A note from Douglas Stanton:
I hope the DiabetesOnline educational tours give you additional insight into IDDM diabetes. I hope that additional insight leads you to an appreciation for the wonderful computer program that made this presentation possible: Often called simply ITA, the Insulin Therapy AnalysisTM program is just one of the 5 excellent WindowsTM computer programs that ship in a complete package called Diabetes WorksTM for Windows. Insulin Therapy AnalysisTM is endorsed and used by a member of the Board of Directors of the AADE, Dr. Richard Guthrie, MD, CDE.
| Diabetes WorksTM is available right now from DiabetesOnline. See details on the DiabetesOnline home page. |
Please enjoy this Tour, courtesy of DiabetesOnline Software Service.
This Tour could be classified under:
"Ouch!"
And please remember:
| ITA can EMPOWER YOU too! |
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| So here we go... |
| The process of evaluating a real-life regime using the Insulin Therapy AnalysisTM computer simulation of diabetes (ITA) is also the process of evaluating ITA itself. I will be emphasizing throughout that ITA provides valuable and credible access to knowledge about how food, insulin, and exercise are supposed to affect blood sugars in IDDM Diabetes, that ITA is credentialed software endorsed by a member of the Board of Directors of the AADE, and that ITA is: |
..... Easy to use!
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......to give you a feel for Insulin Therapy Analysis' (ITA's) ease of use.
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| Remember that JohnK is a real person with real IDDM problems. |
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I need a clear picture! |
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So.... to get a clear picture, I turn to a credentialed medical simulation called:
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| So here we go... |
First, I sit down with my WindowsTM laptop computer in front of the fireplace.
Second, I fire up Windows 3.1 on my laptop (or Windows95).
and here's what shows up on my screen (a little Pizzazz was added):
Dr. Stanton's LauncherTM is one of the 5 programs that comes with Diabetes WorksTM
You can easily add ANY of your favorite programs..... and After you click, it "minimizes" and looks like this:
Third, I simply click on the button in the Launcher that says Insulin Analysis.
| Fourth, I type in food (carbs) and insulin (units) and time and set the sensitivity. |
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... That's it! Adjust the sensitivity .... then:
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| Figure 1: These are ITA's blood sugar projections for JohnK's regime.
ITA results are what medical science says should happen to JohnK's blood glucose levels! |
And that's how EASY it is!
(Want to know what ITA is doing during that 1/2 second.)
So .... what did ITA communicate?
To learn more about JohnK's regime, I simply click on ITA's "View graphs" button with my cursor. This ITA graphic is shown to you just as you would see it on your PC's screen, but I annotated it for clarity.
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LESS Technical: The bottom two ITA graphs are meant to give you a feel for how much "oooommmphff" accompanies each meal and each shot.
More Technical: The bottom two graphs are a visual representation of both the timing and amounts involved in the insulin coverages and carb loading of JohnK's regime!)
| ITA clearly shows that JohnK has really bad insulin coverage:
In the early morning hours: Too much insulin; too little food! |
Look again how easily ITA exposed the weaknesses: low in the AM; high in the PM!
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... but the best is yet to come: You can also redesign the regime with ITA:
So in step Six, I quickly redesigned JohnK's life on my laptop computer .... I simply shifted his N insulin (in the computer simulation only!) to an earlier hour;
and added some Humalog insulin (in the computer simulation only!) in the morning and at dinner ...
... and here, then, is a credible regime redesign, done in less than an hour!
Yes, ITA actually redesigned JohnK's regime!
(You would show the ITA output to your Doctor!)
ITA is: Computer Aided Design of Diabetes! |
Notice how ITA engages you in improving your regime!
It's like having your own diabetologist in your own home!
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ITA is endorsed by a member of the Board of Directors of the AADE? |
puts MANAGED HEALTH CARE IN THE HOME WHERE IT BELONGS! |
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Finally, a tool that can describe the "geometry" of your individual Diabetes;
That can Communicate YOUR Diabetes Experience to your family, friends, and physician!!!
That allows you to CRAFT a Diabetes Regime!
.......ITA ENABLES intelligent analysis ...... |
You can learn how to reduce the volatility;
You can show IDDM children and adults what to strive for.
Invaluable for all those who want to take responsibility for their own diabetes.
An essential Diabetes Communication Tool!
and Insulin Therapy AnalysisTM puts
MANAGED HEALTH CARE
IN THE HOME
WHERE IT BELONGS!
I hope this Diabetes Tour was both enjoyable and educational. I also hope you came away with the realization that ITA is extremely important medical software that communicates the IDDM experience, AND lets you do something about it. And yes, ITA IS easy to use!
DiabetesOnline thanks Dr. Richard Guthrie, MD, CDE for his gracious endorsement of the Insulin Therapy Analysis computer program! Dr. Guthrie is currently an active member of the Board of Directors of the AADE, and is Medical Director of both Mid America Diabetes Associates and the prestigious St. Josephs's Hospital Diabetes Treatment Center (University of Kansas School of Medicine).
| Diabetes WorksTM is available right now from DiabetesOnline. See pricing details on DiabetesOnline home page. |
Exit this Tour or continue? (scroll down .....)
Everyone is invited to continue with to Part 2 of this Tour,
but just be aware....
Part 2 is technically oriented:
Part 2 is meant for the Pro's!
Part 2 shows details of how ITA put the heart of the AADE's Core Curriculum book into its educational soul! If lots of graphs and plots and scientific jargon scare you, you might want to skip this next section. (I just don't want anybody to be intimidated! ITA is easy to use! and does all of this work for you!)
or continue on to ...
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Diabetes WorksTM receives major endorsement!
| Diabetes WorksTM, marketed by DiabetesOnline Software Service (http://www.diabetesonline.com), recently received a major endorsement of its product from a member of the Board of Directors(!!) of AADE: Its INSULIN THERAPY ANALYSISTM for WindowsTM is now endorsed and used by Dr. Richard Guthrie, MD, CDE, Medical Director of both Mid America Diabetes Associates and the prestigious St. Josephs's Hospital Diabetes Treatment Center (University of Kansas School of Medicine), and is included in its diabetes patient regime management program. Dr. Guthrie, MD, CDE, is an active member of the Board of Directors of the AADE, and is world renowned for his research and writings** on the subject of diabetes. Dr. Guthrie said in his letter to Douglas Stanton of DiabetesOnline Software Service: "I would certainly be happy to endorse your Insulin Therapy Analysis computer program.There is a capability here that many persons dealing with diabetes might want to try. The Insulin Therapy Analysis software has the capability of communicating important principles of IDDM regime management that otherwise might be impossible to communicate without the aid of a computer. Insulin Therapy AnalysisTM is the right way to do it."
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What is ITA calculating?
During that 1/2 second, the ITA program looks at when and how much the patient ate, then calculates how much food should be in the patient's system during a 24 hour day. ITA then looks at when and how much insulin the patient took, then calculates how much insulin should be available in the patient's system. The ITA medical simulation then basically compares food (pushing blood sugars up) with insulin (pushing blood sugars down), and subtracts.
How does ITA know how much food should be in the patients system?
Data on how quickly food is absorbed into the system is well studied. Data was gleaned from hospital studies and clinical trials. The ITA carbohydrate absorption data is based on the real physiologies of real persons.
How does ITA know how much insulin should be in the patients system?
Data on how quickly insulin is absorbed into the system is well studied. Data was gleaned from hospital studies and clinical trials and from published results from Eli Lilly and other insulin manufacturers. The ITA insulin absorption data is based on the real physiologies of real persons.
QED.