SYSTEM AND METHOD FOR MANAGING DIABETES

• US 20080220403A1
• Filed: 02/15/2008
• Published: 09/11/2008
• Est. Priority Date: 02/16/2007
• Status: Abandoned Application

• Current Assignee: Ohio University
• Original Assignee: Ohio University
• Inventors: Marling, Cynthia Robin, Schwartz, Frank Lee
• Application Number:
  US12/032,021
• Publication Number:
  US 20080220403A1
• Time in Patent Office: Days
• US Class Current: 434/262
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/4839 combined with drug delivery
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/70 for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16H 70/60 relating to pathologies

Abstract

A system and method are provided for automatically analyzing data for a patient with type 1 diabetes on insulin pump therapy and recommending appropriate therapeutic adjustments to the patient. In the system and the method, case-based reasoning is used as a primary reasoning modality in determining the therapeutic adjustments.

Claims

1. A method for managing diabetes in a patient with diabetes, the method comprising:

collecting data on the patient;

analyzing the data to determine if a therapeutic adjustment is needed in response to a current situation;

if the therapeutic adjustment is needed, using case-based reasoning to match the current situation to a prior situation to determine the therapeutic adjustment; and

outputting the therapeutic adjustment.

2. The method of claim 1, wherein the data includes a blood glucose level of the patient.

3. The method of claim 1, wherein the data includes at least one of a work schedule of the patient, an exercise schedule of the patient, a meal schedule of the patient and a sleep schedule of the patient.

4. The method of claim 1, wherein the collecting the data includes at least one of receiving information provided by the patient, receiving information provided by a physician of the patient and receiving information from a device attached to the patient.

5. The method of claim 1, wherein the analyzing the patient data includes determining if a blood glucose level of the patient is within a predetermined range of blood glucose levels.

6. The method of claim 1, wherein the current situation is the patient is hypoglycemic.

7. The method of claim 1, wherein the current situation is the patient is hyperglycemic.

8. The method of claim 1, wherein the case-based reasoning is the sole modality for determining the therapeutic adjustment.

9. The method of claim 1, wherein the case-based reasoning is the primary modality for determining the therapeutic adjustment.

10. The method of claim 1, wherein the prior situation was experienced by the patient.

11. The method of claim 1, wherein the prior situation was experienced by another patient.

12. The method of claim 1, wherein the patient has Type 1 diabetes and is on insulin pump therapy.

13. The method of claim 12, wherein the outputting the therapeutic adjustment includes adjusting an insulin dosage delivered by an insulin pump to the patient.

14. The method of claim 1, wherein the collecting the data and the analyzing the data occur periodically at a predetermined interval.

15. The method of claim 14, wherein the predetermined interval is less than or equal to 5 minutes.

16. The method of claim 1, further comprising evaluating the outcome of the therapeutic adjustment.

17. A system for managing diabetes in a patient, the system comprising:

a client; and

a server including software,

wherein data on the patient is transmitted from the client to the server;

wherein the software on the server analyzes the data to determine if a therapeutic adjustment is needed in response to a current situation;

wherein, if the therapeutic adjustment is needed, the software on the server uses case-based reasoning to match the current situation to a prior situation to determine the therapeutic adjustment; and

wherein the software on the server outputs the therapeutic adjustment.

18. The system of claim 17, wherein the client is operable to communicate with the server over a network.

19. The system of claim 18, wherein the network is the Internet.

20. The system of claim 17, further comprising a case library,

wherein the case library stores a plurality of cases and each case includes a problem, a solution and an outcome of applying the solution to the problem.

21. The system of claim 20, wherein, if the therapeutic adjustment is needed, the software on the server uses case-based reasoning to identify at least one case that approximates the current situation.

22. The system of claim 21, wherein the software on the server evaluates the outcome of applying the solution from the at least one case to the current situation.

23. An apparatus for managing diabetes in a patient, the apparatus comprising:

an insulin pump for delivering insulin to the patient; and

a data processing unit,

wherein the data processing unit receives data on the patient and analyzes the data to determine if a therapeutic adjustment is needed in response to a current situation;

wherein, if the therapeutic adjustment is needed, the data processing unit uses case-based reasoning to match the current situation to a prior situation to determine the therapeutic adjustment.