Prática de Shadowing: A1C Test for Measuring Blood Sugar Levels - Aprenda a falar inglês com vídeo

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An A1c test is a blood test that can be used to estimate the average amount of glucose, or sugar, in your blood over the past three months.
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Other names for this test are HbA1c, glycated hemoglobin, and glycosylated hemoglobin.
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This test is often used to screen for or manage diabetes and prediabetes, conditions that can happen when your blood sugar is too high.
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In order to understand how the test works, it's important to know about red blood cells and how your blood sugar affects them.
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Most of the cells in your blood are called red blood cells.
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They are made in your bone marrow, which is the tissue in the center of your bones.
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From there, they travel to your lungs, where they pick up oxygen from the air you breathe in.
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This happens in tiny air sacs in your lungs, called alveoli.
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Here, oxygen attaches to proteins inside your red blood cells, called hemoglobin.
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Your red blood cells then deliver the oxygen to tissues throughout your body.
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After about three months, red blood cells wear out.
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As the worn-out cells pass through your liver and spleen, other types of blood cells,
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called macrophages, destroy them and remove them from your blood.
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Glucose in your blood can affect your red blood cells.
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After you eat, your body breaks down food into glucose and releases it into your blood.
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Your tissue cells take the glucose out of your blood and use it as their main source of energy.
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It's normal for some of the glucose in your blood to stick to the hemoglobin in your red blood cells.
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This process is called glycosylation.
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If your tissue cells aren't able to use the glucose, it can build up in the blood.
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This is called hyperglycemia.
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If you have high blood glucose, more of the hemoglobin in your red blood cells will have glucose stuck to it.
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An A1c test shows the percentage of red blood cells that have glucose attached to them.
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If your A1c numbers are higher, it means that your red blood cells were exposed to higher levels of blood glucose in the previous three months.
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The test shows results from this time period because glucose can only stick to hemoglobin while your red blood cells are alive,
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and they live for about three months.
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Higher than normal average blood glucose can mean you have diabetes.
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Your health care practitioner may recommend you get an A1c test if you are over 45 years old,
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are under 45 and have one or more risk factors for diabetes, or you had diabetes during pregnancy called gestational diabetes.
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During an A1c test, a healthcare professional, called a phlebotomist, will take a sample of blood from a vein in your arm
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or from one of your fingers using a small needle.
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At the lab, your blood sample will be tested to measure the amount of red blood cells
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that have glucose sticking to the hemoglobin in them.
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Your A1c numbers, which show the percentage of glucose-attached red blood cells, can be used to estimate your average blood glucose during the past three months.
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Your A1c test result may include a chart that shows estimated average blood glucose range based on A1c numbers.
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A normal A1c result means your blood sugar level is in the non-diabetic range.
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Or an A1c result may be considered normal for you, even if your blood sugar is slightly outside the non-diabetic range.
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This may happen because of your age or medical conditions you have, such as diabetes.
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An abnormally high A1c test result means your blood sugar has been too high over the past three months.
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You may be diagnosed with prediabetes or diabetes if you haven't already been told you have it.
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Or, if you're living with diabetes, an abnormal result means your blood sugar is not well controlled.
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If your A1C result stays high, your healthcare practitioner will talk to you about how to manage your blood sugar.
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People with diabetes will need to have an A1C test at least twice a year.
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People with prediabetes will need to be tested every year or two, or as often as your healthcare practitioner recommends.
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If your A1C is normal but you had gestational diabetes, or you have risk factors for diabetes, then you will need the test every three years.
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To find out more about the A1C test, talk to your health care practitioner.
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Thank you.

Vocabulário e dicas de fala para esta lição

Esta aula de conversação de nível C1 usa o vídeo “A1C Test for Measuring Blood Sugar Levels”. As palavras que mais se repetem: blood, cells, glucose, test, diabetes. Este vídeo tem 46 frases e 758 palavras para praticar shadowing. A fala dura 5:12. O falante mantém um ritmo estável de cerca de 146 palavras por minuto, confortável para o shadowing. 82% das palavras estão entre as 3.000 mais comuns do inglês; vale a pena estudar o restante antes de começar.

Vocabulário principal deste vídeo

As 15 palavras mais avançadas do vídeo, com pronúncia e significado:

PalavraPronúnciaSignificado
glucose substantivo/ˈɡluː.kəʊz/glicose, glucose
hemoglobin substantivo/ˌhimoʊˈɡloʊbɪn/hemoglobina
practitioner substantivo/pɹækˈtɪʃənəɹ/praticante
prediabetes substantivopré-diabetes
attach verbo/əˈtæt͡ʃ/anexar
diabetic adjetivo/daɪəˈbɛtɪk/diabético
abnormally advérbio/æbˈnɔɹ.mə.li/anormalmente
alveolus substantivo/ælˈvi.əl.əs/alvéolo
diagnose verbo/ˈdaɪ.əɡˌnoʊs/diagnosticar
hyperglycemia substantivohiperglicemia, hiperglicémia
macrophage substantivo/ˈmækɹɔʊː.feɪd͡ʒ/macrófago
spleen substantivo/spliːn/esplim
marrow substantivo/ˈmæɹəʊ/medula, tutano
abnormal adjetivo/ˌæbˈnɔɹ.ml̩/anormal
vein substantivo/veɪn/veia

Phrasal verbs que você vai ouvir

PalavraSignificado
wear out verbodesgastar
find out verbodescobrir
pick up verbopegar

Gramática neste vídeo

As estruturas que o falante mais usa, com as palavras exatas do vídeo:

EstruturaNo vídeo
Voz passiva be + particípio passado — o foco está no que acontece, não em quem fazare called · are made · is called
Present perfect have/has + particípio passado — uma ação passada que ainda importa agorahas been · haven't already been told

Pronúncia para ficar de olho

O falante usa 3 contrações e formas reduzidas, como aren't, haven't, you're. Diga-as na forma curta, do jeito que você ouve.

  • Os sons de “sh” e “zh”: practitioner /pɹækˈtɪʃənəɹ/, glycosylation /ˌɡlaɪ.koʊ.səˈleɪ.ʃən/
  • Palavras longas — acerte a sílaba tônica: hemoglobin /ˌhimoʊˈɡloʊbɪn/, practitioner /pɹækˈtɪʃənəɹ/, abnormally /æbˈnɔɹ.mə.li/, alveolus /ælˈvi.əl.əs/, glycosylation /ˌɡlaɪ.koʊ.səˈleɪ.ʃən/

Sons difíceis para falantes de português:

  • Consoante final — sem acrescentar um “i” depois: diabetic /daɪəˈbɛtɪk/, sac /sæk/

Como praticar com este vídeo

  1. Ouça o vídeo inteiro uma vez sem falar e anote as palavras que você não conhece.
  2. Faça shadowing frase por frase na velocidade normal, repetindo cada uma até o seu ritmo ficar igual ao do falante.
  3. Grave a sua voz e compare com o original, prestando atenção a palavras como glucose, hemoglobin, practitioner.

O que é a Técnica de Shadowing?

Shadowing é uma técnica de aprendizado de idiomas com base científica, originalmente desenvolvida para o treinamento de intérpretes profissionais. O método é simples, mas poderoso: você ouve áudio em inglês nativo e repete imediatamente em voz alta — como uma sombra seguindo o falante com 1-2 segundos de atraso. Pesquisas mostram melhora significativa na precisão da pronúncia, entonação, ritmo, sons conectados, compreensão auditiva e fluência na fala.

Técnica de shadowing: leia o guia completo passo a passo →