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Retrospective retrofitting method to generate a continuous glucose concentration profile by exploiting continuous glucose monitoring sensor data and blood glucose measurements

  • US 10,299,733 B2
  • Filed: 02/20/2014
  • Issued: 05/28/2019
  • Est. Priority Date: 02/20/2013
  • Status: Active Grant
First Claim
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1. A method for monitoring a glucose level in a user, comprising the steps of:

  • (a) continuously monitoring glucose levels in the user'"'"'s interstitial fluids and to generating a continuous glucose monitoring (CGM) time series representative thereof;

    (b) generating blood glucose (BG) references representative of the user'"'"'s blood glucose levels at discrete time intervals;

    (c) detecting outliers and artifacts in both the CGM time series and the BG references and generating a preprocessed CGM signal corresponding to the CGM time series from which any outliers and artifacts are discarded and generating a preprocessed BG signal corresponding to the BG references from which any outliers and artifacts are discarded;

    (d) performing a retrospective calibration of the preprocessed CGM signal, employing the preprocessed BG signal, thereby compensating for systematic underestimation and overestimation of CGM time series with respect to reference BG values due to;

    blood-to-interstitial glucose kinetics, sensor drift, errors in CGM sensor calibration, and changes in sensor sensitivity, and generating a retrospectively calibrated CGM signal representative thereof by rescaling the calibrated CGM signal so as to stay within a confidence interval of the BG values;

    (e) deconvoluting the retrospectively calibrated CGM signal based on a model of blood-to-interstitial glucose kinetics, and thereby generating a retrofitted glucose concentration profile with a predetermined confidence interval, and(f) displaying an output of the constrained inverse problem solver module, wherein the displayed output is a more accurate and precise indication of the glucose level that obtainable in the absence of the preprocessing, retrospective calibration, and constrained inverse problem solver deconvolution.

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