Method and apparatus for low blood glucose level detection

• US 20050137470A1
• Filed: 12/08/2004
• Published: 06/23/2005
• Est. Priority Date: 12/08/2003
• Status: Abandoned Application

• Current Assignee: Robert D. Rosenthal
• Original Assignee: Robert D. Rosenthal
• Inventors: Rosenthal, Robert D.
• Application Number:
  US11/006,546
• Publication Number:
  US 20050137470A1
• Time in Patent Office: Days
• US Class Current: 600/316
• CPC Class Codes: A61B 2560/045 with a separable interface unit, e.g. for communication
• CPC Class Codes: A61B 5/02405 Determining heart rate variability
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/0245 by using sensing means generating electric signals, i.e. ECG signals
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/681 Wristwatch-type devices
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor

Abstract

A method and system for detection of potentially undesirable and/or dangerously low levels of blood glucose based on heart rate measurements in conjunction with initial calibration of blood glucose levels, and continuous monitoring of heart rate and estimation of blood glucose levels during periods of sleep.

Claims

1. A method for detecting a potentially undesirable low level of glucose in the blood, comprising the steps of:

taking an initial accurate measurement of blood glucose level;

taking an initial measurement of heart rate within a predetermined amount of time from the taking of said accurate measurement;

periodically monitoring heart rate over a predetermined extended period of time; and

estimating blood glucose level as a function of the periodically monitored heart rate, initial measurement of heart rate, and initial accurate measurement of blood glucose level.

2. The method of claim 1, wherein the step of taking an accurate measurement comprises an invasive drawing of blood.

3. The method of claim 1, wherein the step of estimating comprises using a simple linear regression equation.

4. The method of claim 1, wherein the step of estimating comprises using a multiple linear regression equation.

5. The method of claim 4, wherein said multiple linear regression equation contains a heart rate change variable and a heart rate slow wave activity variable.

6. The method of claim 1, wherein said predetermined amount of time from the taking of said accurate measurement includes a period of time prior to the taking of said accurate measurement.

7. The method of claim 1, wherein the step of periodically monitoring heart rate comprises the step of using an optical measurement instrument to monitor pulse rate.

8. The method of claim 1, wherein the step of estimating blood glucose level comprises the steps of detecting a transition between sleep states and suspending estimation of blood glucose level during such transition.

9. The method of claim 8, wherein the step of detecting a transition comprises measuring heart rate variability.

10. The method of claim 1, further comprising the step of outputting an alarm in the event that blood glucose level estimation results in a blood glucose level value that is undesirably low.

11. A system for detecting a potentially undesirable low level of glucose in the blood, comprising:

an instrument for taking an accurate measurement of blood glucose level;

an instrument for taking an initial measurement of heart rate within a predetermined amount of time from the taking of said accurate measurement and periodically monitoring heart rate over a predetermined extended period of time; and

a device for estimating blood glucose level as a function of the periodically monitored heart rate, initial measurement of heart rate, and accurate measurement of blood glucose level.

12. The system of claim 11, wherein the instrument for taking an accurate measurement comprises an instrument that obtains a sample of blood.

13. The system of claim 11, wherein the device for estimating comprises a data processor.

14. The system of claim 13, wherein the data processor comprises a remote computer.

15. The system of claim 13, wherein the data processor stores a simple linear regression equation for use in blood glucose level estimation.

16. The system of claim 13, wherein the data processor stores a multiple linear regression equation for use in blood glucose level estimation.

17. The system of claim 16, wherein said multiple linear regression equation contains a heart rate change variable and a heart rate slow wave activity variable.

18. The system of claim 11, wherein said predetermined amount of time from the taking of said accurate measurement includes a period of time prior to the taking of said accurate measurement.

19. The system of claim 11, wherein the instrument for periodically monitoring heart rate comprises an optical measurement instrument to monitor pulse rate.

20. The system of claim 11, further comprising an alarm for alerting a monitoring individual in the event that blood glucose level estimation results in a blood glucose level value that is undesirably low.