Glossary 2

 

Insulin: a hormone produced by the pan­creas that helps the body use glucose. It is the "key" that unlocks the "doors" to cells and allows glucose to enter. Once inside, glucose then fuels the cells.

Insulin Resistance: a condition in which the body does not respond to insulin prop­erly. This is the most common cause of type 2 diabetes.

Ketoacidosis (or diabetic coma) a severe condition caused by a lack of insulin or an elevation in stress hormones. It is marked by high blood glucose levels and ketones in the urine, and occurs much more fre­quently in those with type 1 diabetes.

Ketones: acids produced when the body breaks down fat for fuel. This occurs when there is not enough insulin to permit glucose to enter the cells and fuel them or when there are too many stress hormones.
mg/dl milligrams per deciliter. This is the
unit of measure used when referring to blood glucose levels. nephropathy kidney damage. This con­dition can be life-threatening. When kid­neys fail to function, dialysis (filtering blood through a machine) or kidney trans­plantation becomes necessary.

Neuropathy: damage to the nerves. Neu­ropathies are often broken down into two categories. Peripheral neuropathies affect the nerves controlling sensation (and less commonly, muscles) in the feet, hands, and joints. Autonomic neuropathies affect the nerve function of various organs, including those of the digestive system and urinary tract.

Obesity: an abnormal and excessive amount of body fat. Most obese people are significantly overweight. However, obesity also occurs in people who are not overweight, but have more body fat than

 


muscle. Obesity is considered a chronic illness. It is on the rise and is a risk factor
for type 2 diabetes.

O
ral Agents: (or oral hypoglycemic agents) medications taken orally that are designed to lower blood glucose. They are used by some people with type 2 diabetes and are not to be confused with insulin.

Pancreas: a comma-shaped gland located just behind the stomach. It produces enzymes for digesting food and hormones that regulate the use of fuels in the body, including insulin and glucagon. In a fully functioning pancreas, insulin is released through beta cells located in clusters called islets of Langerhans.

Pre-Diabetes: blood glucose levels that are higher than normal but not yet high enough to be considered diabetic. Diag­nosed through either a fasting plasma glu­cose test or an oral glucose tolerance test, people with pre-diabetes are at a height­ened risk for type 2 diabetes. Even at this stage, however, a healthy diet, weight loss, and exercise can delay or prevent type 2 diabetes from developing.

Protein: one of three major sources of calories in the diet. Protein provides the body with material for building blood cells, body tissue, hormones, and other important substances. It is found in meats, eggs, milk, and certain vegetables and starches.

Receptors:  molecules that sit on cell sur­faces and play a role in chemical "commu­nication." For example, insulin cannot usher glucose into our cells unless the re­ceptors on the cells respond properly to it.

Retinopathy: damage to small blood vessels in the eye that can lead to vision problems. In background retinopathy, the blood vessels bulge and leak fluids into the retina, which may cause blurred vision. Proliferative retinopathy is more serious and can cause vision loss. In this condition, new blood vessels form in the retina and branch out to other areas of the eye. This can cause blood to leak into the clear fluid inside the eye and can also cause the retina to detach.

 

sugar a form of carbohydrate that pro­vides calories and raises blood glucose levels. There are a variety of sugars, such as white, brown, confectioner's, invert, and raw. Fructose, lactose, sucrose, malt­ose, dextrose, glucose, honey, corn syrup, molasses, and sorghum are also sugars.

sugar substitutes sweeteners used in place of sugar. Note that some sugar sub­stitutes have calories and will affect blood glucose levels, such as fructose (a sugar, but often used in "sugar-free" products) and sugar alcohols like sorbitol and man-nitol. Others have very few calories and will not affect blood glucose levels, such as saccharin, acesulfame-K, aspartame (NutraSweet), and sucralose (Splenda).

type 1 diabetes a form of diabetes that tends to develop before age 30 but may occur at any age. It's caused by an immune system attack on the insulin-producing beta cells of the pancreas. When the cells are destroyed, the pancreas can no longer produce insulin. People who have type 1 diabetes must take insulin to survive.

type 2 diabetes This form of diabetes usually occurs in people over 40 years of age but is increasingly being diagnosed in younger people, especially among minori­ties. Most people who develop type 2 dia­betes are insulin resistant. However, some simply cannot produce enough insulin to meet their bodies' needs, and others have a combination of these problems. Some people with type 2 diabetes control the disease through diet and exercise, but most must also take oral medications or insulin.

Urine Tests:  tests that measure substances
in the urine. Urine tests for ketones are the only self-administered urine tests currently recommended for people with diabetes. They measure ketones in the urine and are important in preventing ketoacidosis.


 

 

   

 

   

                                                                                              

 
                               

 

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