Bolus calculator improves long-term metabolic control and reduces glucose variability in pump-treated patients with Type 1 diabetes

Lepore, Giuseppe; Dodesini, Alessandro Roberto; Nosari, I.; Scaranna, Cristiana; Corsi, A; Trevisan, Roberto

doi:10.1016/j.numecd.2012.04.001

Cited by 33 publications

(21 citation statements)

References 6 publications

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“…36 The study further reported that postprandial BG values improved significantly. This observation has been confirmed by other small studies in CSII-treated patients.…”

Section: Bolus Calculators Integrated In Pumpsmentioning

confidence: 79%

Bolus Calculators

Schmidt

Nørgaard

2014

J Diabetes Sci Technol

137

109

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Matching meal insulin to carbohydrate intake, blood glucose, and activity level is recommended in type 1 diabetes management. Calculating an appropriate insulin bolus size several times per day is, however, challenging and resource demanding. Accordingly, there is a need for bolus calculators to support patients in insulin treatment decisions. Currently, bolus calculators are available integrated in insulin pumps, as stand-alone devices and in the form of software applications that can be downloaded to, for example, smartphones. Functionality and complexity of bolus calculators vary greatly, and the few handfuls of published bolus calculator studies are heterogeneous with regard to study design, intervention, duration, and outcome measures. Furthermore, many factors unrelated to the specific device affect outcomes from bolus calculator use and therefore bolus calculator study comparisons should be conducted cautiously. Despite these reservations, there seems to be increasing evidence that bolus calculators may improve glycemic control and treatment satisfaction in patients who use the devices actively and as intended.

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“…36 The study further reported that postprandial BG values improved significantly. This observation has been confirmed by other small studies in CSII-treated patients.…”

Section: Bolus Calculators Integrated In Pumpsmentioning

confidence: 79%

Bolus Calculators

Schmidt

Nørgaard

2014

J Diabetes Sci Technol

137

109

View full text Add to dashboard Cite

show abstract

“…Quite recently, a prospective study performed over a period of 1 year where 30 type 1 diabetic patients were asked to use an ABC, showed a significant decrease in diurnal glucose variability ( P < 0.005), and improved HbA 1c ( P = 0.007) and postprandial BG ( P < 0.05) values. The frequency of hypoglycemia was not increased [37]. …”

Section: Methodsmentioning

confidence: 99%

Glucose Meters with Built-In Automated Bolus Calculator: Gadget or Real Value for Insulin-Treated Diabetic Patients?

Colin¹,

Pâris²

2012

Diabetes Ther

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Self-monitoring of blood glucose is now widely recognized as efficacious to enhance and facilitate diabetes management. More than just a means of recording and storing data, some blood glucose meters (BGMs) are now designed with an embedded automated bolus calculator (ABC) with the goal to propose patients recommendations about insulin dosage. The growing literature in this field tends to claim that these new smart BGMs make patient’s life easier and decision making safer. The main purpose of this review is to verify whether BGMs with a built-in ABC indeed improve the willingness and the ability of insulin-treated patients to make adequate therapeutic decisions and positively impact the metabolic control and the quality of life of ABC users. It appears that, as long as the education provided by caregivers remains a top priority, BGMs with a built-in ABC (more than just electronic gadgets) can be regarded as bringing real value to insulin-treated patients with diabetes.

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“…According to an analysis of Sussman et al (77), patients with insulin-treated diabetes made errors in more than half of the calculated insulin doses. Several studies reported a clear benefit (79)(80)(81)(82), whereas other authors (83-86) concluded a positive effect only in special aspects. Automated bolus calculators have been available for many years.…”

Section: Automated Bolus Calculatorsmentioning

confidence: 96%

Technology in Diabetes Treatment: Update and Future

Schiel¹,

Bambauer²,

Steveling

2018

Artificial Organs

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Worldwide the number of people with diabetes mellitus is increasing. There are estimations that diabetes is one of the leading causes of death. The most important goals for the treatment of diabetes are self‐management of the disease and an optimal quality of diabetes control. In the therapy new technologies, like real‐time continuous interstitial glucose monitoring, continuous subcutaneous insulin infusion (CSII), electronic tools for the monitoring of therapeutic approaches, automated bolus calculators for insulin and electronic tools for education and information of patients, have become widespread and play important roles. All these efforts are related to the interaction between patients, caregivers, scientists or researchers and industry. The presentation of different aspects of new technological approaches in the present article should give more information about different technologies. However, because of the rather quickly appearance of new technologies, the presentation can only be a spotlight. Further studies are mandatory to analyze the effects and long‐term benefits of each technology and electronic device.

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Bolus calculator improves long-term metabolic control and reduces glucose variability in pump-treated patients with Type 1 diabetes

Cited by 33 publications

References 6 publications

Bolus Calculators

Bolus Calculators

Glucose Meters with Built-In Automated Bolus Calculator: Gadget or Real Value for Insulin-Treated Diabetic Patients?

Technology in Diabetes Treatment: Update and Future

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