A 5-Step Approach Protocol Using CareLink Therapy Software in Type 1 Diabetes Patients
Journal
Journal of Diabetes Science and Technology
Date Issued
2017-11
Author(s)
DOI
10.1177/1932296817726553
Abstract
We have developed a 5-step approach protocol in interpreting SAP using CareLink. The main objective of this pilot study
was to assess the usability of the protocol. The main analysis is
based on the Therapy Management Dashboard, where five segments are allocated: (1) basic statistics; (2) glucose and insulin
overlay; (3) postprandial period; (4) basal/bolus insulin; (5)
suspends and sensor. Possible changes are noted on a printed
insulin settings page with evaluation of rationale/physiological
insulin. Every segment is analyzed with correlation through
others with step by step confirmation of possible change.
Thirty-four patients (F 18, M 16), age 15.3 ± 7.7 years
with total of 128 CareLink downloads were analyzed on
monthly basis in a period of 3 months.
The patients profile matched our everyday clinical practice, similar to glucose control on patients using insulin pump
reported in several studies.3,4 Our data showed increased insulin total daily dose (TDD), due to fine tuning with more bolus
dose than the basal rates. The glucose control was improved
(as seen in Table 1) with a decreased hyperglycemic and
hypoglycemic patterns.A 5-step approach protocol in interpreting SAP using
CareLink is simple, convenient, and efficient and should
be assessed on the multicenter level and with a wider
population.
was to assess the usability of the protocol. The main analysis is
based on the Therapy Management Dashboard, where five segments are allocated: (1) basic statistics; (2) glucose and insulin
overlay; (3) postprandial period; (4) basal/bolus insulin; (5)
suspends and sensor. Possible changes are noted on a printed
insulin settings page with evaluation of rationale/physiological
insulin. Every segment is analyzed with correlation through
others with step by step confirmation of possible change.
Thirty-four patients (F 18, M 16), age 15.3 ± 7.7 years
with total of 128 CareLink downloads were analyzed on
monthly basis in a period of 3 months.
The patients profile matched our everyday clinical practice, similar to glucose control on patients using insulin pump
reported in several studies.3,4 Our data showed increased insulin total daily dose (TDD), due to fine tuning with more bolus
dose than the basal rates. The glucose control was improved
(as seen in Table 1) with a decreased hyperglycemic and
hypoglycemic patterns.A 5-step approach protocol in interpreting SAP using
CareLink is simple, convenient, and efficient and should
be assessed on the multicenter level and with a wider
population.