Related Experiment Videos
Intelligent instrumentation in diabetic management
1Division of Biomedical Research, Hospital for Sick Children, Toronto, Ontario, Canada.
Critical Reviews in Biomedical Engineering
|January 1, 1989
Summary
This study reviews intelligent instrumentation for insulin-dependent diabetes mellitus management, tracing closed-loop control systems from 1974. It details a practical microprocessor system integrating diet, exercise, and expert intervention for optimized diabetes care.
Area of Science:
- Biomedical Engineering
- Endocrinology
- Medical Informatics
Background:
- Insulin-dependent diabetes mellitus (IDDM) requires continuous management.
- Traditional insulin therapy faces limitations in optimizing glycemic control.
- Advancements in technology are crucial for improving diabetes care.
Purpose of the Study:
- To review the evolution of intelligent instrumentation for IDDM management.
- To describe the development and implementation of a practical closed-loop diabetes control system.
- To highlight algorithms and a computerized expert system for optimizing therapy.
Main Methods:
- Chronological review of closed-loop diabetes control systems since 1974.
- Description of microprocessor device development, including sensors and vascular access.
- Presentation of a practical system integrating diet, exercise, and expert intervention.
Main Results:
- Early devices had shortcomings related to sensors and access.
- Open-loop systems and conventional insulin delivery show fundamental limitations.
- A clinical closed-loop system incorporating patient factors and expert input was developed.
Conclusions:
- Microprocessor-based expert systems offer a practical approach to optimizing conventional diabetes therapy.
- Intelligent instrumentation is key to advancing closed-loop diabetes control.
- Future systems must effectively manage lifestyle factors like diet and exercise.