Glossary of Diabetes - F

F

Fasting blood glucose test

A method for finding out how much glucose (sugar) is in the blood, at a time when recent food intake does not affect glucose levels. The test can aid in diagnosis; a single reading of 126 mg/dl (7 mmol/l) is diagnostic except in newborns or pregnant women or in some unusual other conditions. A blood sample is often taken in a lab or doctor's office. The test is often done in the morning before the person has first eaten. The normal, nondiabetic range for fasting blood glucose is between 70 to 110 mg/dl (5 – 7 mmol/l), depending on the person (there is some variations between individuals), whether the blood is from a vein or a capillary, and depending on how the measurement is made (e.g., on whole blood or just the plasma). It can also be done by anyone with a blood glucose meter, proper supplies, and an understanding of how to test using them.

Fats

food substances which are the chief energy storage mechanism in organisms such as plants and animals. Fat molecules are composed of fatty acid chains attached to a glycerol backbone, usually in threes. Fats vary in the details of just which fatty acid variants are attached. Possibilities include saturated (the usual case in animal source fats), mono or poly unsaturated (from many plant oils, have one (mono) or more (poly) double carbon bonds in the fatty acid chain), and in where the double bond is (at the omega carbon in the 3 position, or the 6 position or ...). Some fats are required in the human diet, they are the 'essential oils'. All other fats humans need can be made, at the cost of some energy, from those fats, or from other chemicals. Transfats are a class of fats which are very rare in nature, but very common in industrially processed oils as a consequence of "hydrogenation". It is becoming increasingly clear that ingestion of more than small quantities of transfats distorts some aspects of human biochemistry in ways which increase artery disease and heart disease, and so increase death rates. Saturated rats have a much smaller deleterious health effect.

Fatty acids

chains of carbon atoms with attached side groups. They are found in living tissues, typically in the form of triglycerides (three fatty acid chains attached to a glycerol backbone).

Fiber

usually carbohydrate which cannot be digested. It passes through the human digestive system without being digested or absorbed. Soluble fiber absorbs water in the intestines, insoluble does so much less. Fiber has effects on intestinal operations, and by extension, on other tissues. For instance, adequate fiber intake seems to have an effect on vascular health. The mechanisms by which these effects happen are largely speculative at present. One effect of dietary fiber, apparently especially soluble fiber, has is to increase stool size and softness. Dietary fibers, when eaten together with carbohydrates, delay the uptake of the carbohydrates.

Fluorescein angiography

A method of taking a picture of the flow of blood in the vessels of the eye by tracing the progress of an injected dye.

Food exchange

See: Exchange lists.

Foot care

Especially important for diabetics. This involves taking special steps to avoid foot problems such as sores, cuts, bunions, and calluses. Good care includes daily examination of the feet, toes, and toenails for problems of possible problems, and choosing shoes and socks (or stockings) that fit well and so do not cause pressure points, binding, or pinching. People with diabetes have to take special care of their feet because nerve damage and altered blood flow mean they will have less feeling in their feet than normal, and poorer healing than usual. They may not notice cuts and other problems as soon as they should. They will also heal less well than others.

Fractional urine

Urine that a person collects for a certain period of time during 24 hours; usually from breakfast to lunch, from lunch to dinner, from dinner to bedtime, and from bedtime to rising. Also called "block urine."

Fructose

a simple sugar (often found in fruit) which does not participate in the glucose metabolism control system. In the human diet, fructose is largely found in some fruit, but in the past few decades, it has been used as a sweetener in any foods in the form of high fructose corn syrup. It is also half of the common sugar molecule (i.e., sucrose); the other half is glucose. It has a parallel metabolic pathway to glucose but is handled only by the liver. It is also implicated in characteristic blood triglyceride profile changes. There is suspicion that prolonged high levels of fructose ingestion are a cause of obesity, and perhaps of diabetes.

Fundus of the eye

The central portion of the retina on back or deepest part of the eye. Damage to the fundus, even if the rest of the eye is in good condition, will have severe problems. For instance reading may become impossible.

Funduscopy

A test to look at the back area of the eye to see if there is any damage to the vessels that bring blood to the retina. The doctor uses a device called an ophthalmoscope to check the eye. There is also a special type of camera which takes photos of the eye (with dilated pupils) to record retinal conditions for future comparison.