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Hyperinsulinemic-Euglycemic Clamp in the Conscious Rat
Published on: February 7, 2011
Clinical studies with home glucose clamping
1Disease Management Division BCMC Better Control Medical Computers, Inc. 1413 20th Street Unit 207, Miami Beach, FL 33139, USA. www.Albisser@NICM.org
Annales D'Endocrinologie
|March 10, 2001
Summary
Patients with diabetes using a remote computer system for glucose control showed significant benefits. This technology improved self-blood glucose management, reducing hyperglycemia and hypoglycemia by twofold.
Area of Science:
- Diabetes management
- Health informatics
- Remote patient monitoring
Background:
- Effective self-blood glucose control is vital for long-term diabetes outcomes.
- Remote computer systems offer potential for enhanced patient support in diabetes care.
Purpose of the Study:
- To assess patient adoption rates of a remote computer-assisted diabetes management system.
- To evaluate the clinical benefits of the system for users compared to non-users.
Main Methods:
- A centralized, voice-interactive computer system was developed for remote diabetes management.
- Customized algorithms for home glucose clamping were programmed for individual patients.
- Patients used touch-tone telephones to report glucose levels and lifestyle events over 12 months.
Main Results:
- Sixty percent (231/388) of patients actively used the remote system.
- Users experienced a ~2-fold reduction in hyperglycemia and hypoglycemia (p<0.05).
- Average glycated hemoglobin levels decreased by 1.3% (p<0.001) in users.
Conclusions:
- Patients with diabetes are receptive to computer assistance for self-management.
- Remote algorithmic support enables effective home glucose clamping and reduces diabetic crises.
- The system empowers physicians to provide superior, cost-effective diabetes care.
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