The utterance of "hmm" is key for listeners to understand that the speaker is currently engaged in thought; if the speaker thought silently instead, listeners may be unsure if the speaker had finished their utterance. "Um" and "er" are also used during thoughtful absorption; however, typically the extent of the absorption of thought is more limited since "um" and "er" are usually spoken mid-sentence and for shorter periods of time than "hmm". For this reason, thoughtful absorption is typically associated with the utterance of "hmm". "Huh" – the universal syllable
Research has shown that the word/syllable "huh" is perhaps the most recognized syllable throughout the world. It is an interrogative. This crosses geography, language, cultures and nationalities. See also
References
Further reading
Clark, HH. ; Fox Tree, JE. (May 2002). "Using uh and um in spontaneous speaking" (PDF). Cognition. 84 (1): 73–111. CiteSeerX 10.1.1.5.7958. doi:10.1016/S0010-0277(02)00017-3. PMID 12062148. S2CID 37642332. Archived from the original (PDF) on 2013-11-10. Corley, Martin; Stewart, Oliver W. (2008). "Hesitation Disfluencies in Spontaneous Speech: The Meaning of Um" (PDF). Language and Linguistics Compass. 2 (4): 589–602. doi:10.1111/j.1749-818X.2008.00068.x. hdl:20.500.11820/0e5f2f2f-7383-42c5-a7ba-63f2587ad877. ISSN 1749-818X. Daniel, Ari (5 Feb 2015). "Are we witnessing the death of uh? Um, maybe—and not just in English". Eklund, Robert (2004). Disfluency in Swedish human-human and human-machine travel booking dialogues (PDF) (Thesis). Linköping Studies in Science and Technology Dissertation No. 882 (Corrected ed.). Department of Computer and Information Science, Linköping University. ISBN 91-7373-966-9. ISSN 0345-7524. OCLC 940753621. Retrieved 11 August 2021. Erard, Michael (2008). Um...: Slips, Stumbles, and Verbal Blunders, and What They Mean. Anchor. ISBN 978-1-4000-9543-8.
Hyperinsulinism refers to an above normal level of insulin in the blood of a person or animal. Normal insulin secretion and blood levels are closely related to the level of glucose in the blood, so that a given level of insulin can be normal for one blood glucose level but low or high for another. Hyperinsulinism can be associated with several types of medical problems, which can be roughly divided into two broad and largely non-overlapping categories: those tending toward reduced sensitivity to insulin and high blood glucose levels (hyperglycemia), and those tending toward excessive insulin secretion and low glucose levels (hypoglycemia). Signs and symptoms
Hyperinsulinism due to reduced insulin sensitivity is usually asymptomatic. In contrast, hyperinsulinemic hypoglycemia can produce any of the entire range of hypoglycemic symptoms, from shakiness and weakness, to seizures or coma. Diagnosis
Diminished sensitivity, associated with diabetes risk
Although many factors influence insulin secretion, the most important control is the amount of glucose moving from the blood into the beta cells of the pancreas. In healthy people, even small rises in blood glucose result in increased insulin secretion.