Glossary
Here are quick definitions of the terms that come up around insulin, CGM, and the overnight hours.
- A1c
A blood test that reflects your average glucose over roughly the past three months. It is useful for long-term trends but cannot show what happened on any particular night.
- AGP (ambulatory glucose profile)
A standard one-page CGM report that overlays about two weeks of readings to show your typical day, including the overnight hours.
- Automated insulin delivery (AID)
A system that uses CGM readings to adjust insulin automatically. Today’s systems are designed to be worn day and night.
- Basal insulin
Background insulin that covers your body's steady need between meals and overnight. On injections it is usually a long-acting insulin taken once or twice a day.
- Bolus
A dose of rapid-acting insulin, taken for a meal or to bring a high blood glucose reading down.
- CGM (continuous glucose monitor)
A small sensor worn on the body that measures glucose every few minutes and sends the readings to a phone or reader.
- Dawn phenomenon
A rise in glucose in the early morning hours, caused by hormones the body releases before waking.
- Fasting glucose
Your glucose after 8-12 hours without food or drinks other than water, usually when you first wake up. It reflects how the night went.
- Hyperglycemia
Glucose above your target range, typically above 180 mg/dL. A high during sleep is called overnight, or nocturnal, hyperglycemia.
- Hypoglycemia
Glucose below your target range, typically below 70 mg/dL. A low during sleep is called overnight, or nocturnal, hypoglycemia.
- Insulin pen
A pen-shaped device for injecting insulin, either disposable or refilled with cartridges.
- Insulin pump
A device worn on the body that delivers rapid-acting insulin through a small tube or a patch. Today’s pumps are designed to be worn around the clock.
- MDI (multiple daily injections)
A way of taking insulin with several injections a day, usually basal insulin plus a bolus at meals, using pens or syringes.
- Microbolus
A very small dose of insulin. Automated systems deliver insulin as frequent microboluses rather than as one larger dose.
- Overnight time in range
The percentage of the night your glucose stays between 70 and 180 mg/dL. A1c averages about three months into one number, so it can't show you a single night.
- Sleep-only automation
Automated insulin delivery for people who use insulin pens. It works only while you sleep, and there’s nothing to wear during the day.
- Time in range (TIR)
The share of time your glucose sits between 70 and 180 mg/dL, measured by a CGM. The international consensus target for most adults with type 1 or type 2 diabetes is more than 70% of the time in range.1
Where to go next
Sources
- Battelino T, Danne T, Bergenstal RM, et al. Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range. Diabetes Care. 2019;42(8):1593–1603. doi:10.2337/dci19-0028.
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