers must be comparative (e.g. "higher than normal", "above average").

❌ Common Misconceptions

  • Mentioning cholesterol: Do not credit statements regarding cholesterol (e.g., "Person C has higher cholesterol"). High cholesterol is linked to diet/cardiovascular issues, not the primary mechanism of diabetes.
  • Assuming insulin is low: In Type 2 diabetes, the pancreas still produces insulin (often in excessive amounts), but the cells fail to respond to it. Hence, insulin is high, not low!
  • Quoting raw numbers without comparison: Writing "Glucose is 9.56" without stating that this is higher than the mean earns 0 marks.
QUESTION 03.6

Prevention of Type 2 Diabetes

2 Marks • Assessment Objective 1 (Recall of Facts)

✅ Any Two Distinct Lifestyle Changes

  • More exercise / physical activity [1 mark]
  • Eat less carbohydrate / sugar OR eat a low-carbohydrate diet [1 mark]

Also allowed: Eating less fat, a carbohydrate-controlled diet, losing weight / eating fewer calories.

Maximum 2 marks.

🧠 Examiner Tip: Avoid Vague Answers

  • Examiners strictly ignore the phrase "eat a healthy/balanced diet" unless qualified!
  • Always be specific: mention reducing carbohydrates / simple sugars, reducing fats / calories, or increasing exercise.

Topics

Biology · B5: Homeostasis and Response

Question and mark scheme from the AQA GCSE Biology examination, Biology Paper 2 (Higher), June 2022. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.