I am an ambulatory doctor and I have tried to adjust slow insulin doses in type 2 diabetes and makes it perfect.
EYE.Just handle in case of being a health professional and having notions of AI (minimum knowing how to ask the question properly, that is the key).I do not recommend using at the user level to change insulin doses, but I do drop that I am very amazed.
I put the prompt (significa "la pregunta exacta" que hice) :
"I have a diabetic patient treated with insulin Lantus 8 units at night. He gives me today glycemias of the last week taken early in the day in fasting. They are 189, 220, 210, 250, 245 and 228 mg/dl.
Do I have to make any change in the medication?"
Now the chat gpt response:
"With the morning glychemics that you mean (consistently high above 180 mg/dl), it seems that the dose of basal insulin (lantus) is insufficient to maintain adequate control. It is likely that you need to adjust the dose of Lantus.
Here are some considerations:
1. Progressive increase in Lantus: you could increase the basal insulin dose gradually, perhaps in increases of 2 units every 3-4 days, until fasting glycemia are in the target range (usually between 80-130 mg/dl, depending on the patient and its characteristics).
2. Discard the effect of the Alba or Somogyi phenomenon: Make sure these high glycemia are not due to night bounce hypoglycemia.You can ask you to measure glycemia at 3 am in one day to rule out this.
3. Review the nightfall and exercise: it also evaluates whether you are following an adequate diet before sleeping and if there is any other factor, such as exercise or schedules, which may be influencing.
If after the adjustment there is no improvement, it may be necessary to assess other aspects such as the inclusion of a rapid insulin analog or a more complete review of its treatment.
Do you think adequate gradually increase the dose? "
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I want to say today I am trying to elaborate an algorithm to see if Chat GPT "gets wet" in changing insulin guidelines in type 1 diabetes, but it is much more complex, as you will imagine.
Hijo con 6 años con DM1. Novorrapid, Lantus, FreeStyle.