504A plan developed to meet the requirements of the Rehabilitation Act of 1973 that prohibits discrimination against people with disabilities. Section 504, applicable to all public and private schools that receive federal funds, allows for different accommodations to be agreed upon to meet the special needs of a student with diabetes. https://www.t1dmodsquad.org/printables/for-school/
HEMOGLOBIN A1CGlycated hemoglobin (red blood cells with glucose attached). Normal levels of glucose produce a normal amount of glycated hemoglobin. As the average amount of plasma (blood) glucose increases, the glycated hemoglobin increases in a predictable way. This serves as a marker for average blood glucose levels over the previous three months before the measurement as this is the lifespan of red blood cells. https://en.wikipedia.org/wiki/Glycated_hemoglobin
A1C TESTA test that shows the average amount of sugar in the blood for the past 2 to 3 months. This test helps your doctor to see if your average blood sugar is where it needs to be. A1C tests may also be used to assess the effectiveness of treatment(s) recommended and make adjustment(s) to treatment(s).
ALARM FATIGUEAlarm fatigue happens when our brain has been overstimulated by so many alarms in our day to day and we no longer respond to any of them. This tends to happen at night as well. One way to prevent sensor alarm fatigue is to turn off the High BG setting for a day and let your brain rest.
ALPHA CELLA type of cell in the pancreas. Alpha cells make and release a hormone called glucagon. The body sends a signal to the alpha cells to make glucagon when blood glucose falls too low. Then glucagon reaches the liver where it tells the liver to release glucose into the blood for energy.
AMYLINA hormone produced by pancreatic beta cells that is co‐created with insulin and works synergistically with insulin to lower blood sugar level. Amylin plays a role in glycemic regulation by slowing gastric emptying and promoting satiety, thereby preventing post‐prandial spikes in blood glucose level.
ANTIBODIESProteins made by the body to protect itself from foreign substances such as bacteria or viruses. People get type 1 diabetes when their bodies make antibodies that destroy the body’s own insulin-making beta cells.
AUTOIMMUNE DISEASEAn autoimmune disease is a condition arising from an abnormal internal response to a normal body part.
BAD SITEThe most common problem that occurs with pump use is a bad infusion site. The infusion site is where the very thin Teflon, stainless steel, or plastic cannula, that delivers the insulin to the tissue just under the skin, is inserted.
BARRIER SPRAYBarrier spray leaves a thin breathable film on the skin protecting it from damage.
BASAL INSULINThe amount of insulin that is needed to maintain stable blood glucose levels in between meals and overnight. Also referred to as Background Insulin.
BASAL RATE/DELIVERYThe rate at which a continuous, low level of insulin is delivered.
BETA CELLA cell that makes insulin. Beta cells are located in the Islets of Langerhans which are irregularly shaped patches of endocrine tissue located within the pancreas.
BGBlood Glucose. Interchangeable with Blood Sugar.
BLEEDERA finger that continues bleeding after a blood glucose test. Also used when an insulin needle or pump infusion site is pulled out and causes excessive bleeding. Also applicable to a CGM sensor site that shows blood under the sensor.
BLINDThe two hour warm up period between new sensor insertion/start on cgm and the time you get readings.
BLOOD GLUCOSE METER (glucometer)A medical device for determining the approximate concentration of glucose in the blood.
BOLUSA bolus dose is insulin that is specifically taken at meal times to keep blood glucose levels under control following a meal. Bolus insulin needs to act quickly therefore short acting insulin or rapid acting insulin will be used.
BSBlood Sugar. Interchangeable with Blood Glucose
CANNULA Part of an infusion set. A tube inserted into the body with the purpose to either deliver or remove fluid.
CDECertified Diabetes Educator.
CGMContinuous Glucose Monitor.
COMPRESSION LOWA low reading on the continuous glucose monitor receiver due to pressure applied to the sensor/transmitter site, this typicaly occurs during sleep and is not an indicator of a true low blood sugar.
CORRECTIONAn additional amount of insulin delivered to counteract a high blood glucose reading. Can be done in conjunction with meal bolus or independently.
CORRECTION FACTOR/RATIOA Correction Factor (sometimes called insulin sensitivity ratio), is how much 1 unit of rapid acting insulin will generally lower your blood glucose over 2 to 4 hours when you are in a fasting or pre-meal state.
C-PEPTIDEA substance the pancreas releases into the bloodstream in equal amounts to insulin.
C-PEPTIDE TESTA test that shows how much insulin the body is making by measuring C-peptide levels.
DADDiabetic Alert Dog.
DAWN PHENOMENONThe dawn phenomenon, also called the dawn effect, is the term used to describe an abnormal early-morning increase in blood sugar (glucose) — usually between 2 and 8 a.m. Dawn Phenomenon occurs when hormones (including cortisol, glucagon, epinephrine) are released by the body, causing the liver to release glucose.
D-BAGDiabetes supply bag that goes with you everywhere.
DDDiabetic Daughter.
DEVICE DÉCORStickers and flair added to CGM and pumps to make them look cuter or stand out in a cool way.
DEXShort for Dexcom continuous glucose monitoring system. https://www.dexcom.com/
DIABUDDYA friend of a T1D that is also T1D and that gets it!
DIAVERSARYAnniversary of the day a person was diagnosed with diabetes, celebrating living a full and wonderful life despite the diagnosis. A celebration of life.
DKA (Diabetic Ketoacidosis)An emergency condition in which extremely high blood glucose levels, along with a lack of insulin, result in the breakdown of body fat for energy and an accumulation of ketones in the blood and urine. Signs of DKA are nausea and vomiting, stomach pain, fruity breath odor and rapid breathing.
DOCDiabetes Online Community: A group of people who participate in conversations about diabetes on the internet. https://www.facebook.com/t1dmodsquad/
DODDad of a T1D.
DOSINGIncremental increase in insulin dosage to a level that provides the optima effect.
DSDiabetic son.
DUAL WAVE BOLUSInsulin delivery option on some insulin pumps. A Dual Wave bolus delivers a combination of an immediate normal bolus followed by a Square Wave bolus. The Dual Wave bolus should be used for high fat, high carbohydrate meals.Whenever we eat foods higher in fat, it takes our bodies longer to digest those foods. Therefore, we do not need to take the bolus all at once, but to spread the bolus out over time to mimic normal pancreatic function and match the time that it is taking our bodies to digest the food.
DX / DXDDiagnosis / Diagnosed.
ENDOA pediatric endocrinologist is a doctor who specializes in the diagnosis and treatment of children with diseases of the endocrine system, such as Type 1 Diabetes and growth disorders.
EXTENDED BOLUS Insulin Delivery option on some insulin pumps. The bolus is delivered in small quantities over an extended, chosen period of time. Depending on the insulin pump, this type is called delayed or extended bolus or sometimes also referred to as the "pizza" bolus.
FAST ACTING GLUCOSEA form of carbohydrate that will raise blood glucose levels quickly. The term “fast-acting carbohydrate” is generally used in discussions of treating hypoglycemia, or low blood sugar. (juice, smarties, skittles)
FASTING SUGAR TESTMeasures blood glucose levels after a period of fasting, usually at least eight hours without food or liquid (except water).
FIXED DOSEA set amount of insulin is given at a meal, and the amount per meal can be the same or different.
FLONASE Steroid and decongestant. It can treat pain, itching, and swelling caused by skin irritation when applied topically. It can also prevent asthma attacks when inhaled. Can be used under adhesive (Pump&CGM) to act as a barrier between irritants and the skin.
FORCED CALIBRATIONFA is happens when you calibrate the CGM without being prompted to. It is best to do a forced calibration when there are less bg fluctuations.
FREE FOODAn item of food that contains less than 5 grams of carbohydrates and is considered to have little to no impact on blood glucose levels.
FRIO POUCHThe FRIO® Insulin Cooling Case is a reusable evaporative cooler whose cooling properties do not come from an icepack - or anything that needs refrigeration. Its cooling properties come from the evaporation of water. When activated, it keeps its low temperature for a minimum of two days, even in temperatures of 100 degrees Fahrenheit. http://www.frioinsulincoolingcase.com/index.html
GENTEELThe Genteel® Lancet Device uses it’s Butterfly Touch Technology® to get the perfect drop of test blood with reduced pain and discomfort. Use coupon code T1DMODSQUAD. https://www.mygenteel.com/
GFGluten-Free.
GRIF GRIPAdhesive patches that will help secure your devices from impacts that would normally disengage the device. https://www.grifgrips.com/
GLUCAGONA hormone formed in the pancreas that promotes the breakdown of glycogen to glucose in the liver which stimulates an increase in blood sugar levels, thus opposing the action of insulin; a polypeptide hormone, produced in the pancreas by the islets of Langerhans, that stimulates the release of glucose into the blood.
GLUCAGON EMERGENCY KITGlucagon rescue is the emergency injection of glucagon in case of severe diabetic hypoglycemia. It is needed during seizures and/or unconsciousness by an insulin user who is unable. at that point, to help themselves. Glucagon will facilitate the release of stored glucose back into the bloodstream, raising the blood glucose level. https://en.wikipedia.org/wiki/Glucagon_rescue
GLYCEMIC INDEXA system that ranks foods on a scale from 1 to 100 based on their effect on blood-sugar levels.
GLYCOGEN STORESGlycogen, the major reservoir of carbohydrate in the body, is comprised of long chain polymers of glucose molecules. The body stores approximately 450-550 grams of glycogen within the muscle and liver for energy during exercise.
GLYCOLYSISThe conversion of a carbohydrate (glucose) to an energy source (ATP).
GODMODDERT1D Mod Squad unique term coined out of love to denote that person who is willing to love and care of our children when they travel away from us. A GodModder is a watchful eye, an extention of Mum's veil of protection, ready to lend a hand should our T1 children need it.
GUSHERWhen blood shows under a CGM site insertion or an insulin pump infusion set insertion, it may flow freely and require a new site. It may also be refered to as "Bleeder"
HONEYMOON (HONEYMOON PERIOD)The honeymoon period usually occurs after the child/young adult/adult is diagnosed with type 1 diabetes and has begun insulin treatment. After several weeks to several months (the time is variable), the person with diabetes starts to produce his/her own insulin (endogenous insulin) secondary to some recovery of pancreatic islet cells. Honeymoon periods can last from two weeks up to 2 to 3 years. It is different for each individual. Sometimes, if the diabetes diagnosis is determined extremely early (with less destruction of beta cells), the honeymoon period can last even longer. NOTE: Some people may never experience a Honeymoon Period. http://www.healthcentral.com/diabetes/c/651280/97735/understanding-1/
HYPERGLYCEMIAA condition in which the blood contains an abnormally high level of glucose.
HYPOGLYCEMIAToo low a level of glucose n the blood. This can when there is too much insulin injusted or injected with too little food.
I:CInsulin to Carbohydrate ratio. The insulin to carbohydrate ratio indicates how many carbohydrates one unit of insulin will provide coverage for. http://www.bd.com/us/diabetes/page.aspx?cat=7001&id=7303
IEPIndividualized Education Program is a document developed for each public school child who needs special education. The IEP is created through a multi disciplinary team and reviewed periodically.
IN THE WILDWhen you spot another Type 1 Diabetic in your daily life that you do not know. (Pretend you are Steve Irwin, "it's a beauty mate!")
INFUSION SETThe combination of thin plastic tubing and a stainless steel needle, Teflon, or plastic cannula used with an insulin pump.
INFUSION SITE ROTATIONChanging sites on the body where insulin is infused or injected.
INSULIN PUMPAn insulin pump is a medical device used for the administration of insulin in the treatment of Type 1 Diabetes, also known as continuous subcutaneous insulin infusion therapy. The device configuration may vary depending on design.
(ISF) INSULIN SENSITIVITY FACTORThe amount of blood sugar measured in mg/dL that is lowered by one-unit of rapid-acting or regular insulin. This is used to calculate the amount of insulin a person with diabetes needs to return blood sugar to within the targeted blood sugar range. http://www.bd.com/us/diabetes/page.aspx?cat=7001&id=7605
IOBInsulin on Board, also referred to as Bolus on Board or Active Insulin, tells how many units of rapid insulin are still working in the body. This helps in deciding whether more insulin or more carbohydrate is needed.
ISLET CELL AUTOANTIBODIESProteins found in the blood of people newly diagnosed with Type 1 diabetes. They are also found in people who may be developing Type 1 diabetes. The presence of ICA indicates that the body's immune system has been damaging beta cells in the pancreas. http://www.bristol.ac.uk/clinical-sciences/research/diabetes/research/autoantibodies/
ISLET CELLSGroups of cells located in the pancreas that make hormones that help the body break down and use food. For example, alpha cells make glucagon and beta cells make insulin. Also called Islets of Langerhans (LANG-er-hahns). https://www.britannica.com/science/islets-of-Langerhans
IV PREPIV Prep Antiseptic Wipes by Smith & Nephew. An antiseptic and adhesive wipe for preparation of the skin prior to an pump or CGM insertion.
KETONESThe human body normally runs on glucose that's produced when the body breaks down carbohydrates. But when your body doesn't have enough glucose or insulin to use the glucose, your body starts breaking down fats for energy. Ketones are byproducts of this breakdown. ... Ketones can make your blood acidic.
KUSSMAUL BREATHINGThe rapid, deep, and labored breathing of people who have diabetic ketoacidosis.
LADA Latent Autoimmune Diabetes of Adults. Often classified as adult onset type 1 diabetes, overlapping qualities from both type 1 and type 2 diabetes into a form that often confuses both patients and experts. Patients diagnosed with LADA have existing autoantibodies in their blood similar to people with type 1, but they still produce their own insulin, yet often lose their insulin-producing beta cells at a slower rate than typically seen in type 1 patients.
LANCETA spring-loaded device used to prick the skin with a small needle to obtain a drop of blood for blood glucose testing.
LCHFThis is often called a low-carb, high-fat diet (LCHF). Low-carb diet means you eat fewer carbohydrates and a higher proportion of fat.
LIPOHYPERTROPHYAn overgrowth of fatty tissue caused by not changing infusion sites.
LIVER DUMPThe liver is like your own personal EMT; when it senses that your blood sugar is too low, it "dumps" some glycogen into your system to raise the blood sugar levels.
MASTISOLA non-water soluble liquid adhesive that has been clinically proven to keep your tapes, dressings and devices secure for an extended period of time. Available through medical distributors and at retail and online pharmacies.
MDIMultiple Daily Injections.
MINI GLUCMini-dose glucagon rescue, using subcutaneous injections, is effective in managing type 1 diabetes during episodes of impending hypoglycemia due to gastroenteritis or poor oral intake of carbohydrate. Mini Gluc uses a smaller amount of the glucagon rescue. http://care.diabetesjournals.org/content/24/4/643
MODMother of a T1 Diabetic
MODUCATETo correct someone's misconception or enlighten someone about T1D based on your gained knowledge as a MOD.
MOMBIEA sleep deprived supermom who feeds on caffeine and survives on sticky kisses and messy smiles. Mobmies are master multi-taskers and suck-it uppers.
MOMMA BEARA woman, especially a mother, who is protective of a child or children.
NIGHTSCOUT(CGM in the Cloud) is an open source, DIY project that allows real time access to a CGM data via personal website, smartwatch viewers, or apps and widgets available for smartphones. http://www.nightscout.info/
NO DATAWhen any medical device is not displaying or sharing information to other synced devices
OCCLUSIONBlockage
PDMPersonal Diabetes Manager, specifically the device used to operate the OmniPod insulin delivery system. https://www.myomnipod.com/
PODWearable tubeless insulin delivery system developed my Insulet Corporation. The pod is half of the OmniPod insulin delivery system. The pod is controlled by the PDM.
POKERAnother name for a Lancet device which is used to prick the skin with a small needle to obtain a drop of blood for blood glucose monitoring.
PRE-BOLUSDelivering an insulin bolus prior to a meal.
PRICKERAnother name for a Lancet device which is used to prick the skin with a small needle to obtain a drop of blood for blood glucose monitoring.
RECEIVERThe potion of a continuous glucose monitoring system that receives data from the transmitter that is connected to the sensor worn by the T1D via Bluetooth. The receiver displays glucose levels and trends. It is the size and weight of a cell phone.
SCREAMERThe sound of the omnipod hazard alarm that the PDM cannot shut off due to lack of communication. There is a manual alarm shut off port on the bottom of the pod. The port can be found by peeling back the adhesive pad from the bottom of the pod at the square end. The alarm shut off port is to the right of the fill port. Insert a paperclip into the shut off port to silence alarm. OR you can take a hammer to the pod, paying attention to the fact that the suckers can bounce!!
SENSORThe sensor is a flexible round electrode wire that goes just under the skin to read glucose levels in tissue fluid. It attaches to the skin with an adhesive patch.
SENSOR FAILUREAn issue with the sensor that causes it not to collect blood sugar readings.
SKIN TACTorbots Skin Tac Adhesive Barrier prepares the skin for application of tapes, dressings, infusion sets, and much more. This unique "tacky" skin barrier is Hypo-Allergenic and Latex Free which makes it a good choice for patients with sensitive skin.
SLIDING SCALEA sliding scale varies the dose of insulin based on blood glucose level. The higher your blood glucose the more insulin you take.
SPIKEA rapid rise in blood sugar level.
SQUARE WAVE BOLUSSquare Wave bolus delivers a bolus evenly over a period of time (20 minutes to 8 hours). This bolus can be used for insulin delivery when you have eaten a long meal with extended snacking. It can also be useful if you have delayed food digestion due to gastroparesis or meals high in fat.
SQUIRTERWhen insulin squirts back out of the site in which it was just injected. Sometimes caused by removing needle too quickly after injection.
STACKINGInjecting or infusing additional insulin before the three to four hour active period of insulin has expired. It can be considered as taking multiple doses of insulin back to back.
SUGAR SURFINGA method of blood sugar management that depends of frequent user input and data analysis to minimize roller coaster blood sugars and stay in the target range. http://www.sugarsurfing.com/
SUBCUTANEOUS INFUSIONHypodermoclysis, which can also be called interstitial infusion or subcutaneous infusion, is the subcutaneous administration of fluids to the body. Delivery of insulin to subcutaneous tissue by a pump using both continuous and bolus infusions. Injection into the subcutaneous tissue is a route of administration used for drugs such as insulin: because it is highly vascular, the tissue absorbs drugs quickly. Just as the subcutaneous tissue can store fat, it can also provide good storage space for drugs that need to be released gradually because there is limited blood flow
SWAGScientific Wild Ass Guess. This term means that you are using logic, experience and guessing to figure out the amount of carbs in a meal so that you can take a wild guess at the amount of insulin to give.
T1DType 1 Diabetes
TEGADERMTegaderm is a transparent medical dressing manufactured by 3M. Tegaderm transparent dressings can be used to cover and protect wounds and catheter sites. Advantages of Tegaderm include its breathability and conformation to the skin.
TRANSMITTERThe transmitter is a little device that snaps into the sensor patch of the CGM; it sends information via wireless radio frequency to the receiver every 5 minutes.
TRIAL NETType 1 Diabetes TrialNet (TrialNet) is an international network of researchers who are exploring ways to prevent, delay and reverse the progression of type 1 diabetes. TrialNet is conducting clinical trials with researchers from 18 Clinical Centers in the United States, Canada, Finland, United Kingdom, Italy, Germany, Australia and New Zealand. In addition, more than 150 medical centers and physician offices are participating in the TrialNet network. Studies are available for people newly diagnosed with type 1 diabetes, as well as for relatives of people with type 1 diabetes who are at greater risk of developing the disease. https://www.diabetestrialnet.org/
UNICORNJust like the mythical magical creature, a perfect 100 on the meter is referred to as a unicorn.Another type of unicorn can happen when the meter and the CGM display the same number.
UNISOLVESmith & Nephew branded adhesive remover for quick and effective tape or dressing removal. Reduces adhesive trauma to skin by dissolving the adhesive gently. Works on many types of adhesives, including those with rubber, hydrocolloid or acrylic bases.
UNTETHERED REGIMENA technique combining the use of an insulin pump with a slow-acting insulin analog such as Lantus, Levemir, or Tresiba. This allows the patient to disconnect the pump when desired while maintaining the flexible benefits that the insulin pump can provide.
WARM UP PERIODThe wait time between the time you activate a sensor and the time you calibrate in order to get readings on the receiver.
XDRIPxDrip is a combination of a device and a software application which receives data sent out by a DexCom G4 CGM transmitter/sensor and displays the glucose readings on an Android phone. http://stephenblackwasalreadytaken.github.io/xDrip/
YDMVYour diabetes may vary.
ZOFRANZofran (Ondansetron) is a medication that belongs to the drug class known as antiemetic and selective 5-HT3 receptor antagonist. Zofran is prescribed for the treatment of nausea and vomiting.