Luna Learn

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

  1. 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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