Diabetis Control Software WISH LIST …

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Question:

I export all of my reading from my palm to an excel spreadsheet that graphs a bunch of stuff. The most interesting is the 3 day moving average. I’ve adjusted it to 5 and 7 days but 3 seems to give the best picture. – Hide quoted text — Show quoted text – A while back my CDE and I played around with a running average, but we could never decide what period and number of readings was helpful. Since I was taking a lot of readings, the idea was to see if my running average was going up or down over a period of time. I liked the idea but could never quite pin it down. I wanted to know if this 3 or 5 or 7 days avrage was heading up or down from the previosu period. I just thought the overall picture would be helpful to see which way my BS average was headed. H.Eddens. Hi! I’m pretty sure a lot of you here have come across (or use) several diabetes-related software. I would like to know if they had been helpful or not. I’m interested in developing my own diabetis control software for my own personal use. I would be grateful for your input on what features to put in it, and will be more than happy to share free copies of it to anyone who will be interested. I basically want to know what features you liked, disliked, and/or wished they have (anything under the sun that’s REASONABLE!). For example, right now I’m thinking of adding the following features: – ability to enter (or read from a text file) daily BG levels and graph them by whatever time period the user wants; – provide summary analysis of the data (e.g., list of days that you were within a certain BG range, and why); – enter daily comments/notes and allow the user to search them (e.g., "when was the last time I had a normal reading?"); – enter favorite diabetic recipes; – enter electronic reminders (e.g., appointment with doctor six months from now) and "alarms" to keep you from missing them; Can’t think of anything else. If you’re interested, thank you. Greg

Response:

Rick and Hi_Therre: Thanks for the feedback. I certainly know the disadvantages of reinventing the wheel. However, as a programmer, I always want my "favorite" programs to do things exactly the way I want them to be done, and without all the features I don’t need. Using two or three different programs with many "unnecessary" features is, to me, unmanageable. Fortunately, I have been developing database applications (with simple graphic capabilities) for so many years, I feel confident that the features I’ve seen on some of the diabetes software products I’ve seen so far (at least, the ones I liked) will not take me long to recreate. The big bonus for me is, I’m seeing exactly what I want, in the format that I like, and with all the features I need in the same program. Also, there are still some features that I haven’t seen elsewhere, which I really would like to incorporate in my program. And, yes, I don’t intend to make money from this. I just want to do something for myself (first of all) and for those who will help me make it a useful program and want a copy of it. more later … gotta go! Thanks! Greg

– Hide quoted text — Show quoted text – Hi All! Thank you for the responses, so far. I’ll keep waiting for more. I’ll try to incorporate the features of the free software posted by Hi_Therre, as well as the exercise-related info posted by Dazey. Jim Dumas, man, sorry but I am not that math/medical savvy, so I will most probably stay away from the insulin-dosing features. My current intention is to provide a convenient tool for managing diabetes, as well as having a single place where to store all information related to my diabetic existence (articles, recipes, personal notes and reminders —– heck, even correlation between my own BG levels and the winning lottery numbers ). Yes, there will be graphs, summary reports, even forms. Thanks, and please keep them coming. Greg! Hi! I’m pretty sure a lot of you here have come across (or use) several diabetes-related software. I would like to know if they had been helpful or not. I’m interested in developing my own diabetis control software for my own personal use. I would be grateful for your input on what features to put in it, and will be more than happy to share free copies of it to anyone who will be interested. I basically want to know what features you liked, disliked, and/or wished they have (anything under the sun that’s REASONABLE!). For example, right now I’m thinking of adding the following features: – ability to enter (or read from a text file) daily BG levels and graph them by whatever time period the user wants; – provide summary analysis of the data (e.g., list of days that you were within a certain BG range, and why); – enter daily comments/notes and allow the user to search them (e.g., "when was the last time I had a normal reading?"); – enter favorite diabetic recipes; – enter electronic reminders (e.g., appointment with doctor six months from now) and "alarms" to keep you from missing them; Can’t think of anything else. If you’re interested, thank you. Greg

Response:

Hi! I’m pretty sure a lot of you here have come across (or use) several diabetes-related software. I would like to know if they had been helpful or not. I’m interested in developing my own diabetis control software for my own personal use. I would be grateful for your input on what features to put in it, and will be more than happy to share free copies of it to anyone who will be interested. I basically want to know what features you liked, disliked, and/or wished they have (anything under the sun that’s REASONABLE!). For example, right now I’m thinking of adding the following features: – ability to enter (or read from a text file) daily BG levels and graph them by whatever time period the user wants; – provide summary analysis of the data (e.g., list of days that you were within a certain BG range, and why); – enter daily comments/notes and allow the user to search them (e.g., "when was the last time I had a normal reading?"); – enter favorite diabetic recipes; – enter electronic reminders (e.g., appointment with doctor six months from now) and "alarms" to keep you from missing them; Can’t think of anything else. If you’re interested, thank you. Greg

Response:

- Hide quoted text — Show quoted text – Hi! I’m pretty sure a lot of you here have come across (or use) several diabetes-related software. I would like to know if they had been helpful or not. I’m interested in developing my own diabetis control software for my own personal use. I would be grateful for your input on what features to put in it, and will be more than happy to share free copies of it to anyone who will be interested. I basically want to know what features you liked, disliked, and/or wished they have (anything under the sun that’s REASONABLE!). For example, right now I’m thinking of adding the following features: – ability to enter (or read from a text file) daily BG levels and graph them by whatever time period the user wants; – provide summary analysis of the data (e.g., list of days that you were within a certain BG range, and why); – enter daily comments/notes and allow the user to search them (e.g., "when was the last time I had a normal reading?"); – enter favorite diabetic recipes; – enter electronic reminders (e.g., appointment with doctor six months from now) and "alarms" to keep you from missing them; Can’t think of anything else.

Hi Greg, I use an HP-48GX calculator with a 5th order insulin transport model that I wrote myself over 1990-1997. The last modifications in 1997 were a smaller compartmental model with dose size dependence for Humalog, R, NPH and ultralente. The feedback dosing loop uses a mirrored exp, (think of a delta function impulse with two different exp decay rates mirrored from the peak-plane), for insulin sensitivity that has a peak of ~180 mg/dl/U at a target BG of 90 mg/dl. This falls exponentially to a near-zero constant as BG goes to infinity. (Don’t want a divide by zero dose calculation as overdose could result.) So I’ve found that my insulin sensitivity is not a constant 40 mg/dl/U of insulin as you find in the literature. The 5 dependent first order differential equations for insulin transport are solved in closed-form so the calculator never needs to do a numerical integration that could take a long time. I find the area under the insulin action profiles (integrate the closed-form solution with calculus), based on this transport model, to estimate future insulin action that is subtracted from my next insulin dose. I do not attempt to calculate BG with this model as it is only for insulin dosing based on a look-up table of basal/prandial insulin requirements. I also make no attempt to model GI tract glucose appearance in the model (impossible task). I’m currently thinking of a new model that will use measured insulin action profiles using the glucose transform. My next platform will probably be an HP/Compaq iPAQ (I have two) running linux with Yorick (MATLAB-like freeware with stats) scripting for math and graphics of insulin dosing. The iPAQ has 2 PCMCIA card slots with an expansion sleeve that permits back-up/restore to compact flash for stand-alone operation, (no laptop download required if it crashes). The HP-48 already has this stand-alone problem solved where it backs-up weekly at 4 AM to a memory card. (I also use alarms to notify me of possible hypoglycemia based on area under the insulin action profile. So alarms are required too.) So my wish list is a metabolic model for insulin dosing that includes all insulin transport effects such as losses (potency degradation), antibody binding delays, exercise induced insulin sensitivity, etc. But this will never happen in the US commercially as the risk of lawsuits is too high to justify development costs. So you must do it yourself for personal use and not take responsibility for others that could misuse the model. (My greatest fear is an MD will not understand the model and misuse it. Then I get sued by the MD and the patient for their errors.) So insulin dosage modeling is a personal endeavor, — Jim Dumas T1 4/86, background retinopathy, rarely hypoglycemic: <1/mo. lispro+R+U+NPH daily, moderate exercise, typically <6% HbA1c

Response:

A while back my CDE and I played around with a running average, but we could never decide what period and number of readings was helpful. Since I was taking a lot of readings, the idea was to see if my running average was going up or down over a period of time. I liked the idea but could never quite pin it down. I wanted to know if this 3 or 5 or 7 days avrage was heading up or down from the previosu period. I just thought the overall picture would be helpful to see which way my BS average was headed. H.Eddens.

– Hide quoted text — Show quoted text – Hi! I’m pretty sure a lot of you here have come across (or use) several diabetes-related software. I would like to know if they had been helpful or not. I’m interested in developing my own diabetis control software for my own personal use. I would be grateful for your input on what features to put in it, and will be more than happy to share free copies of it to anyone who will be interested. I basically want to know what features you liked, disliked, and/or wished they have (anything under the sun that’s REASONABLE!). For example, right now I’m thinking of adding the following features: – ability to enter (or read from a text file) daily BG levels and graph them by whatever time period the user wants; – provide summary analysis of the data (e.g., list of days that you were within a certain BG range, and why); – enter daily comments/notes and allow the user to search them (e.g., "when was the last time I had a normal reading?"); – enter favorite diabetic recipes; – enter electronic reminders (e.g., appointment with doctor six months from now) and "alarms" to keep you from missing them; Can’t think of anything else. If you’re interested, thank you. Greg

Response:

One good approach is to use the existing diabetes software, find out what you like, what you don’t, then improve on them. People learn and copy from successful software products all the time. If you try to invent from scratch, or from ‘wish lists’ you can spend more time than necessary.. Try the software I list at my site to at least note the must-have features then build on them. — Editor, Internet’s Convenient and Unbiased Directory of Nutrition Software http://nutritionsoftware.org

Response:

I would add… exercise, what kind and how long, foods eaten, or at least carbs consumed, and of course, the ability to download from many of the most popular meters. Graphs are nice, too. Also info on weight and weight loss. I’m not asking for much, huh? ::grin:: That, and it being free, would be my program of choice. ::grin:: But if it was good.. I’m sure you could sell it, also. There are lots out there, but very few who read from most meters. :-) Linda

Response:

Hi All! Thank you for the responses, so far. I’ll keep waiting for more. I’ll try to incorporate the features of the free software posted by Hi_Therre, as well as the exercise-related info posted by Dazey. Jim Dumas, man, sorry but I am not that math/medical savvy, so I will most probably stay away from the insulin-dosing features. My current intention is to provide a convenient tool for managing diabetes, as well as having a single place where to store all information related to my diabetic existence (articles, recipes, personal notes and reminders —– heck, even correlation between my own BG levels and the winning lottery numbers ). Yes, there will be graphs, summary reports, even forms. Thanks, and please keep them coming. Greg!

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