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This challenge got support by the development of CGMS. Besides technical improvement SMBG was focused to structured measurements providing information on daily glucose variability. Technical improvement in BG monitoring like the development of more accurate, small und fast acting devices led to a broad use of SMBG.

Thus, the remote monitoring enables the supervising personnel to alert the patient and intervene in cases of impending hypoglycemia, long standing hyperglycemia and technical faults of any component of the AP system and provides an added benefit of the whole closed loop system.īack in the 1980s when first programmes for patient education were established and validated monitoring glucose control became recognized as being a valuable part of diabetes care. It is designed to transfer all the data from the patient to a remote control & command center which is capable of controlling tens of patients simultaneously. This software is based on the ZONTM Control Software Package of Galooli Ltd.

The MDRS system is composed from two modules, the Remote diabetes monitoring (RDM) module and the Safety Module for patient alerts. If required, support will be provided over the phone by the study team. This allows the patient's caregiver to view glucose levels and insulin delivery from the own bedside. Optionally, the study team can provide the patient's caregivers with a PC which will be connected to the MDRS system and will show only the information and alarms relating to that specific patient.

The patients glucose levels (glucose sensor and SMBG), and technical alarms were transferred from patient's home via the internet and the Remote safety and control diabetes management system (MDRS) to the command and control center within the clinic and externally to the other team members at other remote sites. During the initial outpatient pilot-trials of the DREAM project the sessions are performed under the supervision of a diabetes research team consisting of an onsite physician specialized in diabetes treatment and technical supporter engineer.

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