Computer-aided systems in the management of type I diabetes: the application of a model-based strategy.

Abstract:

:One approach of improving metabolic control in type I diabetic patients is the application of computer-aided procedures aimed at supporting the decision on optimal therapeutic regimens. To accomplish this, a complex strategy was developed which in an individual patient permits (1) the evaluation of metabolic data by means of statistical and graphical methods, and (2) the prediction of the outcome in feedback and in non-feedback-controlled insulin therapy. The latter is realized by means of simulation, employing a structured model of the glucose-insulin control system where the model parameters can either be identified individually or be taken at random. The practical applicability was validated in C-peptide-negative type I diabetic patients who were on intensified insulin injection therapy. The comparison between theoretical predictions and daily glycaemic profiles measured by the patients under ambulatory conditions showed close correspondence which justifies the application of this method as a clinical decision support.

authors

Salzsieder E,Albrecht G,Fischer U,Rutscher A,Thierbach U

doi

10.1016/0169-2607(90)90103-g

subject

Has Abstract

pub_date

1990-07-01 00:00:00

pages

215-24

issue

3-4

eissn

0169-2607

issn

1872-7565

pii

0169-2607(90)90103-G

journal_volume

32

pub_type

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