glucose is a substrate for respiration producing ATP. If the concentration falls too low, cells deprived of energy, in the form of ATP, and will die. If concentration too high causes osmotic effects as water will move out the cells into blood down water potential gradient. We can see the importance by looking directly at type 11 diabetes, they produce the hormone insulin however their receptors are not responsive. Leads to a high blood sugar, causing extreme tiredness, thirst and urination as well as weight and muscle loss.