Method and Device for Personalized Interactive Monitoring for Diabetes

• US 20130187780A1
• Filed: 03/11/2013
• Published: 07/25/2013
• Est. Priority Date: 01/26/2009
• Status: Abandoned Application

• Current Assignee: Teladoc Health, Inc.
• Original Assignee: Eoshealth, Inc. (Teladoc Health, Inc.)
• Inventors: Angelides, Kimon J.
• Application Number:
  US13/793,208
• Publication Number:
  US 20130187780A1
• Time in Patent Office: Days
• US Class Current: 340/573.1
• 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 5/4833 Assessment of subject's compliance to treatment
• CPC Class Codes: G06F 1/1694 the I/O peripheral being a single or a set of motion sensors for pointer control or gesture input obtained by sensing movements of the portable computer
• CPC Class Codes: G06F 3/04817 using icons graphical or visual programming using iconic symbols G06F8/34
• CPC Class Codes: G06Q 10/103 Workflow collaboration or project management
• CPC Class Codes: G08B 21/02 Alarms for ensuring the safety of persons
• CPC Class Codes: G09B 19/0092 Nutrition
• CPC Class Codes: G16H 20/60 relating to nutrition control, e.g. diets
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

The invention relates to a method of doing business based on a device which interacts with a server and with the user'"'"'s health monitors (including physicians), and through these interactions guides the user to eat, exercise and test blood glucose and ketones so as to help maintain blood glucose (BG) and ketone levels at desirable levels, and also logs the results. The device is a wireless-linked (to the server) combination glucometer/accelerometer, which displays a series of user-interactive screens, having only a few icons per screen, which the user can selectively activate.

Claims

1. A business method to improve diabetes healthcare with interactive monitoring of blood glucose levels, comprising:

issuing diabetic users a hand-held device with a series of user-interactive screens with several icons per screen, wherein the user can trigger one or more icons to accomplish all of the following;

set alarm times and sounds to indicate that blood glucose should be tested and/or ketone levels should be tested, food should be consumed, or exercise should begin;

set into airplane mode to not interfere with airline flight equipment during air travel;

confirm functioning of the glucose and ketone test strips and test solutions against a control;

set the pedometer/accelerometer to varying stride lengths, and to displaying steps per designated unit of time, calories consumed per designated unit of time, total distance traveled per unit of time and average speed;

retrieve from the server and display messages relating to diabetes wellness education and suggested actions;

permit entry of the meal associated with a BG reading, whether the BG level was before or after a particular meal, the quantity of carbohydrate ingested at the meal, and the user'"'"'s feelings near the meal;

display BG values, including BG highs and lows, or average BG, over;

designated time periods, before and after meals, and display the quantity of carbohydrate consumed at the meals and the user'"'"'s feelings near the meal;

display BG variation over time as a percentage from the mean, and BG values as a percentage of a BG target, and also HB1Ac values and averages;

read glucose or ketone test strips and display BG values, with a display of how to insert a test strip into the device and a display indicating whether the test strip is correctly inserted;

communicate results of BG and ketone testing, and user'"'"'s steps, calories and distance traveled to a server, which can provide advice and educational messages based on said results;

communicate said results to physicians and health monitors, who can alert user or emergency services to problems;

communicate said results to family members, and/or to personal devices of the user or others;

and wherein the server also automatically communicates the following to the user;

instruct ketone testing by the user if the BG tests above 250 mg/dl;

instruct the user to eat preferred foods if the user'"'"'s BG tests below a specified level; and

count the number of test strips consumed, and indicates when a significant number of strips have been consumed and more should be ordered; and

wherein the users are charged for using the interactive system such that the cost of the complete interactive service and including blood glucose and ketone test strips, is less than cost for the competitor'"'"'s blood glucose test strips alone during the same period.

2. The method of claim 1 wherein the preferred foods are vegetables and foods with low glycemic index.

3. The method of claim 1 further including progressive personalization of food choices including by food characteristics of texture, color, softness, tartness, sweetness, degree of spicy, meaty, fruity, mushy, oily or firm.

4. The method of claim 1 further including indicating the number of strips remaining and allowing for ordering from the device by the user.

5. The method of claim 1 further including providing educational messages and summaries of BG levels to the user.

6. The method of claim 1 further including an icon to display the device battery charge level.

7. A hand-held device with a series of user-interactive screens with several icons per screen, wherein the user can trigger one or more icons to accomplish all of the following:

set alarm times and sounds to indicate that blood glucose should be tested and/or ketone levels should be tested, food should be consumed, or exercise should begin;

set into airplane mode to not interfere with airline flight equipment during air travel;

confirm functioning of the glucose and ketone test strips and test solutions against a control;

confirm that the glucose and ketone test strips are properly positioned;

indicate the user BG level and if greater than a threshold, automatically instruct ketone test strip insertion and ketone testing;

permit entry of the meal associated with the user BG level, whether the BG level was before or after a particular meal, the quantity of carbohydrate ingested at the meal, and the user'"'"'s feelings near the meal;

permit the user to display BG levels as averages, highs or lows over time, as well as to display Hb1Ac values, the average percent the BG level is from a target level, and the percent variance of the BG level from the mean;

display the quantity of carbohydrate consumed at the meals and the user'"'"'s feelings near the meal, over time;

set the pedometer/accelerometer to varying stride lengths, and to displaying steps per designated unit of time, calories consumed per designated unit of time, total distance traveled per unit of time and average speed;

retrieve from the server and display messages relating to diabetes wellness education and suggested actions;

communicate results of BG and ketone testing, and user'"'"'s steps, calories and distance traveled to a server, which can provide advice and educational messages based on said results and log results over time;

communicate said results to physicians and health monitors, who can alert user or emergency services to problems;

communicate said results to family members, and/or to personal devices of the user or others;

and wherein the server also automatically communicates the following to the user;

instruct the user to eat preferred foods if the user'"'"'s BG tests below a specified level; and

count the number of test strips consumed, and indicates when a significant number of strips have been consumed and more should be ordered.

8. The device of claim 7 wherein the preferred foods are vegetables and foods with low glycemic index.

9. The device of claim 7 further including progressive personalization of food choices including by food characteristics of texture, color, softness, tartness, sweetness, degree of spicy, meaty, fruity, mushy, oily or firm.

10. The device of claim 7 further including indicating the number of strips remaining and allowing for ordering from the device by the user.

11. The device of claim 7 further including an icon to display the device battery charge level.

12. The device of claim 7 wherein the threshold BG level is 250 mg/dl.