UTOPIA - A CONSULTATION SYSTEM FOR VISIT-BY-VISIT DIABETES MANAGEMENT

UTOPIA (UTilities for OPtimizing Insulin Adjustment) is a prototype co mputer system proposed to support home data analysis and therapy recom mendations for the individual patient. The paper describes methods of analysis and their incorporation into an overall system design that ma tches the iterative practices at the physician-patient consultation fr om visit to visit. Four modules support home data display and comparis on with clinical measurements; extraction of blood glucose trends and daily cycles using time series analysis, learning relationships betwee n insulin adjustments and changes in time series patterns via a parame tric, linear systems model; and advice generation by solving the linea r equation for candidate insulin adjustments. Concepts and methods are placed in context, with a discussion of comparable and related resear ch.