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Modeling and Evaluation of Murine Diabetic Cardiomyopathy Model
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Modeling Ketogenesis for Use in Pediatric Diabetes Simulation.

Catherina Pinnaro1, Gary E Christensen2,3, Vanessa Curtis1

  • 1Stead Family Department of Pediatrics, Department of Endocrinology and Diabetes, University of Iowa, IA, USA.

Journal of Diabetes Science and Technology
|October 15, 2019
PubMed
Summary

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A new pediatric diabetes simulation was developed, incorporating blood sugar and urine ketones. This tool is feasible and well-received, enhancing medical education for pediatric diabetes management.

Area of Science:

  • Medical Education
  • Pediatric Endocrinology
  • Simulation Technology

Background:

  • Diabetes simulation improves adult clinical outcomes but pediatric-specific tools are lacking.
  • Existing models do not include ketones, a critical factor in pediatric diabetes management.
  • There is a need for specialized simulation in pediatric diabetes education.

Purpose of the Study:

  • To develop and evaluate a pediatric diabetes simulation incorporating blood glucose and urine ketones.
  • To assess the feasibility and reception of the simulation among pediatric residents.
  • To provide a realistic training tool for managing pediatric diabetes.

Main Methods:

  • Created a pediatric diabetes simulation with blood sugar and urine ketones as outputs.
Keywords:
ketonespediatricssimulationtype 1 diabetes

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  • Implemented ketone output as a state variable, obfuscated for realism.
  • Calculated insulin on board (IOB) and carbohydrates on board (COB) every 15 minutes.
  • Provided feedback on dosing and timing accuracy.

    • Main Results:

    • The simulation accurately incorporated blood glucose and urine ketones in actionable formats.
    • Pediatric residents found the simulation realistic and clinically relevant.
    • 16 out of 17 residents desired more simulated diabetes cases in their curriculum.

    Conclusions:

    • Pediatric diabetes simulation is a feasible and well-received educational method.
    • Simulation can supplement or replace traditional lectures when resources are limited.
    • Further research is needed to explore the full potential of simulation in pediatric diabetes education.