Computer assisted insulin dosage adjustment--perspectives for diabetes control.
Pocket computers provide the physician's (expert's) advice at home and by that may increase the number of self-adapting diabetics and alleviate documentation and evaluation of therapy data. By a more complex quantitative approach metabolic control may be improved beyond the range which is attained by optimal intensified education, as clinical trials showed. By their reproducible measures a learning process seems to be induced in the patients. Risks like hyperinsulinisation may be overcome by watch dog functions and suitable algorithms. In addition to these patient-oriented functions the automatic data acquisition may be used for secondary PC-assisted data interpretation and more complex advice at the physicians office. For compliance reasons the system concept has to be user-friendly considering size, easy handling and compensating for the loss of a written log book by adequate display.
Schrezenmeir
J
J
Abteilung für Innere Medizin-Endokrinologie, Johannes Gutenberg-Universität, Mainz, Germany.
Müller-Haberstock
S
S
Achterberg
H
H
Dahlke
U
U
Dirting
K
K
Küstner
E
E
Hogan
M
M
Beyer
J
J
D000465:Algorithms; D001786:Blood Glucose / Q000032:analysis*; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000188:drug therapy*; D006801:Humans; D007328:Insulin / Q000627:therapeutic use*; D008838:Microcomputers; D008962:Models, Theoretical; D010820:Physicians; D012648:Self Care
D001786:Blood Glucose; D007328:Insulin