Overview

Automated suggested insulin dosages for physicians and nurses

This product is available on cobas® pulse system.

The GlucoTab® system provides support for nursing staff and physicians involved in the insulin therapy of patients with diabetes on hospital wards. The system improves blood glucose management workflow and automatically suggests correct insulin dosages.

GlucoTab Therapy Algorithms

Evidence-based, clinically tested therapy algorithms support the individual patient’s blood glucose control.

  • Calculation of a safe insulin dose at the start of therapy, prescribed by physicians

  • Daily suggestion for the adjustment of the planned daily insulin dose (by physicians or nursing staff)

  • Dose calculation for each individual insulin dose considers blood glucose level and meal (nursing staff)

Therapy without algorithm support

Prescription and adjustment of the therapy exclusively by physicians. The dose calculation for nurses is supported by:

  • Bolus calculator for type 1 diabetes / intensive insulin therapy

  • Sliding scale for supplemental insulin Electronic diabetes medication management system User-friendly performance and visualisation of all relevant operations for blood glucose management. Open tasks for physicians and nursing staff support the workflow.

GlucoTab

Managing blood sugar in hospital in-patients with diabetes.

An infographic displaying automated insulin dosage suggestions.
Benefits

Comprehensive algorithm support

Automated insulin dosage suggestions for basal bolus therapy of patients with type 2 diabetes:

  • Initial dose suggestions at therapy start (by physicians)

  • Patient-specific suggestions for the daily adjustment of insulin doses (by doctors or nursing staff)

  • Dose calculation for individual insulin administrations (by nurses) based on the prescribed doses, current blood sugar level and meal

GlucoTab Basal Bolus Therapy

This is the therapy regimen recommended by guidelines for in-patients. To reduce complications during in-patient therapy, a fixed blood glucose target range is aimed for.

GlucoTab Basal Insulin (BOT/BIT) Therapy

For geriatric patients with less restrictive blood glucose target values or if therapy with basal insulin is sufficient (e.g. after newly initiated insulin therapy). The therapy intensity depends on the health status.

A healthcare professional using a tablet to monitor and adjust insulin therapy for a hospitalized diabetes patient through the GlucoTab® system.

Manual prescription in the electronic diabetes chart

Comprehensive electronic drug prescription, visualization and administration support make GlucoTab a powerful and comprehensive solution for all anti-hyperglycemic therapies.

  • Free prescription of insulin and oral anti-diabetic drugs, as well as blood glucose target range

  • Correction schemes for short-acting insulins depending on blood glucose

  • Dose calculation for nurses with safety functions such as active insulin “on board”

Bolus calculator for intensive insulin therapy of patients with type 1 diabetes.

Close-up of the GlucoTab® electronic diabetes medication management system on a screen, displaying insulin therapy settings and dosage recommendations.

Intuitive user experience

GlucoTab digitizes the treatment workflow by supporting all tasks related to blood glucose management, taking into account their interdependencies and special cases.

  • Clear presentation of 'open tasks' for physicians and nurses

  • Specially adapted procedures for patients who perform self-management on the ward

  • Support of verbal orders and confirmation by doctors

The physicians have the choice whether they opt for the automatic dosage support when prescribing or whether the insulin dosage is carried out manually by the doctor.

The system was developed in close cooperation with clinical staff, resulting in an intuitive user experience.

Simple, structured input and clear output of the most important medical parameters, such as blood glucose, insulin dosage and meals.

CE Certified

Clear distribution of responsibilities between the occupational groups with precise control of which events/drug doses/blood sugar values require prescription or approval by doctors.

The GlucoTab® system is a CE-marked medical device. The system was developed, tested and verified according to medical device software regulation in compliance with international standards.

Mobile interface of the GlucoTab® system showing a patient list with room numbers, supporting nurses and physicians in insulin therapy management.

Standardization of processes

  • Quality: Makes sure measurements are performed and appropriate action is taken

  • Efficiency: Reduction in staff workload due to standardised procedures

  • Cost reduction: Reduction of complications now is achievable in a cost-effective way

The cobas® pulse system displaying the GlucoTab® application, showing patient details and insulin dosage recommendations for hospital staff.

Clinical decision support

  • Digitisation means that human error in communication and manual dose calculation is avoided

  • Due to the suggested dosages calculated by the system and the up-to-date overview of completed and open tasks, there is less pressure on medical staff

  • This increases the efficiency of procedures, as values do not have to be manually looked up and nurses do not need to ask for advice from doctors as frequently

  • However, the user still has the freedom to make decisions- they always have full control over the treatment process

A close-up of a cobas® pulse device with a blood glucose test strip inserted, part of the GlucoTab® system for automated insulin dosing.

Improving blood glucose control

  • Clinical evaluation of the GlucoTab basal bolus therapy confirmed that average blood glucose concentration was reduced by 20% compared to standard care

  • More blood glucose levels in target range without increasing the number of hypoglycemic episodes compared to best-practice clinical trials

A laptop, tablet, and cobas® pulse device displaying the GlucoTab® system, supporting physicians and nurses in hospital blood glucose management.

Three user interface options for all conditions

  • The tablet interface makes it possible to treat patients directly at their bedsides

  • A web browser interface allows access from a desktop PC and integration into hospital IT

  • The cobas® pulse App is a native Android App tailored to the cobas® pulse device, which allows nurses to perform their daily blood glucose management activities directly on the cobas® pulse device

Data storage and all safety-relevant calculations are performed on a local server. This guarantees data security and connectivity with the hospital information system. In principle, GlucoTab® can run in any hospital equipped with a hospital information system.

GlucoTab therapy algorithms for insulin therapy

The automated insulin dosage suggestions for long-acting and short-acting insulin and the sequence of tasks for nurses and physicians are based on one of two rule-based algorithms. The structured process and insulin dosing support have been successfully evaluated and optimized in clinical trials.

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The GlucoTab® system provides support for nursing staff and physicians involved in the insulin therapy of patients with diabetes on hospital wards. The system improves blood glucose management workflow and automatically suggests correct insulin dosages.

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