"Intelligent dosing system": need for design and analysis based on control theory.

"Intelligent dosing system": need for design and analysis based on control theory.
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DOI:
10.1089/dia.2004.6.868
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发表时间:
2004-12-01
影响因子:
5.4
通讯作者:
Desemone, James
Desemone, James
中科院分区:
医学3区
文献类型:
--
作者:
Bequette, B Wayne;Desemone, James

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我们怀着极大的兴趣阅读了Cook等人关于智能给药系统(IDS)的文章,以及Gopakumaran的相关评论。2 IDS的目的是根据先前的胰岛素剂量和由此产生的“标记”(空腹或随机血糖,或A1c)推荐新的每日胰岛素剂量。IDS由临床医生在每月的办公室访视中使用。虽然我们赞赏算法的开发和使用,以改善糖尿病患者的医疗保健,但我们希望指出该方法的一些局限性。
WE READ WITH GREAT INTEREST the article by Cook et al. 1 on an Intelligent Dosing System (IDS), and the related commentary by Gopakumaran. 2 The purpose of the IDS is to recommend a new daily insulin dose based on the previous insulin dose and the resulting “marker”(fasting or random glucose, or A1c). The IDS was used by clinicians seeing patients during monthly office visits. While we applaud the development and use of algorithms to improve the health care of people with diabetes, we wish to point out a number of limitations to the approach.