Managing Insulin Administration

• US 20170351842A1
• Filed: 05/31/2017
• Published: 12/07/2017
• Est. Priority Date: 06/07/2016
• Status: Active Grant

• Current Assignee: Glytec LLC (Aseko, Inc.)
• Original Assignee: Aseko, Inc.
• Inventors: Booth, Robert C., Salitsky, Robert, Rhinehart, Andrew
• Granted Patent: US 11,062,798 B2
• Time in Patent Office: Days
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• 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: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A method includes obtaining blood glucose measurements and blood glucose times of a patient from a blood glucose meter and executing a patient management program configured to display on a screen a graphical user interface having a trend window of the blood glucose measurements on the time line. The patient management program is configured to receive, in the trend window magnifying inputs for a magnification window superimposed on a segment of the timeline to specify a date range for a magnified window. The patient management program is further configured to display the magnified window including the blood glucose measurements of the patient from the specified date range and display a first information window including quantitative information associated with the blood glucose measurements from the specified date range.

Claims

1. A method comprising:

obtaining, at data processing hardware, blood glucose measurements of a patient and blood glucose times associated with a time of measuring each blood glucose measurement from a blood glucose meter associated with the patient; and

executing, at the data processing hardware, a patient management program configured to display on a screen in communication with the data processing hardware a graphical user interface having a trend window of the blood glucose measurements on a timeline, wherein the patient management program is configured to;

receive, in the trend window, magnifying inputs from a medical professional for a magnification window superimposed on a segment of the timeline to specify a date range for a magnified window;

display, in the graphical user interface, the magnified window including the blood glucose measurements of the patient from the specified date range, the blood glucose measurements of the magnified window comprising interactive points within associated ones of scheduled blood glucose time intervals based on the blood glucose times; and

display, in the graphical user interface, a first information window including quantitative information associated with the blood glucose measurements from the specified date range.

2. The method of claim 1, wherein the patient management program is configured to:

superimpose, in the graphical user interface, a first line on the magnified window representing an upper blood glucose limit of a target blood glucose range; and

superimpose, in the graphical user interface, a second line on the magnified window representing a lower blood glucose limit of the target blood glucose range.

3. The method of claim 2, wherein the interactive points associated with the blood glucose measurements within the target blood glucose range display as a first representation, the interactive points associated with the blood glucose measurements greater than the upper blood glucose limit display as a second representation, and the interactive points associated with the blood glucose measurements less than the lower blood glucose limit display as a third representation or the second representation.

4. The method of claim 1, wherein the patient management program is configured to, in response to receiving the magnifying inputs:

determine a representative average blood glucose value for each of the scheduled blood glucose time intervals; and

superimpose, in the graphical user interface, an average blood glucose graphic on the magnified window based on the representative average blood glucose values for the scheduled blood glucose time intervals.

5. The method of claim 1, wherein the patient management program is configured to:

receive, in the magnified window, filtering inputs from the medical professional to define a specified time range for the magnified window;

queries memory hardware in communication with the data processing hardware to obtain quantitative information related to the blood glucose measurements within the specified time range of the magnified window; and

display, in the graphical user interface, a second information window including the quantitative information related to the blood glucose measurements within the specified time range of the magnified window.

6. The method of claim 5, wherein the interactive points associated with the blood glucose measurements within the specified time range of the magnified window display as a first representation and the blood glucose measurements outside the specified time range of the magnified window display as a second representation different from the first representation.

7. The method of claim 5, wherein the patient management program receives the filtering inputs from the medical professional when the medical professional manipulates a first interactive cursor superimposed on the magnified window to set a lower time limit for the specified time range of the magnified window and/or manipulates a second a graphical cursor superimposed on the magnified window to set an upper time limit for the specified time range of the magnified window.

8. The method of claim 1, wherein the patient management program is configured to, in response to the medical professional selecting one of the interactive points on the magnified window:

illuminate the selected interactive point of the magnified window;

query memory hardware in communication with the data processing hardware to obtain quantitative information related to the blood glucose measurement associated with the selected interactive point; and

is display a pop-up window including the quantitative information related to the blood glucose measurement associated with the selected interactive point.

9. The method of claim 1, wherein the quantitative information includes at least one of an average blood glucose value, an aggregated blood glucose value for each of the scheduled blood glucose time intervals, a hemoglobin A1c value, an average number of blood glucose measurements per day, an average total daily dose of insulin, or average doses of insulin injected by the patient during each of the scheduled blood glucose time intervals.

10. The method of claim 1, wherein obtaining the blood glucose measurements of the patient comprises receiving, at the data processing hardware, the blood glucose measurements of the patient and the blood glucose times from a patient device in communication with the data processing hardware and the blood glucose meter.

23. The method of claim 1, further comprising:

when the current blood glucose measurement is greater than the target blood glucose value;

determining, by the data processing hardware, a correction dose for the patient based on a function of the current blood glucose measurement, the target blood glucose value, and the correction factor; and

transmitting the correction dose for the patient from the data processing hardware to the patient device, the correction dose when received by the patient device, causing the insulin management program to display a value of the correction dose on the patient screen.

24. The method of claim 23, further comprising, after receiving the current blood glucose measurement of the patient:

obtaining, by the data processing hardware, a meal type for the patient based on the blood glucose time associated with the time of measuring the current blood glucose measurement;

receiving a meal size for the meal type at the data processing hardware from the patient device, the patient device receiving the meal size at a meal size input displayed by the insulin management program on the patient screen;

determining, by the data processing hardware, a recommended meal bolus for the patient based on the meal size and the meal type; and

transmitting the recommended meal bolus from the data processing hardware to the patient device, the recommended meal bolus when received by the patient device, causing the insulin management program to display on the patient screen;

a value of the recommended meal bolus;

a recommended total dosage of insulin for the patient based on a sum of the values of the recommended meal bolus and the correction dose; and

a patient-selectable change dosage button enabling the patient to change the recommended total dosage of insulin when the patient selects the patient-selectable change dosage button.

25. The method of claim 24, wherein the patient inputs the meal size to the patient device by selecting one of multiple meal size buttons displayed on the patient screen, each meal size button corresponding to a respective meal size associated with the meal type.

26. The method of claim 24, wherein the patient inputs the meal size to the patient device by inputting a number of carb exchanges associated with the meal type.

27. The method of claim 24, wherein the patient inputs the meal size to the patient device by inputting an amount of carbohydrates associated with the meal type.

11. A method comprising:

obtaining, at data processing hardware, blood glucose measurements of a patient and blood glucose times associated with a time of measuring each blood glucose measurement from a blood glucose meter associated with the patient; and

executing, at the data processing hardware, a patient management program a configured to display on a screen in communication with the data processing hardware a graphical user interface having a trend window of the blood glucose measurements on a timeline, wherein the patient management program is configured to;

receive, in the trend window, magnifying inputs from a medical professional for a magnification window superimposed on a segment of the timeline to specify a date range for a magnified window,

display, in the graphical user interface, the magnified window including the blood glucose measurements of the patient from the specified date range, the blood glucose measurements of the magnified window comprising a blood glucose plot extending through each date of the specified date range;

display, in the graphical user interface, a first information window including quantitative information associated with the blood glucose measurements from the specified date range.

12. The method of claim 11, wherein the patient management program is configured to, in response to receiving the magnifying inputs:

determine an estimated hemoglobin A1c value for each date of the specified date range; and

superimpose, in the graphical user interface, an average hemoglobin A1c graphic on the magnified window based on the estimated hemoglobin A1c values of the specified date range.

13. The method of claim 11, wherein the patient management program is configured to, in response to receiving the magnifying inputs:

determine a daily average blood glucose value for each date of the specified date so range; and

superimpose, in the graphical user interface, an average blood glucose graphic on the magnified window based on the daily average blood glucose values for the specified date range.

14. The method of claim 11, wherein the patient management program is configured to, in response to receiving the magnifying inputs:

query memory hardware in communication with the data processing hardware to obtain doses of insulin administered by the patient for each date of the specified date range; and

superimpose, in the graphical user interface, a plot of the doses of insulin administered by the patient for each date of the specified date range on the magnified window.

15. The method of claim 11, wherein the patient management program is configured to display, in the graphical user interface, a communication window including a history of communications with the patient.

16. The method of claim 11, wherein the patient management program is configured to display, in the graphical user interface, a monitoring window including a list of patients under the supervision of the medical professional.

17. The method of claim 16, wherein the patient management program is configured to:

determine an alert condition for one of the patients when a most recent blood glucose measurement of the patient is less than a hypoglycemia blood glucose threshold or greater than a hyperglycemia blood glucose threshold; and

superimpose, in the graphical user interface, an alert graphic on the monitoring window proximate to the patient associated with the alert condition, the alert graphic comprising a value of the most recent blood glucose measurement associated with the so alert condition.

18. A method comprising:

receiving, at data processing hardware, a current blood glucose measurement of a patient from a patient device, the patient device executing an insulin management program configured to;

a display, on a patient screen of the patient device, a blood glucose input field;

receive, at the blood glucose input field, the current blood glucose measurement; and

transmit the current blood glucose measurement and a blood glucose time associated with a time of measuring the current blood glucose measurement to the data processing hardware;

in response to receiving the current blood glucose measurement, obtaining, by the data processing hardware, blood glucose parameters associated with the patient from memory hardware in communication with the data processing hardware, the blood glucose parameters including a hypoglycemia blood glucose value, a target blood glucose value greater than the hypoglycemia blood glucose value, and a correction factor;

comparing, by the data processing hardware, the current blood glucose measurement to the blood glucose parameters; and

when the current blood glucose measurement is less than the hypoglycemia blood glucose value, transmitting a low blood glucose alert notification from the data processing hardware to the patient device, the low blood glucose alert notification when received by the patient device, causing the insulin management program to render a hypoglycemia view on the patient screen, the hypoglycemia view displaying;

hypoglycemia patient instructions to treat a hypoglycemia episode associated with the current blood glucose measurement;

a countdown timer indicating a remaining amount of time until the patient is instructed to attain a subsequent blood glucose measurement; and

one or more patient-selectable hypoglycemia buttons each indicating respective ones of potential causes for the hypoglycemia episode.

19. The method of claim 18, further comprising, prior to receiving the current blood glucose measurement:

determining, by the data processing hardware, whether a current time is within a scheduled blood glucose time interval requiring the current blood glucose measurement; and

when the current time is within the scheduled blood glucose time interval requiring the current blood glucose measurement, transmitting a blood glucose request notification from the data processing hardware to the patient device during the scheduled blood glucose time interval, the blood glucose request notification when received by the patient device, causing the insulin management program to display the blood glucose request notification on the patient screen, the blood glucose request notification instructing the patient to attain the current blood glucose measurement.

20. The method of claim 19, wherein the blood glucose request notification comprises an interactive graphic or user-selectable link and the insulin management program is configured to display the blood glucose input field on the patient screen in response to the patient selecting the blood glucose request notification.

21. The method of claim 18, wherein the insulin management program executing on the patient device is configured to:

display a patient-selectable meal type button on the patient screen indicating a meal type when the patient is consuming a meal based on the blood glucose time, wherein selecting the meal type button by the patient causes the insulin management program to prompt the patient to input a meal size for the meal type and transmit the input meal size to the data processing hardware; and

display a patient-selectable non-meal button on the patient screen indicating that the current blood glucose measurement is dissociated from the meal type indicated by the patient-selectable meal type button, wherein selecting the non-meal button by the patient causes the insulin management program to prompt the patient to input a rational for so obtaining the current blood glucose measurement and transmit the input rational to the data processing hardware,

wherein the insulin management program displays the blood glucose input field, the patient-selectable meal type button, and the patient-selectable non-meal button in a common view on the patient screen.

22. The method of claim 21, wherein the meal type includes at least one of a pre-breakfast blood glucose measurement, a pre-lunch blood glucose measurement, a pre-dinner blood glucose measurement, or a bedtime blood glucose measurement, wherein the pre-breakfast, pre-lunch, pre-dinner, and bedtime blood glucose measurements are scheduled in a daily repetitive rotational order.