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.

Practise this question

Question

Question 06 contains four parts: 06.1 asks to tick one box for the equation representing a linear relationship out of y = mc + x, y = mc^2 + x, y = mx + c, and y = mx^2 + c. 06.2 describes C-peptide and insulin production, asking students to explain how a C-peptide test indicates diabetes type and the importance of correctly diagnosing Type 2 diabetes instead of Type 1 (6 marks). 06.3 asks to identify which organ produces glucagon among Liver, Pancreas, Small intestine, and Stomach (1 mark). 06.4 asks to explain why people who do not produce enough glucagon feel weak and tired (4 marks).
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 Mark scheme for Question 6: 06.1 awards 1 mark for 'y = mx + c'. 06.2 provides a 3-level response descriptor (up to 6 marks) noting that Type 1 diabetes causes low insulin/C-peptide production while Type 2 causes normal/high production, and discussing consequences like discontinuing unnecessary injections or switching to diet/exercise. 06.3 awards 1 mark for 'pancreas'. 06.4 provides 4 marking points: low glucagon when blood glucose is low, less glycogen converted to glucose, less glucose available for respiration, and less energy released/transferred.

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

What this question tests
  • 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.
Question 06.1 • 1 Mark

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 ).

Question 06.2 • 6 Marks

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).
Examiner Tip: Notice the clue in the question: "The concentration of C-peptide in the blood is not increased by insulin injections." This allows doctors to test what the patient’s pancreas is doing naturally!

❌ 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.
Question 06.3 • 1 Mark

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.

Question 06.4 • 4 Marks

Glucagon Deficiency and Fatigue

Cause-and-effect chain: Hormone → Blood Glucose → Respiration → Energy

📐 Step-by-Step Explanation (4 Clear Marking Steps)

  1. Step 1 (Hormone trigger): When blood glucose falls low, insufficient glucagon is released by the pancreas.
  2. Step 2 (Liver conversion): Less glycogen is converted into glucose.
  3. Step 3 (Cellular supply): Less glucose is delivered to body cells for respiration.
  4. 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:

DO NOT ACCEPT: "less energy produced / made / created".
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.