It might help to remember that Insulin Therapy AnalysisTM is endorsed and used by a current member of the Board of Directors of the AADE, Dr. Richard Guthrie, MD, CDE. Dr. Guthrie is one of the principal authors of the AADE's "bible" on Diabetes Education: A Core Curriculum for Diabetes Educators. Diabetes Online is extremely proud of such this powerful endorsement.

So here we go...

First, a few warnings:

Do not mistake these results for your regime!

Remember, you are looking "under the hood" to see how ITA handles JohnK's personal regime.

If you see things that you think might apply to you, GO SEE YOUR DOCTOR!

Please respect the above WARNINGS, OK?

So here we go...

For your convenience, here is JohnK's real life regime as he submitted it.

Regime	Client's own description
INSULIN   8 AM 6 units R 1 PM 6 units R 6:30 PM 8 units R 11 PM 28 units N   FOOD   8 :30 AM breakfast 40 Carb. 10:30 AM snack 30 Carb. 1 PM lunch 40 Carb. 3 PM snack 40 Carb. 7 PM dinner 100 Carb. 10 PM snack 20 Carb.	Glucose Readings   8 AM 208 1 PM 71 6:30 PM 237 HIGHS & LOWS   Lows (tend to be at about...) 1 PM 45 to 252 Average = 119 Highs (tend to be at about...) 6:30 PM 93 to 389 Average = 239   8 AM Average 26 to 376 Average = 187   Over all average = 181 The above compiled over 18 days

Below is the ITA computer screen of JohnK's regime. (This is exactly what you would see on your own computer when you click on the Graphs button).

Another printout from ITA Diabetes Simulation: JohnK's regime

This top plot shows simulated blood glucose levels (figure 1a)   This middle plot shows: Carb Loading (figure 2a) This bottom graph shows: Available Insulin (bolus) (figure 3a)

The top plot (figure 1a) is often the most important graphic: It's where YOU would see YOUR expected blood sugar levels if you had typed in YOUR food and insulin.

Here is the top plot again, this time I prettied it up so I could highlight some of the important things that ITA is communicating. Please, compare FIGURE 1A (below) with figure 1a (above) with , you'll see it is exactly that same figure 1a.

This is what medical science expects should happen, based on JohnK's real life food/insulin regime.
	This is the top plot from the ITA simulation. This shows simulated blood glucose levels (figure 1a)
FIGURE 1A (the top plot above): This is JohnK's predicted blood sugars (annotated).

Then, I took the middle plot (figure 2a) and prettied it up. This shows CARB LOADING:

	ITA tracks the battle between food pushing his blood sugar levels up..
FIGURE 2A (above), annotated for emphasis and clarity, shows carb loading.
And FIGURE 3A (below) shows available insulin.
	Available Insulin (bolus) pushing bG levels DOWN. ITA correctly shows available insulin to be available at the WRONG TIME!
ITA compares the above (blue) Available Insulin (fig 3A); to the above (red) Carb Loading (fig 2A). Think of it as a "Battle of the Bulges"; that insulin is battling carbs.

WOW!

Now, now THAT'S more like it!

This *feels right*: It clearly shows how JohnK's overlapping insulins don't provide coverage for his carbohydrates. This shows him way low in the morning, and way high in the afternoons.

Yes, with ITA, you can do a "what if" analysis on your computer. But before we go on, please read the following warnings carefully:

Do not mistake these results for your regime!

(Remember, you are looking "under the hood" to see how ITA handles JohnK's personal regime.

Also, changing any diabetic health care plan can be dangerous. Make no changes to any therapy regime without approval of your physician/health care team. This analysis is not a substitute for the sound medical advice of your personal physician or health care team. Use of ITA software or these results constitutes agreement by user that user assumes all responsibility for use or misuse of these results. Consult your Doctor. Read ITA's Disclaimer and License Agreement.

So here we go...

Now, ... compare the NEW insulin picture (figure 3B below) with the food picture (figure 3A below). Notice that the timing and amount of the available insulin looks better with our revised insulin schedule.

	ITA tracks the battle between food pushing his blood sugar levels up..
FIGURE 2a (above), annotated for emphasis and clarity, shows carb loading. (This graphic remains unchanged because we didn't shift or change any meals.)
Now, ... figure 3B shows the new insulin schedule adjustments.
	New Available Insulin (bolus) pushing bG levels DOWN.
ITA compares the NEW (above, blue) Available Insulin (fig 3a); to the (red) Carb Loading (fig 2a). Think of it as a "Battle of the Bulges"; that the bottom graph shows insulin bulges which are battling the carb bulges of the graph right above it.

.... and this next ITA graphic just compares the OLD (light blue) with the NEW (dark blue) predicted insulin coverages. Figure 3B shows how the new insulin schedule changes the available insulin picture.

Figure 3B: Now the available insulin more closely matches the carb loading as shown in figure 2a above.

Insulin timing and amounts are much better here!

And here is an (annotated) graphic from ITA showing the possible improvement. ITA can present credible, credentialed evidence to your doctor for improving an IDDM's insulin/food regime!

Notice how ITA engages you in improving your regime!

It's like having your own diabetologist in your own home!

And this is the end of this tour of John K's regime. I hope you can see that ITA is important medical software!

Please respect the WARNINGS, OK?

Warning: I am NOT a physician. Changing any diabetic health care plan can be dangerous. Make no changes to any therapy regime without approval of your physician/health care team. This analysis is not a substitute for the sound medical advice of your personal physician or health care team. Use of ITA software or these results constitutes agreement by user that user assumes all responsibility for use or misuse of these results. Consult your Doctor.

Part 2 was meant to be a technical discussion touching on some of the medical algorithms and concepts that ITA uses. Please don't be intimidated by 'LOOKING UNDER THE HOOD!" Part 1 shows how easy ITA is to use!