Instruction of Self-injection of Insulin by Self-measurement of Blood Glucose Using a Method of Artificial Intelligence

• Published in: Japanese Journal of National Medical Services Vol. 42; no. 12; pp. 1150 - 1153
• Main Authors: YOSHIDA, Michio, MORISHIMA, Toyohiko, MATSUSHIMA, Hiroyuki, ABE, Hiroshi
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society of National Medical Services 1988
• ISSN: 0021-1699; 1884-8729
• DOI: 10.11261/iryo1946.42.1150

A computer software, by which diabetic patients were instructed to change their insulin dosage, was developed using an expert-system-construction-support software, “SOGEN”, which was the only Japanese software available for personal computers at that time when we started this study. This application software was made in order to give instructions for the regimen of insulin therapy in which long-acting insulin, for example Lente or NPH insulin, was used once a day, but short-acting insulin could be used twice a day if necessary. Output of this application was quite similar to that of a physician. Thus, this could be used for the education of diabetics when they learned the self-injection of insulin guided by the self-measurement of blood glucose. Because “SOGEN” supported only production-type knowledge, the number of the rules in this software was too many. Thus, the whole view of the system could not be easily obtained. However, because each rule was written in easy Japanese, not in a sophsticated language for the computering, the content of the computer software could be understandable for any clinician without knowing the computering. This point was supposed to be important because the previous applications contained so-called “black box” in their software, and that was an obstacle to a wide acceptance of this kind of approach for the patient education.