The Diva System, a computerized diary, used in young type 1 diabetic patients

The purpose of the present study was to evaluate the clinical efficiency of a computer bases registration- and analysis-system, Diva System, designed for the support of diabetes care. Fifty six boys aged 14-20 years with a diabetes duration of more than two years and HbA1c above 8% were allocated to one of three groups: 1) Diva group: Diva supported intensified outpatient regimen n = 9, 2) Control group A: Intensified outpatient control n = 7, and 3) Control group B: Conventional outpatient control n = 40. The patients were followed for a period of twelve months, in which the Diva group patients used the system during the first six months. In this period the HbA1c decreased significantly in the Diva group, 1.6% p < 0.001, compared to only a slight decrease in the two control groups, 0.3 and 0.4% respectively, ns.

The Diva System seems to be a supportive tool, which might assist the patients to better self care and thereby to improved metabolic control. However, the use of the computer system is time consuming.