دورية أكاديمية
Adjustment of insulin pump settings in Type 1 diabetes management : Advisor Pro device compared to physicians’ recommendations
| العنوان: | Adjustment of insulin pump settings in Type 1 diabetes management : Advisor Pro device compared to physicians’ recommendations |
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| المؤلفون: | Nimri, Revital, Oron, Tal, Muller, Ido, Kraljevic, Ivana, Alonso, Montserrat Martin, Keskinen, Paivi, Milicic, Tanja, Oren, Asaf, Christoforidis, Athanasios, Den Brinker, Marieke, Bozzetto, Lutgarda, Bolla, Andrea Mario, Krcma, Michal, Rabini, Rosa Anna, Tabba, Shadi, Smith, Lizl, Vazeou, Andriani, Maltoni, Giulio, Giani, Elisa, Atlas, Eran, Phillip, Moshe |
| بيانات النشر: | Sage |
| سنة النشر: | 2022 |
| المجموعة: | University of Pretoria: UPSpace |
| مصطلحات موضوعية: | Insulin dose adjustments, Physicians, Advisor Pro, Artificial intelligence-based decision support system, Type 1 diabetes mellitus (T1DM), Insulin pump, Self-monitoring blood glucose (SMBG), Insulin pump settings adjustments, Automated decision support |
| الوصف: | Part of this work was presented at the 12th International Conference on Advanced Technologies & Treatments for Diabetes, Berlin, Germany, February 20-23, 2019. ; AIMS : To compare insulin dose adjustments made by physicians to those made by an artificial intelligence-based decision support system, the Advisor Pro, in people with type 1 diabetes (T1D) using an insulin pump and self-monitoring blood glucose (SMBG). METHODS : This was a multinational, non-interventional study surveying 17 physicians from 11 countries. Each physician was asked to provide insulin dose adjustments for the settings of the pump including basal rate, carbohydrate-to-insulin ratios (CRs), and correction factors (CFs) for 15 data sets of pumps and SMBG of people with T1D (mean age 18.4 ± 4.8 years; eight females; mean glycated hemoglobin 8.2% ± 1.4% [66 ± 11mmol/mol]). The recommendations were compared among the physicians and between the physicians and the Advisor Pro. The study endpoint was the percentage of comparison points for which there was an agreement on the direction of insulin dose adjustments. RESULTS : The percentage (mean ± SD) of agreement among the physicians on the direction of insulin pump dose adjustments was 51.8% ± 9.2%, 54.2% ± 6.4%, and 49.8% ± 11.6% for the basal, CR, and CF, respectively. The automated recommendations of the Advisor Pro on the direction of insulin dose adjustments were comparable )49.5% ± 6.4%, 55.3% ± 8.7%, and 47.6% ± 14.4% for the basal rate, CR, and CF, respectively( and noninferior to those provided by physicians. The mean absolute difference in magnitude of change between physicians was 17.1% ± 13.1%, 14.6% ± 8.4%, and 23.9% ± 18.6% for the basal, CR, and CF, respectively, and comparable to the Advisor Pro 11.7% ± 9.7%, 10.1% ± 4.5%, and 25.5% ± 19.5%, respectively, significant for basal and CR. CONCLUSIONS : Considerable differences in the recommendations for changes in insulin dosing were observed among physicians. Since automated recommendations by the Advisor Pro were similar to those ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | Nimri, R., Oron, T., Muller, I. et al. Adjustment of Insulin Pump Settings in Type 1 Diabetes Management: Advisor Pro Device Compared to Physicians’ Recommendations. Journal of Diabetes Science and Technology. 2022; 16(2): 364-372. doi:10.1177/1932296820965561.; 1932-2968 (online); http://hdl.handle.net/2263/91974Test |
| DOI: | 10.1177/1932296820965561 |
| الإتاحة: | https://doi.org/10.1177/1932296820965561Test http://hdl.handle.net/2263/91974Test |
| حقوق: | © 2020 Diabetes Technology Society. |
| رقم الانضمام: | edsbas.DC32F03 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1177/1932296820965561 |
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