Abstract
A prototype computer system has been developed to provide advice on the day-to-day adjustment of carbohydrate intake and insulin regimen in the diabetic patient. The prototype is intended to be used as a decision support system by clinical personnel in the context of day-to-day management of insulin-treated diabetic patients. It is designed for use during consultations, as a simulator of patient response following changed insulin and dietary regimen and as a system to provide education on planning insulin therapy. Advice is generated by a qualitative knowledge based system (KBS) which suggests what the next step in improving glycaemic control might be for a given patient, e.g. ‘decrease evening medium-acting insulin’. A model of glucose-insulin interaction has been developed to stimulate the effects of these adjustments on the patient’s blood glucose profile.
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