INS and diabetes mellitus: The most commonly used words or phrases in the definitions included “insulin” or “sugar” in conjunction with the “body's inability to process sugar.” Examples of the responses included “diabetes is a disease that affects the pancreas, or your body's ability to produce or secrete insulin” (Participant 201701) and “the failure of the pancreas to produce enough insulin to efficiently metabolize sugars and carbohydrates” (Participant 201703).