The Diva System, a computerized diary, used in young type 1 diabetic patients.
The purpose of the present study was to evaluate the clinical efficiency of a computer bases registration- and analysis-system, Diva System, designed for the support of diabetes care. Fifty six boys aged 14-20 years with a diabetes duration of more than two years and HbA1c above 8% were allocated to one of three groups: 1) Diva group: Diva supported intensified outpatient regimen n = 9, 2) Control group A: Intensified outpatient control n = 7, and 3) Control group B: Conventional outpatient control n = 40. The patients were followed for a period of twelve months, in which the Diva group patients used the system during the first six months. In this period the HbA1c decreased significantly in the Diva group, 1.6% p < 0.001, compared to only a slight decrease in the two control groups, 0.3 and 0.4% respectively, ns.


CONCLUSIONS
The Diva System seems to be a supportive tool, which might assist the patients to better self care and thereby to improved metabolic control. However, the use of the computer system is time consuming.
Steno Diabetes Center, Gentofte, Denmark.
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AM
Rosenfalck
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Bendtson
D000293:Adolescent; D000328:Adult; D015415:Biomarkers / Q000097:blood; D015190:Blood Glucose Self-Monitoring; D003201:Computers; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000534:rehabilitation*; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D008499:Medical Records; D012648:Self Care; D012984:Software
D015415:Biomarkers; D006442:Glycated Hemoglobin