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Old 07-10-2008, 10:23 PM
jennyz's Avatar
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I am a: Type 1
 
Join Date: Jul 2008
Location: NJ
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Vocabulary 101

Hey everyone! I'm new and I've been reading lots of posts. I don't really have any friends that have diabetes and I only know of my own situation. I take humolog and lantus. I'm just wondering what some of the terms I've read here mean. I'm beginning to think my endo has kept me out of the loop! These are the tems I didn't understand:
basal rate/ test (isn't this your temperature?)
meal profile
IMOinsulin profiling
MDI (this is a pump, right?)
bolusing/prebolusing

Please help!!
Thanks!
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Old 07-10-2008, 11:08 PM
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Welcome jennyz! Glad you faound Diabetes Forum (DF). There is quite a bit of vocabulary floating around. I don't know if anyone has compiled a list but I'll let you know the ones I know.

basal rate - the amount of insulin your body needs without food input or heavy exercise etc. If you fast and do normal activities, your basal insulin should keep your BG (blood glucose or BS blood sugar) pretty constant. Some people use Lantus, NPH, Levemir, detemir, basically medium to long acting insulins for basal insulin. Others use an insulin pump which puts out small doses on a programed rate throughout the day and night.

basal testing - testing to see if your basal insulin profile matches what your body actually needs. You can do this by fasting, doing regular activities, and testing frequently. There are lots of posts about this if you use the search feature (upper right corner).

meal profile - how the food you ingest affects your BG from the time you start eating and over the next several hours. Insulins and foods each have their own profile. The idea is to match your insulin timing (onset, peak, and duration) as closely as possible to the BG spike from food (its profile).

insulin profile - as above, how an insulin reacts over time...when it starts acting, when it peaks, and how long it lasts. Different insulins have different absorption rates/profiles. Novolog or Humilog are fast acting and are out of your system in 3- 4 hours whereas lantus starts acting in afew hours, has very little to no peak, and lasts about 24 hours for most. There are general rules for insulin profiles but each person is a little different.

IMO - in my opinion
or maybe you saw IOB - insulin on board - the insulin currently active in your system. If you took a shot of Novolog 1 hour ago, some of it is still working. If you don't take this into account when correcting you are likely to end up low.

MDI - multiple daily injections - upwards of 3-4 shots a day using different insulins to match basal and bolus needs.

bolusing - taking an amount of insulin (fast acting) via shot or pump to cover food eaten or to correct high BG. The stuff you need that isn't covered by your basal insulin.

prebolusing - taking a bolus of insulin several minutes (it varies, but usually 15-30 minutes) prior ot a meal so that insulin is active when carbohydrates begin to hit the system. Example: if my BG is in the target range before a meal I will give my bolus of Novolog and then wait to start eating until 15 minutes later. Novolog begins to work 10-15 minutes after injection. This allows time for it to start working before or as the carbs from my meal hit my blood stream. If my BG is higher than my target I wait aditional time for the insulin to work so that I am not high and then going higher from more food.

I hope that all made sense. If you have more questions, just let us know. How long have you had diabetes? Are you on the pump or MDI (since now you know what that is)? If MDI, what insulins do you use?
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Old 07-11-2008, 12:13 AM
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Hi Jenny, and welcome to DF! This is a great place to get info and support.

Many of the terms used can be found here.(click me)
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Old 07-11-2008, 04:35 AM
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Welcome to the forum Jenny.

It's more likely your endo doesn't know most of these terms. Endos seem to become endos because they aren't smart enough to be real doctors Seriously, many of us just see them for prescriptions and bloodwork.
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Old 07-11-2008, 05:29 AM
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Wow! Thank you so much. I definitely have to absorb all of that, but it all makes sense to me.
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Old 07-11-2008, 05:42 AM
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Welcome to the forums Jenny, you have found a great place for information, help and support. Good to have you with us.

Visit and post often, ask lots of questions - that's how we all learn.
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Cosmo the Duck: is with Linda in TN
Ping the Duck: is with Linda in TN

Metformin 500mg twice daily, Enap 5mg
Diagnosed T2 on 26th Nov'07, with BG of 21mmol/L (378mg/dL) and A1c of 11.6%.
Most recent A1c 10/09/09: 6.1%
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Old 07-11-2008, 06:27 AM
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Hi Jenny. We are glad to have you with us. Don't worry about not knowing most of the abbreviations. I didn't know most of them before I joined here.
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Old 07-11-2008, 08:31 AM
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the abbrevations you will learn over time. its like anything really.. it all has its own language !!
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Old 07-11-2008, 08:47 AM
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Well, to be up to date on all the terms used you MUST go to:
Six Until Me.: Diabetes Terms of Endearment

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Theresa Maria Jonny Bridget(kate) David Lily Jimmy Danny(holding the bear)
Margaret isn't in the picture
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Old 07-11-2008, 09:37 AM
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Quote:
Originally Posted by sprzepiora View Post
Well, to be up to date on all the terms used you MUST go to:
Six Until Me.: Diabetes Terms of Endearment

Thanks, that was a good laugh, I identified with too many of them!
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Cosmo the Duck: is with Linda in TN
Ping the Duck: is with Linda in TN

Metformin 500mg twice daily, Enap 5mg
Diagnosed T2 on 26th Nov'07, with BG of 21mmol/L (378mg/dL) and A1c of 11.6%.
Most recent A1c 10/09/09: 6.1%
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Old 07-11-2008, 10:36 AM
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Quote:
Originally Posted by davef View Post
Thanks, that was a good laugh, I identified with too many of them!
I found it yesterday, I like her blog. I can relate to a few too especially Interstate BG Checks and of course dotties, who doesn't have dotties
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Theresa Maria Jonny Bridget(kate) David Lily Jimmy Danny(holding the bear)
Margaret isn't in the picture
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Old 07-11-2008, 10:51 AM
jennyz's Avatar
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Quote:
Originally Posted by sprzepiora View Post
Well, to be up to date on all the terms used you MUST go to:
Six Until Me.: Diabetes Terms of Endearment

You just made my day! That was hysterical!! Thanks
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Old 07-11-2008, 11:38 AM
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Quote:
Originally Posted by sprzepiora View Post
Well, to be up to date on all the terms used you MUST go to:
Six Until Me.: Diabetes Terms of Endearment

Daylight Savings Time – See also “Time to Change the Lancet”

Time to Change the Lancet – Defined as any time when you change the batteries in your smoke detector, reset your clocks, or when the lancet starts to rust

Awesome. Thanks for the smile.

Jenny welcome to DF!
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a1c 6.8 (12.15.08)
Vitrectomies May 2007 & July 2007
Casually TTC so we'll see what happens.
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Old 07-11-2008, 12:32 PM
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Jenny hope this will be of some help,
Good evening and welcome to the DF.



B/7 ESSEX UK.
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Old 07-11-2008, 01:25 PM
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Quote:
Originally Posted by sprzepiora View Post
Well, to be up to date on all the terms used you MUST go to:
Six Until Me.: Diabetes Terms of Endearment

Thanks for these; some rung home a little too true.

I must say I don't miss the regular visits from the Sugar Reaper these days; man, that guy sucks
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