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Exp Clin Endocrinol Diabetes 1990; 95(1): 137-147
DOI: 10.1055/s-0029-1210946
Original

© J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York

KADIS – a Computer-Aided Decision Support System for Improving the Management of Type-I Diabetes*

A. Rutscher, E. Salzsieder, Ulrike Thierbach, U. Fischer, G. Albrecht
  • Central Institute of Diabetes “Gerhardt Katsch” (Director: OMR Prof. Dr. sc. med. H. Bibergeil) Karlsburg/GDR
* Dedicated to Professor Horst Bibergeil at the occasion of his 65th birthday
Further Information

Publication History

1989

Publication Date:
16 July 2009 (online)

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Summary

Despite the introduction of new therapeutic aids such as insulin pumps and injectors, blood glucose test tapes, particular insulin formulations, and the physiological basis-bolus principle of insulin dosage regimes, the metabolic care of most insulin-dependent patients is still insufficient. One potential tool of further improving the results in diabetes treatment consists in the application of computer-aided procedures to estimate individually optimal regimes. Employing a validated mathematical model of the glucose/insulin metabolic control system and individual sets of data from patients' self-monitoring, a software package was developed on a micro-computer which allowed both the retrospective analysis of data resulting from the therapeutic process, and the prospective simulation of the outcome of alterations in the regime in terms of glycaemia and insulinaemia. The two parts of the programme provide either for the patient or for the physician an interactive mode of working with the computer. The system is now being validated by means of a long-term follow-up study in type-I diabetic patients. It may be used mainly in diabetic outpatient centers and as a tool of educating, training, and motivating patients.

Key words

Computer-aided simulation - Insulin therapy - Diabetes management - Physiological model - Data processing

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