Can a tool that automates insulin titration be a key to diabetes management?

ABSTRACT:

Background

Most patients who use insulin do not achieve optimal glycemic control and become susceptible to complications. Numerous clinical trials have shown that frequent insulin dosage titration is imperative to achieve glycemic control. Unfortunately, implementation of such a paradigm is often impractical. We hypothesized that the Diabetes Insulin Guidance System (DIGS™) (Hygieia, Inc., Ann Arbor, MI) software, which automatically advises patients on adjustment of insulin dosage, would provide safe and effective weekly insulin dosage adjustments.

Subjects and methods

In a feasibility study we enrolled patients with type 1 and type 2 diabetes, treated with a variety of insulin regimens and having suboptimal glycemic control. The 12-week intervention period followed a 4-wee

SUBMITTER: Bergenstal RM 

PROVIDER: S-EPMC3409453 | biostudies-literature | 2012 Aug

REPOSITORIES: biostudies-literature