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When you're learning how to live with type 2
diabetes, it's the most basic information that
will be your foundation for life-long management
of your disease. Therefore, it is important that
you understand the basic words that you see and
hear every day when learning about diabetes. The
following is a list of commonly used words and
terms that you should know. Understanding what
these words mean doesn't have to be difficult
and can be one of the most important things you
do. Knowing what they mean will help you
understand more about diabetes, your treatment
program, and how to take care of yourself.
The list is provided in alphabetical order to
make it easy for you to use. Words that appear
in a definition are in bold italics if they also
have their own entry.
Click on any of the letters below to see the
list of diabetes-related words/terms.
A — M N — Z
A — M
Blood glucose/blood sugar levels
The terms "blood glucose levels" and "blood
sugar levels" mean the same thing and either one
can be used to describe the amount of glucose
(sugar) in the blood. The term "plasma glucose"
is also used. You and your healthcare team will
set goals for your blood glucose levels. The
American Diabetes Association suggests general
goals of 90 to 130 mg/dL before meals, with a
peak after-meal goal of < 180 mg/dL. Ask your
health professional about your target goals for
after meals.
Blood glucose meter1
A blood glucose meter is a hand-held device that
tests the level of glucose in blood. A finger,
leg, or arm is pricked, and a drop of blood is
placed on a test strip. The meter “reads” and
displays the amount of glucose in the blood at
that time.
Blood glucose testing
Diagnosing diabetes—Fasting plasma glucose test1
SMBG
Fasting blood glucose
Non-fasting (random blood glucose)
Glycated hemoglobin test (A1C)
Diagnosing diabetes—Fasting plasma glucose test
A fasting plasma glucose test is generally used
to diagnose diabetes. You will be asked not to
eat for 8 to 10 hours, and then blood is
collected from a vein during your visit. The
amount of glucose in your blood will be
measured. If the reading is 126 mg/dL or more,
the health professional will suspect diabetes
and repeat the test in a few days. If the
reading is still 126 mg/dL or more, the health
professional will diagnose diabetes.
Fasting blood glucose
A blood glucose test is called a fasting test
when you or your health professional check your
blood glucose first thing in the morning after
an overnight "fast." Usually this means at least
8 hours without food or beverages that have
calories. The fasting blood glucose level goal
set by the American Diabetes Association is 90
to 130 mg/dL.
Glucose
Glucose is a simple form of sugar. The food you
eat is broken down in the digestive system and
produces glucose. Glucose is also made by your
liver when you are not eating. Glucose is
carried through the blood to cells where it is
used to help the body work normally. The amount
of glucose in the blood is called the "blood
sugar" or "blood glucose" level.
Glycated hemoglobin test (A1C)
The glycated hemoglobin test (A1C) gives you and
your healthcare team information about your
average blood glucose levels over the past 2 to
3 months. This test should be repeated every 3
to 6 months. A1C measures the amount of glucose
that is attached to your red blood cells. The
percentage of glucose that attaches to these
cells increases when blood glucose levels have
been high. People without diabetes have a
reading of about 5%. People with diabetes should
aim for a goal of <7%.
Hyperglycemia (high blood glucose)
When blood glucose levels are too high, the
condition is called hyperglycemia. The symptoms
of hyperglycemia include frequent urination,
increased thirst, and unexplained weight loss.
Hypoglycemia (low blood glucose)
When blood glucose levels drop too low
(generally below 70 to 80 mg/dL), the condition
is called hypoglycemia or insulin reaction.
Hypoglycemia can occur when you take a
medication that increases insulin levels in the
blood. The symptoms of hypoglycemia include
shakiness or dizziness, numbness in the arms and
hands, mental confusion, and moodiness. If
untreated, hypoglycemia can become severe and
cause unconsciousness.
Impaired glucose tolerance or pre-diabetes
In some people, blood glucose levels fall
between normal levels and diabetic levels.
People with this condition are at increased risk
for developing diabetes. Impaired glucose
tolerance is also called "pre-diabetes."
Insulin
Insulin, produced by the pancreas, is a hormone
that helps the body use and store glucose.
Insulin allows glucose to enter the cells to
help them work normally. It also helps store the
glucose not needed right away in body tissues.
Glucose stored in the liver and muscles is
called "glycogen."
Insulin deficiency
When the body cannot produce the amount of
insulin needed to keep glucose in the target
range, the condition is called insulin
deficiency.
Insulin resistance
Insulin resistance is a condition that occurs
when insulin is available, but cells do not
respond to the insulin's action.
Insulin therapy
Insulin therapy is needed when the body cannot
make enough insulin. In addition to healthy
eating and physical activity, 12% of adults with
diabetes take both insulin and oral medications.
N — Z
Non-fasting (random blood glucose)
Blood glucose tests can be done at various times
of the day, including before meals or snacks, 1
to 2 hours after eating, before bedtime, or when
you suspect your blood glucose level may be high
or low. Because everyone is different, you
should talk with your health professional about
your goal levels or take action levels for each
of these times.
Oral diabetes medicines
If healthy eating and physical activity do not
lower blood glucose levels to the target range
in people with type 2 diabetes, the health
professional will prescribe an oral diabetes
medicine—a medicine taken by mouth. Oral
diabetes medicines help lower blood glucose
levels. Different oral diabetes medicines work
in different ways to lower the levels, so
several oral medicines may be prescribed for the
same person. Healthy eating and physical
activity plans are continued no matter what
medicines are prescribed.
SMBG
The abbreviation SMBG stands for Self-Monitoring
Blood Glucose. Self-monitoring your blood
glucose levels keeps you in touch with
day-to-day blood glucose changes. This knowledge
helps you and your healthcare team know how
healthy eating, physical activity, and
medications, if prescribed, are affecting your
blood glucose levels and guides changes in
therapy to help improve and control these
levels.
Appendix -1-
BMI Calculator
An important part of staying well with diabetes
is maintaining a healthy body weight. Your BMI
(body mass index) is a figure that can give you
a good idea of where you stand. Experts agree
that when it comes to evaluating your weight,
BMI can be more helpful than simply knowing your
weight. That’s because BMI takes your height
into account and gives you a realistic picture
of how much of your body is made up of fat.
Calculate your Body Mass Index (BMI)
Your BMI is determined with a simple
mathematical calculation that takes your height
and weight and other factors into account. But
you don’t have to know the formula to find out
your BMI. |