Title :
Microcomputer-aided insulin dose determination in intensified conventional insulin therapy
Author :
Shimauchi, Takehide ; Kugai, Nobuo ; Nagata, Naokazu ; Takatani, Osamu
Author_Institution :
Third Dept. of Int. Med., Nat. Def. Med. Coll., Saitama, Japan
Abstract :
A microcomputer program is presented that gives information when insulin-dependent diabetes mellitus (IDDM) patients need to make decisions regarding the insulin regimen in intensified conventional insulin therapy in conjunction with self-monitoring of blood glucose. This information consists of the optimum insulin dose and timing of its administration that these IDDM patients need. Estimates were made by a statistical approach based on the impulse response of blood glucose to a bolus injection of insulin (insulin sensitivity) calculated from blood glucose profiles, which consisted of nine daily blood glucose level measurements. This information is objective because it is mathematically substantiated, and useful because it can be obtained from insulin sensitivity.
Keywords :
medical computing; microcomputer applications; patient treatment; blood glucose control; bolus injection; diabetes mellitus; intensified conventional insulin therapy; microcomputer program; microcomputer-aided insulin dose determination; Blood; Diabetes; Insulin; Level measurement; Medical treatment; Microcomputers; Pancreas; Patient monitoring; Sugar; Timing; Algorithms; Blood Glucose; Diabetes Mellitus, Type 1; Drug Administration Schedule; Drug Therapy, Computer-Assisted; Humans; Insulin; Microcomputers; Self Care; Therapy, Computer-Assisted;
Journal_Title :
Biomedical Engineering, IEEE Transactions on