#1306 Defining Diabetes: Post Prandial

September 16, 2024Scott Benner

Scott and Jenny Smith define diabetes terms In this Defining Diabetes episode we post prandial.

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Scott Benner 0:00
Hello friends and welcome to another episode of The juicebox podcast.

Today's episode is another addition in the defining diabetes series with myself and Jenny Smith. Please don't forget that nothing you hear on the juicebox podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your healthcare plan or becoming bold with insulin. If you have type one diabetes, or are the caregiver of someone with type one and you'd like to help with type one diabetes research, but you don't want to leave your house or see a doctor. You can do that at t 1d exchange.org/juicebox, all you have to do is go over there, join the registry and complete the survey. When you complete the survey, you have helped T 1d exchange.org/juicebox, this episode of The juicebox podcast is sponsored by the Eversense CGM. Eversense is going to let you break away from some of the CGM norms you may be accustomed to. No more weekly or biweekly hassles of sensor changes. Never again will you be able to accidentally bump your sensor off. You won't have to carry around CGM supplies and worrying about your adhesive lasting. Well, that's the thing of the past. Eversense, cgm.com/juicebox,

Jenny, we are going to define something today, something that I'm kind of confused, that we haven't gotten to already. Okay, yeah, this happens every once in a while where I look back at

Jennifer Smith, CDE 1:42
definitions, where you're like, oh, that word, yeah, I guess, no, we didn't ever tell people what that

Scott Benner 1:49
is. So this has been on my list for very long time, and I guess we probably kept skipping it. I probably kept skipping it because it's kind of a big nothing burger, but at the same time, I don't think it is okay. You have to, you have to pronounce it, because I can't even pronounce it. Post brand deal. Okay, now it's going to be one of those things that you hear your doctor talking about all the time, and I have just like, look. You could go Google it and look it up and whatever. But in a 10 minute podcast episode, we can kind of talk about what it means and and how it works into your life, but I think your doctor should probably just say what

Jennifer Smith, CDE 2:26
all it means is after the meal. We're looking at, what happens to your blood sugar, obviously, you know, in the case of diabetes, but yeah, it just, it just means after the meal, really, post intake of food.

Speaker 1 2:40
So is it prandial? Prandial? Okay,

Scott Benner 2:44
so postprandial means they're usually saying it. How does your doctor just say it like you're seeing a postprandial spike? Correct? That's Yes, right? Will people say postprandial low? You

Jennifer Smith, CDE 2:56
could, because really, it doesn't have anything to do with the value of the blood sugar in and of itself. It really just means that it's following a meal. It's after, after you've eaten something, right? So it has no definition to actual being too high or being too low. You could refer to, gosh, you're having a lot of postprandial low blood sugars. That must mean that your insulin to carb ratio isn't quite right, or maybe you are pre bolusing for too long, or maybe you're always going for a walk postprandial, and maybe that's causing the low. And so we need to adjust the bolus that you take at the meal time so you don't have that postprandial low. So

Scott Benner 3:41
yes, I'm gonna read a definition. So, okay, postprandial refers to the period after a meal in medical context, it often relates to the body's metabolic process following food consumption. For example, postprandial blood glucose levels are measured to understand how the body processes glucose after eating. This period is critical for assessing metabolic health, especially in conditions like diabetes. So now, interestingly enough, I did not ask for a definition specific to diabetes. Okay, all I said was define postprandial, and it went back to that. Now, what other terms the doctors use that they shouldn't be throwing around the doctor's office because they're confusing. This whole series started because, I mean, famously, I had a person tell me they didn't know that they were using basal insulin. They didn't understand that, right? And then we look at it, and basal means baseline, and all this other stuff that you I learned while you were explaining it to me. But I just think that it's, it's one of those situations you get involved with the doctor, they start throwing out terms, and they're rolling through them because they're daily terms for them, but they're words you've maybe never heard before. So here we are making the shortest defining diabetes episode in the history of the podcast. I think it

Jennifer Smith, CDE 4:58
probably is because that. Yes, there's really not much more to it. The word just means after a meal or following eating periods or whatever, and that's it. There's nothing else.

Scott Benner 5:09
Well, then damage any we're done. I'm not going to stretch this out. I actually sat here and I thought, like, can I make this longer? Like, invaluable. And I'm like, I don't think I can. I think this is, this is what it is, but it's something. Hopefully it

Jennifer Smith, CDE 5:22
helps clear it up for somebody who is clearly wondering what that what their doctor is talking about. I mean, could you potentially figure it out if the doctor's always talking about blood sugars around meal times, and then you're saying, well, it was fine before the meal. That must mean after I ate, my blood sugar's always high or always too low. But again, the word is just, I can't this. Just tell you after you've eaten, it looks like you're always high, right? I assume your

Scott Benner 5:51
context clues will help. For a lot of people, probably pick it up, but for those who just get stuck on I don't know what that means, then start to panic, which is what happens. Like, I swear to you, I sat in a doctor's office one time and they're saying this thing over and over and over again. I just raised my hand. I don't remember what it was. I was like, I gotta, I gotta stop you. I don't know what you're talking about, but I don't think a lot of people feel comfortable doing that, you know. So anyway,

Jennifer Smith, CDE 6:16
true. I think because there are also many people look at the doctor as the knowledgeable party, but people also don't want to feel like they're uneducated, and I mean that like in a broad sense, right? They don't want to feel like, gosh, I have to ask something about this. I've had diabetes for 30 years, and I don't know what this word means, and now the doctor's saying it, I'm gonna look like the quote, unquote, like uneducated or the dummy. And that's not by no means. I You should be able to raise your hand and say, You know what? You need to explain that in my terms, because clearly, you've got a lot of medical lingo in there.

Scott Benner 6:55
Don't get it such a good point. Because when I see adults, especially like you said, who have had type one for a long time? They'll, you know, you'll see them in the Facebook group. They'll learn something from the podcast when they come to say thank you, or they come to share a thing they learned so often, you see a little bit of an apology before they tell you, I'm so embarrassed to say this because I've had diabetes for so long, or that kind of feeling. And I don't want you to feel that way. I want you to hear post pray it, and they only go, I know that means. That means after, after meal, and then just yay, on with your life. All right. Thank you. Yes, this episode of The juicebox podcast is sponsored by Eversense, and Eversense is the implantable CGM that lasts six months. Eversense cgm.com/juice cgm.com/juicebox, have you ever been running out the door and knocked your CGM off, or had somewhere to be and realized that your adhesive was about to fall off? That won't happen with Eversense, ever since won't get sweaty and slide off. It won't bang into a door jam, and it lasts six months, not just a couple days or a week. The Eversense CGM has a silicon based adhesive forge transmitter, which you change every day. So it's not one of those super sticky things that's designed to stay on you forever and ever, even though we know they don't work sometimes, but that's not the point, because it's not that kind of adhesive. You shouldn't see any skin irritations. So if you've had skin irritations with other products, maybe you should try ever since unique, implantable and accurate. So if you're tired of dealing with things falling off or being too sticky or not sticky enough, or not staying on for the life of the sensor. You probably want to check out Eversense. Eversense. Cgm.com/juicebox, links in the show notes. Links at juicebox podcast.com. A diabetes diagnosis comes with a lot of new terms, and you're not going to understand most of them. That's why we made defining diabetes. Go to juicebox podcast.com. Up into the menu and click on defining diabetes to find the series that will tell you what all of those words mean, short, fun and informative that's defining diabetes. Thank you so much for listening. I'll be back soon with another episode of The juicebox podcast. You.