Showing posts with label obesity. Show all posts
Showing posts with label obesity. Show all posts

Monday, April 1, 2013

Diabetes Dictionary

A
 
 
Adrenal glands
Glands located at the top of each kidney that secrete important hormones for the function of many organ systems in the body.
Adrenaline
One of the secretions of the adrenal glands. It helps the liver release glucose (sugar) and limit the release of insulin. It also makes the heart beat faster and can raise blood pressure.

Alpha Cells
Alpha cells are found in the pancreas. They produce a hormone called glucagon, which raises blood glucose levels. 

Antibodies
Proteins that the body makes to protect itself from foreign substances.

Antibody
A special kind of protein made by the immune system that is released in response to something foreign in the body eg. virus. Antibodies help fight infection.

Autoimmunity
Pertaining to development of an immune response to one's own tissue. 
B
Basal Bolus Injections
Insulin injections four times a day.
Beta Cells
Cells in the pancreas that make the hormone insulin.
Biopsy
Removal of a small amount of tissue or fluid from the body, examined under a microscope to determine whether disease is present. 

Blood Glucose Level (BGL)
The amount of glucose (sugar) in the blood stream.
Blood Glucose Meter
A device used to measure blood glucose levels.
Bovine (beef) insulin
Insulin extracted from the pancreas of cattle. Has been replaced by human insulin.
C
Carbohydrate
A nutrient in food that provides a major source of energy. Usually found in grains, fruits, starchy vegetables and dairy foods. Is broken down to glucose in the blood stream and raises blood glucose levels.

Cannula
A small tube that is inserted into the body to assist in various methods of insulin delivery eg. pumps, insuflon.

Cholesterol
A fatty waxy substance made by the body and also found in some foods. High levels of cholesterol in the blood stream are a risk factor for heart disease.
Coeliac Disease
A condition where there is an intolerance to gluten, a protein found in foods that causes damage to the small intestine.
Complications
The long term effects of uncontrolled diabetes on the body.
Convulsion
A fit or seizure that can be a symptom of severe or untreated hypoglycaemia.
D
Dawn Phenomenon
This occurs when BGLs rise in the early hours of the morning due to the natural release of the hormones cortisol and adrenaline.

Diabetic ketoacidosis (DKA)
A sudden loss of control of type 1 diabetes with high blood glucose levels and breakdown of fat leading to a build up of acids in the blood with nausea, vomiting and dehydration. Without urgent medical attention, DKA can lead to coma and death.
Diabetes Educator
A health professional who specialises in providing education about the management of diabetes.
Diabetes Dietitian
A health professional who provides advice on the dietary management of diabetes.

Diabetes Control and Complications Trial (DCCT)
A 10-year study (1983 - 1993) in the United States to assess the effects of intensive therapy on the long–term complications of diabetes.
E
Endocrinologist
A doctor who specialises in the management of diseases of the glands, including the adrenal, thyroid, pituitary, parathyroid glands, ovaries, testicles and pancreas.

Enzymes
A special protein made in the body that assists with naturally occurring biological functions of the body.
Erectile Dysfunction (Impotence)
The loss of a man’s ability to have an erection. Some men may become impotent after having diabetes for a long time because the nerves or blood vessels have become damaged. Sometimes the problem has nothing to do with diabetes and may be treated with counselling.
F
Fats
One of the three main classes of foods and a source of energy in the body. Fats help the body use some vitamins and keep the skin healthy. They also serve as energy stores for the body. In food, there are three types of fats: saturated, polyunsaturated and monounsaturated.
Fibre
A substance found in foods that come from plants. Fibre helps in the digestive process and is thought to lower cholesterol and help control blood glucose (sugar). The two types of fibre in food are soluble and insoluble.
Fit
A convulsion or seizure that can be a symptom of severe or untreated hypoglycaemia.
G
Gastroparesis
A complication of diabetes that causes delayed digestion resulting in unpredictable swings in blood glucose levels

Glucose
The body’s main source of energy.
Glucagon
A hormone made by the pancreas that causes the liver to release glucose from body stores. Manufactured glucagon is injected to raise blood glucose levels in a person with severe hypoglycaemia.
Glycaemic Index
A ranking of carbohydrate foods according to their effect on blood glucose levels.

Glycemic Response
The effect of different foods on blood glucose (sugar) levels over a period of time.
Glycemic Load
The predicted effect of a food on blood glucose levels that takes into account glycemic index and total available carbohydrate.
Glycogen
The body’s stores of glucose in the liver and muscle which release glucose (sugar) into the blood when needed by cells. Glycogen is the chief source of stored fuel in the body.
H
HbA1c
A test to identify the average blood glucose level over the last 2-3 months. Also known as glycosylated haemoglobin, this test measures the amount of glucose that attaches to red blood cells which depends on how much glucose is in the bloodstream. If BGLs have been high over the 2-3 month period, more glucose will attach to the red blood cells and HbA1c will be high. If BGLs are mostly within the recommended range, then HbA1c will be closer to the desired level.
Honeymoon Period
A remission phase after the diagnosis of type 1 diabetes when there is partial, temporary recovery of insulin production by the pancreas. The amount of injected insulin required to manage diabetes is significantly reduced. The honeymoon period may last a few months to a year.
Hormone
Hormones are chemicals released by special cells that tell other cells what to do. For instance, insulin is a hormone made by the beta cells in the pancreas. When released, insulin tells other cells to use glucose (sugar) for energy.

Human Insulin
Insulin that has been manufactured to be identical to that produced naturally in the human pancreas.
Hyperglycaemia
Blood glucose levels higher than the desirable range.
Hypoglycaemia
Blood glucose levels lower than the desirable range.

Hyperlipidemia
Too high a level of fats (lipids) in the blood.
I
IDDM 
Insulin dependant diabetes mellitus, now known as type 1 diabetes.
Immune system
A system of the body that provides protection from infection.
Infusion Set
Consists of a length of thin plastic tubing with a lock connector at one end, attached to a very small cannula placed under the skin. It is connected to the insulin pump and used to deliver insulin to the body.
Infusion Site
The place on the body where the infusion set needle is inserted under the skin.
Injection
The introduction of medication into the body with a delivery device eg. needle and syringe, pen, pump. A person with diabetes injects insulin by putting the needle into the tissue under the skin (called subcutaneous). Other ways of giving medicine or nourishment by injection are putting the needle into a vein (intravenous/IV) or putting the needle into a muscle (intramuscular/IM).
Injection Site
The place on the body where the insulin is injected.

Insulin
A hormone made by the pancreas that is responsible for controlling blood glucose levels.
Insulin Resistance
The inability of the body to recognise and use insulin as it should.
Intramuscular
Into the muscle.
J
Juvenile Onset Diabetes
Another name for type 1 diabetes.
K
Ketones
Acids in the blood formed when body fat is used instead of glucose to provide energy.
L
Lancets
A sharp needle like device used to prick the skin to test the blood glucose level.
Lipohypertrophy
Fatty lumps that form when insulin is constantly injected into the same area.
Long acting insulin
Insulin that is absorbed slowly into the body after injection. Commonly used in conjunction with short acting insulin in the management of type 1 diabetes in children.
M
Macrovascular 
Referring to the large blood vessels of the body.
Metformin
A tablet that lowers blood glucose levels by blocking the release of glucose from the liver. Usually used in the treatment of type 2 diabetes, sometimes used for weight management in children with type 1 diabetes in conjunction with insulin.
Microvascular 
Referring to the small blood vessels of the body.
Millimole (mmol)
A unit for measuring the concentration of glucose and other substances in the blood.
Microalbuminuria
Leakage of small amounts of protein into the urine.
Monounsaturated fat
A healthy fat that may help reduce the risk of heart disease. Found in olive and canola oil, nuts and avocadoes.
N
NDSS
The National Diabetes Services Scheme (NDSS) is a Federal Government funded initiative, administered on behalf of the Government by Diabetes Australia. For further information see Advocacy and Support.
Nephropathy
Damage to the kidneys.
Neuropathy
Damage to parts of the nervous system.
NIDDM
Non Insulin Dependant Diabetes Mellitus, now known as type 2 diabetes.
P
Paediatric
About children.
Paediatric Endocrinologist 
A doctor who specialises in the management of diseases of the glands, including the adrenal, thyroid, pituitary, parathyroid glands, ovaries, testicles and pancreas in children.
Pancreas
A gland or organ behind the stomach that produces hormones such as insulin.
Polydipsia
Excessive thirst and drinking large amounts of water.
Polyunsaturated fat
A healthy fat that may help reduce the risk of heart disease. Found in fish, vegetable oils such as sunflower oil, nuts and seeds.
Polyuria
Passing large amounts of urine due to excess glucose in the blood stream.
Porcine (pork) insulin
Insulin extracted from the pancreas of pigs. Has been replaced by human insulin.
Post-prandial
After a meal.
Protein
A nutrient in food that is important for growth, development and repair of tissues. Food high in protein include meat, poultry, fish, eggs, legumes and dairy foods.
R
Retinopathy
Damage to the small blood vessels at the back of the eye.
S
Saturated fat
A type of fat that has been shown to increase the risk of heart disease. Found in animal foods such as butter, full fat dairy foods, and fatty meats, as well as many processed and takeaway foods.
Sharps
A word commonly used to describe syringes, pen needles and lancets used by people with diabetes which require safe disposal after use.
Short acting insulin
Insulin that is absorbed quickly into the body after injection. Commonly used in conjunction with long acting insulin in the management of type 1 diabetes in children.
Sliding Scale
A method of insulin adjustment based on blood glucose levels.
Social Worker
A health professional who helps families cope with the diagnosis of diabetes and the impact on family life.
Subcutaneous
Underneath the skin.
T
Thyroid
A large gland located at the base of the neck that releases an important hormone for the control of normal growth and development in children, and maintenance of normal metabolism in adults.

Type 1 diabetes 
Also known as insulin dependent diabetes, occurs when the pancreas stops making insulin. Requires daily insulin injections for survival.
Type 2 diabetes 
Also known as non- insulin dependent diabetes, occurs when there is either insufficient insulin or the insulin produced does not work effectively.
U
Ultra short acting insulin 
These insulins are absorbed after injection and have a shorter duration than short acting insulins eg. Humalog and Novorapid.

Unit
A method of measurement eg. insulin dose.
 
Australian Diabetes Council

Saturday, March 30, 2013

Restaurant meals for kids fail nutrition test: consumer group

WASHINGTON (Reuters) - The menus offered to children by most U.S. restaurant chains have too many calories, too much salt or fat, and often not a hint of vegetables or fruit, according to a study by the Center for Science in the Public Interest.
The group, which has agitated for everything from healthier popcorn at the movies to calorie labeling in supermarkets, found that among almost 3,500 combinations surveyed, kids' meals failed to meet nutritional standards 97 percent of the time.
That was a marginal improvement over 2008 when such meals failed to meet standards 99 percent of the time.
Every children's meal offered at popular chains such as Chipotle Mexican Grill, Dairy Queen, Hardee's, McDonald's, Panda Express, Perkins Family Restaurants and Popeyes fell short of standards adopted by the center from the U.S. Department of Agriculture's nutritional recommendations.
The meals also fell short of standards set by the National Restaurant Association's Kids LiveWell Program, said the CSPI, which titled its study, "Kids' Meals: Obesity on the Menu."
"Most chains seem stuck in a time warp, serving up the same old meals based on chicken nuggets, burgers, macaroni and cheese, fries, and soda," said Margo Wootan, CSPI nutrition policy director. "It's like the restaurant industry didn't get the memo that there's a childhood obesity crisis."
Among the meals singled out was Applebees' grilled cheese sandwich on sourdough bread, fries and two percent chocolate milk, which has 1,210 calories, 62 grams of fat and 2,340 milligrams of sodium.
The combo meal had nearly three times as many calories as the CSPI's criteria for four- to- eight-year-olds suggest.
At Ruby Tuesday, the macaroni and cheese, white cheddar mashed potatoes and fruit punch combo has 870 calories, 46 grams of fat and 1700 milligrams of sodium, said Wootan.
The U.S. Centers for Disease Control and Prevention has recommended that children eat no more than 2,300 milligrams of salt each day to avoid high blood pressure, which can lead to coronary disease, stroke and other ailments.
Being overweight as a child leaves a person vulnerable to heart disease, diabetes and a shortened life span. About one-third of American children are now considered overweight and 17 percent are considered obese, according to USDA's Dietary Guidelines for Americans.
The CSPI cited Subway restaurants' Fresh Fit For Kids meal combinations as exceptions to the salty, fatty norm.
Subway serves apple slices with its kid-sized sub sandwiches and offers low-fat milk or bottled water instead of soda. All eight of its children's meals met CSPI's nutrition criteria.
A few other establishments have begun to offer side dishes beyond French fries. In fact, every child's meal at Longhorn Steakhouse now comes with fruit or a vegetable.
"More chains are adding fruit, like apple slices, to their menus, but practically every chain could be adding more vegetable and whole grain options," said Ameena Batada, an assistant professor in the Department of Health and Wellness at the University of North Carolina Asheville.
Labeling can be a potent tool. The report cited two studies that indicated customers who are provided with calorie counts on the menu sometimes gravitate toward healthier choices.
To produce its study, the CSPI looked at 50 top U.S. chain restaurants, finding 34 of them had meals designed for children and were willing to provide nutritional data. It analyzed those meals and meal combinations.
By Diane Bartz | Reuters – Thu, Mar 28, 2013