Bolus Guide: A Novel Insulin Bolus Dosing Decision Support Tool Based on Selection of Carbohydrate Ranges

Section: Overview Of Insulin Pump Bolus Calculatorsmentioning

confidence: 99%

Insulin Bolusing Software: The Potential to Optimize Health Outcomes in Type 1 Diabetes Mellitus

Driscoll

Johnson

Hogan

et al. 2013

“…Such calculators already exist for bolus insulin (primarily for insulin pumps or intensive care units), and several studies on such devices or programs have been published. [61][62][63][64][65][66][67][68][69][70] It is imaginable that the availability of basal insulin dose calculators that incorporate basal insulin titration algorithms-under the condition that the previously mentioned issues are taken into accountassists patients and physicians in real life and leads to substantial improvements of diabetes control. This improvement of diabetes control should be proven in controlled trials.…”

Section: What Are the Future Perspectives?mentioning

confidence: 99%

Common Standards of Basal Insulin Titration in T2DM

Arnolds

Heise

Flacke

et al. 2013

Type 2 diabetes mellitus has become a worldwide major health problem, and the number of people affected is steadily increasing. Thus, not all patients suffering from the disease can be treated by specialized diabetes centers or outpatient clinics, but by primary care physicians. The latter, however, might have time constraints and have to deal with many kinds of diseases or with multimorbid patients, so their focus is not so much on lowering high blood glucose values. Thus, the physicians, as well as the patients themselves, are often reluctant to initiate and adjust insulin therapy, although basal insulin therapy is considered the appropriate strategy after oral antidiabetic drug failure, according to the latest international guidelines. A substantial number of clinical studies have shown that insulin initiation and optimization can be managed successfully by using titration algorithms-even in cases where patients themselves are the drivers of insulin titration. Nevertheless, tools and strategies are needed to facilitate this process in the daily life of both primary health care professionals and patients with diabetes.

“…To develop the software, the investigators specified that subjects self-monitor six times per day, and they defined four ranges of glycemia from the test results. This means that 4 6 , which is 4096, patterns of glycemia throughout a day were accounted for by the computer app. The investigators also defined up to 60 types of insulin regimens.…”

Section: Investigator-initiated Softwarementioning

confidence: 99%

“…5 Not only patients, but even diabetes educators can have trouble estimating the carbohydrate contents of foods. 6 Many patients with diabetes have been shown to have difficulty understanding and using numbers. These patients have a great deal of difficulty calculating mealtime bolus doses and even more trouble combining correction boluses with mealtime boluses.…”

Section: Patients Who Can Benefitmentioning

confidence: 99%

The Current Status of Bolus Calculator Decision-Support Software

Klonoff

2012