A Methodology to Compare Insulin Dosing Recommendations in Real-Life Settings

Danielle Groat, Maria Grando, Bithika Thompson, Pedro Neto, Hiral Soni, Mary E. Boyle, Marilyn Bailey, Curtiss B. Cook

    Research output: Contribution to journalArticle

    2 Scopus citations

    Abstract

    Background: We propose a methodology to analyze complex real-life glucose data in insulin pump users. Methods: Patients with type 1 diabetes (T1D) on insulin pumps were recruited from an academic endocrinology practice. Glucose data, insulin bolus (IB) amounts, and self-reported alcohol consumption and exercise events were collected for 30 days. Rules were developed to retrospectively compare IB recommendations from the insulin pump bolus calculator (IPBC) against recommendations from a proposed decision aid (PDA) and for assessing the PDA’s recommendation for exercise and alcohol. Results: Data from 15 participants were analyzed. When considering instances where glucose was below target, the PDA recommended a smaller dose in 14%, but a larger dose in 13% and an equivalent IB in 73%. For glucose levels at target, the PDA suggested an equivalent IB in 58% compared to the subject’s IPBC, but higher doses in 20% and lower in 22%. In events where postprandial glucose was higher than target, the PDA suggested higher doses in 25%, lower doses in 13%, and equivalent doses in 62%. In 64% of all alcohol events the PDA would have provided appropriate advice. In 75% of exercise events, the PDA appropriately advised an IB, a carbohydrate snack, or neither. Conclusions: This study provides a methodology to systematically analyze real-life data generated by insulin pumps and allowed a preliminary analysis of the performance of the PDA for insulin dosing. Further testing of the methodological approach in a broader diabetes population and prospective testing of the PDA are needed.

    Original languageEnglish (US)
    Pages (from-to)1174-1182
    Number of pages9
    JournalJournal of diabetes science and technology
    Volume11
    Issue number6
    DOIs
    StatePublished - Nov 1 2017

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    Keywords

    • alcohol
    • bolus calculator
    • exercise
    • insulin pump
    • postprandial blood glucose
    • retrospective analysis

    ASJC Scopus subject areas

    • Internal Medicine
    • Endocrinology, Diabetes and Metabolism
    • Bioengineering
    • Biomedical Engineering

    Cite this

    Groat, D., Grando, M., Thompson, B., Neto, P., Soni, H., Boyle, M. E., Bailey, M., & Cook, C. B. (2017). A Methodology to Compare Insulin Dosing Recommendations in Real-Life Settings. Journal of diabetes science and technology, 11(6), 1174-1182. https://doi.org/10.1177/1932296817704444