The use of dosing assays to calculate heparin and protamine dose requirements during cardiac surgery has been shown to significantly improve overall postoperative patient outcome. When patients are managed with an individualized dosing system, intraoperative and postoperative transfusion requirements and bleeding are reduced. The Hemochron RxDx system is widely used as a complement to tradition...

For people with type 1 diabetes and some 2 diabetes, the problem of insulin titration, i.e. finding an adequate basal rate insulin, is a complex time-consuming task. This paper proposes simple model-free algorithm procedure for fast initial titration in (T1D). A modified proportional-integral-derivative (PID) controller (i) updates estimated rate, (ii) administers micro-boli every 5 minutes usi...

OBJECTIVE To investigate the effect of flexible intensive insulin therapy (FIIT) and an automated bolus calculator (ABC) in a Danish type 1 diabetes population treated with multiple daily injections. Furthermore, to test the feasibility of teaching FIIT in a 3-h structured course. RESEARCH DESIGN AND METHODS The BolusCal Study was a 16-week randomized, controlled, open-label, three-arm parall...

Introduction: The postmastectomy radiotherapy uses bolus to improve the coverage close to the skin; however, it needs to be removed in case of severe skin toxicity. This study investigated the effect of bolus parameters (i.e., frequency and thickness) for the superposition algorithm on skin dose in postmastectomy three-dimensional conformal radiotherapy (3D-CRT). <str...

In this issue of Journal of Diabetes Science and Technology, Shapira and colleagues present new concepts of carbohydrate load estimation in intensive insulin therapy. By using a mathematical model, they attempt to establish how accurately carbohydrate food content should be maintained in order to keep postprandial blood glucose levels in the recommended range. Their mathematical formula, the “b...

Self-monitoring of blood glucose is now widely recognized as efficacious to enhance and facilitate diabetes management. More than just a means of recording and storing data, some blood glucose meters (BGMs) are now designed with an embedded automated bolus calculator (ABC) with the goal to propose patients recommendations about insulin dosage. The growing literature in this field tends to claim...

Background: This study describes the possibility of implementing three-dimensional printing technology to create a precise construction of a planned bolus, based on computed tomography information stored in the Digital Imaging and Communications in Medicine (DICOM) format file. Materials and Methods: &nbsp;To create the bolus with a 3D printer, we converted data in the DICOM format to the s...

BACKGROUND Modern flexible multiple daily injection (MDI) therapy requires people with diabetes to manage complex mathematical calculations to determine insulin doses on a day to day basis. Automated bolus calculators assist with these calculations, add additional functionality to protect against hypoglycaemia and enhance the record keeping process, however uptake and use depends on the devices...