This article is part three in a series on Important Diabetes Terms. To catch up, please read part one, part two, and part three.

Another installment of common and not so common diabetes terms will be presented in this newsletter; hope you are finding my terms beneficial and gaining more knowledge with each new list.

  1. 10 Gram Monofilament Test – Peripheral neuropathy is one of the leading complications of diabetes with rates up to 60%. Some symptoms are tingling, burning, and numbness; a monofilament test should be done at least yearly by your M.D., significant other, or podiatrist to test for this condition. The test is cheap, simple and effective. The monofilament is a plastic fishing wire attached to a card and used to measure varying pressures on your soles of your feet in different locations with your eyes closed (the filament bends at 10 grams of pressure). If sensation is diminished, you should be further evaluated.
  2. Lancet – A sharp, small, thin coated needle used in a spring loaded device to pierce the skin for a drop of blood during glucose testing with a meter. Look for a device with multiple depth settings to help you obtain a good blood sample without pain. Not every lancet fits into every lancet device. The thinner lancets usually offer less pain; the One Touch Delica Lancing Device is very thin and does not wobble. Use them one time only and dispose of them properly in a heavy non-clear plastic container labeled sharps and do not recycle or in a proper red disposable l container.
  3. Metabolic Syndrome – A syndrome that includes several factors including insulin resistance which increases the chance of getting type 2 diabetes. Included is hypertension, visceral /mid section fat with an increased waist circumference, general obesity, decreased HDLs, and increased triglycerides. This usually is a precursor to type 2 diabetes.
  4. Endocrinologist – A physician who specializes in the field of diabetes, thyroid disorders and growth problems. They usually concentrate in adult or pediatric cases. You may need to consult one if your internist/family practice M.D. has trouble regulating your blood sugar.
  5. Intermittent Claudication – A pain or cramp in the calf muscle that increases with walking or exercise. It is a progressive part of peripheral vascular disease and is caused by a lack of blood flow due to blockage. The risk increases with high cholesterol, diabetes and smoking. You should try to walk for short periods of time to increase your total distance and endurance.

There are many unfamiliar words in the medical world which are easy to understand, once fully explained. We all know more knowledge makes us more powerful!


NOTE: Consult your doctor first to make sure my recommendations fit your special health needs.

Roberta Kleinman

Roberta Kleinman

Roberta Kleinman, RN, M. Ed., CDE, is a registered nurse and certified diabetes educator. She grew up in Long Island, NY. Her nursing training was done at the University of Vermont where she received a B.S. R.N. Robbie obtained her Master of Education degree, with a specialty in exercise physiology, from Georgia State University in Atlanta, Georgia.

She is a member of the American Diabetes Association as well as the South Florida Association of Diabetes Educators. She worked with the education department of NBMC to help educate the hospital's in-patient nurses about diabetes. She practices a healthy lifestyle and has worked as a personal fitness trainer in the past.

She was one of the initiators of the North Broward Diabetes Center (NBMC) which started in 1990 and was one of the first American Diabetes Association (ADA) certified programs in Broward County, Florida for nearly two decades. Robbie has educated patients to care for themselves and has counseled them on healthy eating, heart disease, high lipids, use of glucometers, insulin and many other aspects of diabetes care. The NBMC Diabetes Center received the Valor Award from the American Diabetes Center for excellent care to their patients. Robbie has volunteered over the years as leader of many diabetes support groups.
Roberta Kleinman

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