Diabetes self-adjustment by a computerized program--first experiences in inpatient and outpatient treatment.

Blood glucose self-monitoring is essential to stabilize diabetes on a normoglycemic level. However, patients often do not find the correct insulin adaptation. Therefore, we developed a computer system to adapt insulin doses using a control matrix. During a first inpatient and outpatient period, we attained a very satisfactory blood glucose normalization and stabilization. During the outpatient period the HbA1c values decreased. Stopping the program in some patients blood glucose levels and HbA1c values increased again.