AQA GCSE Combined Science: Trilogy Biology Paper 2 (Higher), June 2025: Question 6
12 marks · Standard Demand difficulty · Extended Answer
Identify the equation representing a linear relationship, explain how a C-peptide blood test distinguishes diabetes types, name the organ producing glucagon, and explain the effects of glucagon deficiency on energy levels.
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Question text
06 The human body makes the hormone insulin and a chemical called C-peptide.
C-peptide concentration in the blood has a linear relationship with the amount of
insulin the body produces.
06.1 Which equation represents a linear relationship?
[1 mark]
Tick ( ) one box.
y = mc + x
y = mc2 + x
y = mx + c
y = mx2 + c
06.2 When the body makes insulin, C-peptide is also made.
The concentration of C-peptide in the blood is not increased by insulin injections.
Some people with Type 2 diabetes are incorrectly told they have Type 1 diabetes.
Doctors can test the concentration of C-peptide in the blood to check which type
of diabetes a person has.
Explain:
• how the test can indicate which type of diabetes a person has
• the importance of finding out whether a person being treated for Type 1 diabetes
actually has Type 2 diabetes.
[6 marks]
Extra space
Glucagon is a hormone produced by the body.
06.3 Which organ produces glucagon?
[1 mark]
Tick ( ) one box.
Liver
Pancreas
Small intestine
Stomach
06.4 In some people, glucagon is produced in smaller quantities than is needed.
Explain why people who do not produce enough glucagon feel weak and tired.
[4 marks]
Extra space
Mark scheme
Show the mark scheme
Question 6
AO /
Question Answers Extra information Mark
Spec. Ref.
06.1 y = mx + c 1 AO1
4.5.3.2
AO /
Question Answers Mark
Spec. Ref.
06.2 Level 3: Relevant points (reasons / causes) are identified, given in 5–6 AO3
detail and logically linked to form a clear account.
Level 2: Relevant points (reasons / causes) are identified, and 3–4
AO2
there are attempts at logical linking. The resulting account is not
fully clear.
Level 1: Points are identified and stated simply, but their relevance 1–2 AO1
is not clear and there is no attempt at logical linking.
4.5.3.2
No relevant content 0
Indicative content
Type 1
• in Type 1 (diabetes) the pancreas does not produce (enough)
insulin
• (so) C-peptide (concentration in blood) would be low(er)
• even if patient is taking / injecting insulin
Type 2
• in Type 2 (diabetes) the body / cells no longer respond to insulin
• in Type 2 (diabetes) insulin is produced
• (so) C-peptide (concentration in blood) would be
high(er) / normal
The importance…
• if patient has Type 2 (diabetes) they could stop insulin injections
• insulin injections have side effects
• insulin injections are expensive
• (Type 2 diabetes) can be treated with a carbohydrate-controlled
diet and / or (increased) exercise
• (Type 2 diabetes) can be treated with other medication (that is
not injected)
For Level 3, details of Type 1 and Type 2 diabetes must be
considered, with the link to C-peptide and the importance of the test
24 described.
AO /
Spec. Ref.
06.3 pancreas 1 AO1
4.5.3.2
AO /
Spec. Ref.
06.4 (in people with glucagon allow (in people without 1 AO1
deficiency) glucagon deficiency) when
when blood glucose blood glucose concentration is
concentration is low not enough low glucagon is produced
glucagon is produced
ignore reference to organ that
produces glucagon
(so) less / no glycogen allow (so) less glucose 1 AO1
converted to glucose produced from glycogen
(so) less glucose for respiration 1 AO2
(so) less energy released / do not accept less energy 1 AO2
transferred produced / made / created
4.5.3.2
4.4.2.1
4.4.2.3
Total Question 6 12
How to answer it
Blood Glucose Homeostasis & Diabetes Diagnosis
- Mathematical relationships in biology: Recognising the standard equation of a straight line ( y = mx + c ).
- Types of Diabetes: Distinguishing between the cause of Type 1 (pancreas fails to produce insulin) and Type 2 (cells fail to respond to insulin), and their respective treatments.
- Diagnostic application: Interpreting novel contextual data (C-peptide blood testing) to differentiate between Type 1 and Type 2 diabetes.
- Negative feedback control: Explaining how the hormone glucagon raises blood glucose by converting stored glycogen into glucose, and linking this directly to cellular respiration.
Linear Relationships
Mathematical skills in science
✅ Correct Answer
y = mx + c
💡 Key Knowledge
A linear relationship means that if you plot the variables on a graph, you get a straight line.
- m = gradient of the line
- c = y-intercept (where the line cuts the y-axis)
❌ Common Errors
Confusing linear equations with quadratic equations (such as y = mx² + c ) or Einstein’s mass-energy equation ( E = mc² ).
Using C-Peptide to Distinguish Diabetes Types
Extended response: Linking evidence to diagnosis and clinical importance
✅ Model Answer (Level 3, 6 Marks)
How the test indicates the type of diabetes:
- Type 1 diabetes: The pancreas cannot produce enough insulin. Because C-peptide is made alongside natural insulin, a person with Type 1 will have low or no C-peptide in their blood, even if they inject insulin.
- Type 2 diabetes: The pancreas still produces insulin, but target body cells no longer respond to it. Therefore, a person with Type 2 will have normal or high levels of C-peptide.
Importance of getting the diagnosis right:
- If a patient is found to have Type 2 instead of Type 1, they can stop taking unnecessary insulin injections.
- Insulin injections are expensive and carry unpleasant side-effects or risks (e.g. hypoglycaemia).
- Type 2 diabetes can be managed using a carbohydrate-controlled diet, increased exercise, or oral tablets rather than daily injections.
🧠 Exam Technique: Level 3 Marking Criteria
To reach Level 3 (5–6 marks), examiners look for:
- Clear discussion of both Type 1 and Type 2 diabetes.
- Direct link between insulin production in each type and the resulting C-peptide concentration.
- Clear explanation of the practical importance (treatment change, stopping injections, lifestyle management).
❌ Common Errors & Misconceptions
- Mixing up the causes: Stating that Type 1 is caused by diet or that Type 2 produces no insulin.
- Only addressing one bullet point from the prompt (e.g. explaining the test results but failing to state why the diagnosis matters).
- Vaguely writing "they can take medicine" without identifying lifestyle changes (diet/exercise) or avoiding injections.
Organ of Glucagon Production
Endocrine system recall
✅ Correct Answer
Pancreas
💡 Key Knowledge
The pancreas is the dual-function organ responsible for monitoring blood glucose levels and secreting both insulin and glucagon.
❌ Common Trap
Selecting Liver. The liver is the target organ where glucagon acts, but it is not the organ that produces glucagon.
Glucagon Deficiency and Fatigue
Cause-and-effect chain: Hormone → Blood Glucose → Respiration → Energy
📐 Step-by-Step Explanation (4 Clear Marking Steps)
- Step 1 (Hormone trigger): When blood glucose falls low, insufficient glucagon is released by the pancreas.
- Step 2 (Liver conversion): Less glycogen is converted into glucose.
- Step 3 (Cellular supply): Less glucose is delivered to body cells for respiration.
- Step 4 (Energy transfer): Less energy is released / transferred for muscle contraction, causing tiredness and weakness.
🧠 Crucial Scientific Vocabulary
- Glucagon = the hormone (chemical messenger).
- Glycogen = the insoluble storage carbohydrate in the liver and muscles.
- Glucose = the soluble sugar needed for respiration.
Memory tip: "Gluca-GONE" makes the glucose return when blood sugar is gone!
❌ The #1 Mark-Losing Error in GCSE Biology
Never write: "Energy is produced" or "energy is made / created".
The conservation of energy means energy cannot be created. The mark scheme explicitly states:
MUST USE: "less energy released" or "less energy transferred".
Topics
Biology · B4: Bioenergetics · B5: Homeostasis and Response
Question and mark scheme from the AQA GCSE Combined Science: Trilogy examination, Biology Paper 2 (Higher), June 2025. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.