Preliminary experience of the DIAS computer model in providing insulin dose advice to patients with insulin dependent diabetes.

Abstract:

:The Diabetes Advisory System (DIAS) is a model of human glucose metabolism which predicts hourly blood glucose concentrations and provides advice on insulin dose. Its ability to provide appropriate advice was assessed in 20 well-controlled IDDM patients (mean (SD) age 38 (11), duration 17 (9) years; HbA1 8.8 (0.9)%, reference range 5.4-7.6%). Patients recorded blood glucose measurements, insulin dose and food intake for 4 days. These data were used to generate insulin dose advice by both DIAS and a diabetes specialist nurse. Patients were then allocated to follow either DIAS or nurse advice for a further 4 days. There was no significant difference in mean recorded blood glucose values or frequency of reported hypoglycaemia between the DIAS and nurse groups either before or after insulin dose adjustment. The DIAS model, however, generated significantly lower insulin dose advice than the nurse (median (range)% change in insulin dose: DIAS group -13.3% (-25.0 to +11.6) versus nurse group 0% (-8.7 to +2.5), P < 0.05). We conclude that, in the patients studied, DIAS provided insulin dose advice which maintained good short term control of diabetes, despite significant reductions in dose in some cases.

authors

Cavan DA,Hejlesen OK,Hovorka R,Evans JA,Metcalfe JA,Cavan ML,Halim M,Andreassen S,Carson ER,Sönksen PH

doi

10.1016/s0169-2607(98)00022-4

subject

Has Abstract

pub_date

1998-05-01 00:00:00

pages

157-64

issue

2

eissn

0169-2607

issn

1872-7565

pii

S0169-2607(98)00022-4

journal_volume

56

pub_type

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