Tag Archives: confused

Terms Jumble

Long View: Don’t Let Lingo Keep You from the Care You Need

When I was (considerably) younger, I read that a concert I wanted to attend was “SRO.” I was certain that meant “Sold Right Out,” and there was no way we could go. I was disappointed, but hey, you can’t win them all. Years later a friend told me another show was “SRO,” and I only then found out it meant “Standing Room Only.” My misunderstanding became the source of much merriment.

Industry-specific terms, acronyms and lingo are common in almost every business. I know the health insurance business has a lot, but have you ever heard two electricians talk? What about computer repair technicians? It’s all foreign to me.

Terminology, acronyms, and lingo are simply shortcuts for information-sharing between people in the same business. They are not meant to exclude others, but they do. The difference between the terms “copayment” and “coinsurance” can seem small, unless you are the person paying the bill. So, what can we insiders do to lessen the impact and be more inclusive?

About two years ago, Health Alliance started an internal plain language push. We took a close look at our written materials—brochures, guidebooks, letters, our website, and more—and realized we could make things easier to understand. We simplify or explain industry lingo, without losing the important information.

If you’re on the receiving end of lingo, stop and ask for clarification. If that is not possible, jot down a note so you can follow up on your own. This is especially important with your health care. Make sure you understand what your doctors tell you. They are insiders to the medical world, so they might not realize you need more explanation. Always ask questions if you’re confused. Your doctor will appreciate you taking the time to make sure you understand so you can take good care of yourself.

I am sure some of you are frightened to know I am learning how to text on my smartphone. Many of you are familiar with this digital language and its acronyms and lingo, but it’s new to me. Don’t worry, I was pointedly told “LOL” doesn’t mean “lots of love.” LAL (Live and Learn).

(Give this word search on commonly used insurance terms and their definitions a try!)

Treating Diabetes with Glucose Checks

Treating Diabetes

There isn’t a cure for diabetes, but it is very treatable. Treating diabetes depends on which type of diabetes you have.

Type 1 Diabetes

Because those with type 1 diabetes can’t produce enough of their own insulin, they must treat their diabetes with insulin injections.

Type 2 Diabetes

For many, treatment for type 2 diabetes focuses on diet and exercise. If blood sugar levels stay high, oral medications can help your body better produce insulin.

In some cases, insulin injections are used.

For those who who are at risk of TOFI type 2 diabetes, it’s important to:

  • Exercise, which is the only way to shed fat on the abdominal organs.
  • Lower stress, which can temporarily raise your blood sugar.
  • Diet smart by avoiding “diet foods” that are actually loaded with sugar, like low-fat salad dressings and vitamin drinks.

Gestational Diabetes

Treatment for gestational diabetes needs to happen quickly to protect you and your baby.

Treatment tries to keep your blood sugar levels at the same levels as healthy pregnant women’s through a combination of these:

  • Specialized meal plans
  • Regular, scheduled physical activity
  • Daily blood sugar testing
  • Insulin injections

It’s important to work with your doctor to make a treatment plan in all cases, but especially with gestational diabetes where personal changes are important for protecting your baby.

Testing

The A1c test measures your average blood sugar level over 2-3 months. Your doctor will generally order it every 3-6 months depending on which type of diabetes you have to keep an eye on how your treatment is working.

For most adults, the American Diabetes Association’s suggests your A1c be under 7%, but your doctor will help you decide what’s best for you. Studies show that people with diabetes keep normal A1c levels live five years longer, on average.

Checking your blood sugar with your personal meter helps you manage your treatment on a day-to-day basis. It gives you info right away to help you make decisions about taking your insulin, when to exercise, and tell you if you’re on track.

Keeping normal blood sugar levels reduces the risk of high cholesterol, and controlling your cholesterol can lower heart complications by 50%.

These two tests work together to tell you how your diabetes management is going. This chart shows what an A1c level translates to in blood sugar levels:

A1c         Average Blood Sugar (mg/dl)

6%                             126

7%                             154

8%                             183

9%                             212

10%                           240

11%                           269

12%                           298

Insulin Injections

The biggest challenge to people who are treating diabetes with insulin injections is balancing exactly how much insulin you need to take, which can vary based on:

  • Food
  • Exercise
  • Stress
  • Current emotions
  • General health

Not balancing these factors and your insulin can result in hypoglycemia and hyperglycemia.

Hypoglycemia is when you eat too little food, take too much insulin or diabetes meds, or get extra exercise, which causes your blood sugar levels to be too low.

Hyperglycemia is when you eat too much food, don’t take enough insulin, or are stressed or sick, and then your blood sugar levels are too high.

The best way to know if your blood sugar is high or low is to test your levels. But it’s also good to know the warning signs:

Hypoglycemia

  • Shaky
  • Dizzy
  • Nervous
  • Sweaty
  • Hungry
  • Clumsy
  • Confused
  • Trouble paying attention
  • Tingling mouth
  • Headache
  • Pale face
  • Seizure
  • Passing out

Hyperglycemia

  • Going to the bathroom a lot
  • Thirsty
  • Tired
  • Weak
  • Blurry vision
  • Hungry, even when you’ve eaten.

When your blood sugar level is too low, you can:

  • Eat or drink something with 15 grams of carbs:
    • Try three glucose tablets, 4 ounces of apple or orange juice, 4 ounces regular soda, 1 tablespoon cake frosting or three Jolly Ranchers.
    • Wait 15 minutes, and then check your blood glucose level again.
    • If your blood glucose is still too low, eat another 15 grams of carbs. Wait another 15 minutes, and then check your blood glucose again. You may want to keep eating until you feel better, but it’s very important to wait the full 15 minutes.

If you or your care team feel your signs are serious, inject glucagon which is the opposite of insulin—it raises your blood glucose level.

If your blood sugar is high, it’s important to remember that one high blood sugar reading isn’t a big deal, it happens to everyone from time to time. But if you keep running high day after day, talk to your doctor.

No matter what, it’s important to talk to your doctor and care team about the best way to manage your diabetes and how to handle these situations.