System and Method for Estimating the Glucose Concentration in Blood

• US 20080249384A1
• Filed: 09/05/2005
• Published: 10/09/2008
• Est. Priority Date: 09/03/2004
• Status: Abandoned Application

• Current Assignee: Novo Nordisk A/S
• Original Assignee: Novo Nordisk A/S
• Inventors: Glejbol, Kristian, Skyggebjerg, Ole
• Application Number:
  US11/661,867
• Publication Number:
  US 20080249384A1
• Time in Patent Office: Days
• US Class Current: 600/347
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/1473 invasive, e.g. introduced into the body by a catheter A61B5/1482 takes precedence
• CPC Class Codes: A61B 5/7445 Display arrangements, e.g. multiple display units

Abstract

This application relates to glucose monitoring systems for continuously measuring the glucose concentration in a patients blood. The system is adapted to communicate with one or more sensors (10, 20) for transcutaneous insertion into a patient and for producing sensor signals related to the glucose concentration. The system comprises an electronic calculator unit and a display (14) for displaying the measured glucose concentration. The electronic calculator unit further comprises means for calculating an estimate of the uncertainty, i.e. the degree of accuracy of the glucose measurement, and the display is configured for displaying an interval representing said uncertainty (15).

Claims

1. A system for measuring glucose concentration comprising a transcutaneous sensor, an electronic calculator unit and a display for displaying the measured glucose concentration, characterized in that the electronic calculator unit has means for calculating an estimate of the uncertainty of the glucose measurement;

and that the display is configured for displaying an interval representing said uncertainty.

2. A system according to claim 1 characterized in that the display is configured for graphical representation of the interval.

3. A system according to claim 2, characterized in that the display is configured for being able to produce various types of graphical representations of the interval.

4. A system according to claim 3, characterized in that the sensor comprises an electronic circuit configured for being able to communicate with the electronic calculator unit.

5. A system according to claim 4, characterized in that the electronic circuit in the sensor contains calibration information.

6. A system according to claim 5, characterized in that the electronic calculator unit comprises data storage for calibration information.

7. A system according to claim 6, characterized in that the data storage is configured for receiving information used in the electronic calculator unit for iteratively estimating the uncertainty of the blood-glucose measurement.

8. A system according to claim 7, characterized in that the apparatus has means for generating said data/information.

9. A system according to claim 8, characterized in that said means comprise a test-strip glucose-measurement device.

10. A system according to claim 8, characterized in that said means comprise a further transcutaneous sensor.

11. A system according to claim 1, characterized in that the apparatus comprises transmitter and receiver circuits for wireless communication of said data/information between the separate parts of the apparatus.

12. A system according to claim 1, characterized in that the apparatus comprises an electronic alarm circuit;

and that the apparatus comprises means by which a user is able to adjust the threshold values of the alarm circuit.

13. A system according to claims 1, characterized in that the apparatus is configured for being able to communicate with a unit intended for dosing a medicament.

14. A system according to claim 1, characterized in that it comprises means for dosing and administering a medicament.

15. A method of estimating the glucose concentration in blood by means of a sensor inserted subcutaneously in live tissue and by means of associated electronic calculator circuits, characterized in that an estimate is provided of the uncertainty of the glucose-concentration measurement;

and that a result is displayed on a display comprising the display of an interval that represents the estimated uncertainty.

16. A method according to claim 15, characterized in that the uncertainty is reduced by performing valid calibration measurements.

17. A method according to claim 16, characterized in that the uncertainty is estimated in response to the number of calibration measurements performed.

18. A method according to claim 16, characterized in that the number of calibration measurements is zero;

and that the uncertainty is estimated in response to the signals emitted by the sensor during a pre-defined period of time.

19. A method according to claim 16, characterized in that the number of the number of calibration measurements is zero;

and that the uncertainty is estimated on the basis of measured data and calibration parameters that are present either in the sensor and/or in connection with the calculator circuit.

20. A method according to claim 16, characterized in that at least one calibration measurement is performed;

and that the uncertainty is calculated on the basis of maximum and minimum values from the sensor that are observed during a predetermined period of time which is time-lagged in relation to the calibration measurement.

21. A method according to claim 16, characterized in that the number of calibration measurements is larger than zero;

and that the uncertainty is calculated on the basis of measured data, calibration measurements and the calibration parameters that are present either in the sensor and/or in connection with the calculator circuit.

22. A method according to claim 16, characterized in that the number of calibration measurements is larger than zero;

and that the validity of earlier calibration measurements are reduced compared to more recent calibration measurements.

23. A method according to claim 15, characterized in that a signal is produced that represents said uncertainty;

and that the signal is used as input signal for an electronic alarm circuit.

24. A method according to claim 23, characterized in that signals are produced that represent the calculated blood-glucose concentration and its estimated uncertainty;

and that the signals are used as input signal for the alarm circuit.

25. A method according to claim 23, characterized in that the threshold values of the alarm circuit is pre-programmed by a user.

26. A method according to claim 23, characterized in that the alarm circuit is controlled to act differently in dependence of whether the upper or the lower threshold value is exceeded.

27. A method according to claim 26, characterized in that the information regarding the uncertainty is weighted such that the values are regarded to be more critical in case of relatively low blood-glucose concentrations than for relatively high blood-glucose concentrations.

28. A method according to claim 23, characterized in that the threshold values of the alarm circuit are changed in response to the in-use situation.

29. A method according to claim 23, characterized in that the threshold values of the alarm circuit are shown on said display.

30. A method according to claim 15, characterized in that the display comprises the size of the estimated uncertainty.

31. A method according to claim 15, characterized in that the display represents the blood-glucose value and the size of the uncertainty.

32. A method according to claim 15, characterized in that the display comprises the highest and lowest possible values of the blood glucose.

33. A method according to claim 15, characterized in that the display comprises numerical values.

34. A method according to claim 18, characterized in that the display comprises a graphical representation.

35. A method according to claim 15, characterized in that the display may both be graphical and numerical or a combination thereof.

36. A method according to claim 15, characterized in that, for the calculation of the information, signals are used from a further sensor that was introduced subcutaneously and emitted signals to said electronic calculator circuit for a period of time preceding the use of said sensor.