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Model-based Decision support in Diabetes Care
Authors:E. Salzsieder  L. VogtK.-D. Kohnert  P. HeinkeP. Augstein
Affiliation:a Institute of Diabetes “Gerhardt Katsch” Karlsburg, Greifswalder Str. 11e, D-17495 Karlsburg, Germany
b Diabetes Service Center Karlsburg, Germany
Abstract:The model-based Karlsburg Diabetes Management System (KADIS®) has been developed as a patient-focused decision-support tool to provide evidence-based advice for physicians in their daily efforts to optimize metabolic control in diabetes care of their patients on an individualized basis. For this purpose, KADIS® was established in terms of a personalized, interactive in silico simulation procedure, implemented into a problem-related diabetes health care network and evaluated under different conditions by conducting open-label mono- and polycentric trials, and a case-control study, and last but not least, by application in routine diabetes outpatient care. The trial outcomes clearly show that the recommendations provided to the physicians by KADIS® lead to significant improvement of metabolic control. This model-based decision-support system provides an excellent tool to effectively guide physicians in personalized decision-making to achieve optimal metabolic control for their patients.
Keywords:Model-based control system design   Physiological model   System identification   Decision-support system   Clinical trials   Diabetes health care
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