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Diabetes management system and apparatus

  • US 5,019,974 A
  • Filed: 02/22/1990
  • Issued: 05/28/1991
  • Est. Priority Date: 05/01/1987
  • Status: Expired due to Fees
First Claim
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1. A system for outpatient treatment management for diabetes, the system which comprises:

  • (a) a master computer means programmed to develop on the basis of the input data of an individual patient, including blood glucose, food intake, insulin dosage and exercise, analyzed with respect to that individual patient'"'"'s diabetic condition, the optimum program of treatment including insulin medication, diet and exercise for that patient and to insert instructions for desired optimum treatment options for therapy, including pre-stored guidelines for blood glucose therapy, insulin therapy, diet therapy, exercise therapy and urine therapy for that individual patient into a portable monitor means, such optimum treatment options which are adjustable by that patient responsive to input of therapy information entered by that patient received from the portable monitor via an interface means in the custody of that patient;

    (b) a portable monitor means in the possession of the patient;

    (c) interface means in the custody of the patient including an interface display means to enable the master computer means and the portable monitor means to exchange information, to read the instructions stored in the portable monitor means and to display on the interface display means graphically or numerically selected patient therapy information daily on command of the patient;

    (d) the portable monitor means comprising;

    (i) monitor display means for displaying treatment therapy guidelines to the patient;

    (ii) a keyboard including action key means for accessing selected therapy guidelines stored in the portable monitor means for making entries and for identifying treatment options available to the patient including time periods for said treatment options and including operating key means for varying entries stored on the portable monitor means;

    (iii) a programmed computer into which patient therapy information is entered by the patient'"'"'s use of the keyboard and action key means which is adjusted by the patient by keying in changes after consulting display of graphical or numerical information provided by the interface display means without access to the main computer means or consultation with a physician;

    (iv) portable storage means for accepting and storing patient treatment instructions including guidelines for treatment therapy for that individual patient from the master computer means;

    (v) monitor therapy storage means for accepting patient therapy information entered by the patient'"'"'s use of the keyboard and action keys means and test results including blood glucose values automatically measured by the blood glucose test means for access by the patient'"'"'s use of the keyboard;

    (vi) blood glucose test means to measure automatically the blood glucose value of the patient;

    (vii) the programmed computer of the portable monitor means comprising;

    (1) means to display on the monitor display screen at the appropriate times the guidelines for patient therapy from the storage means providing instructions relative to the desired treatment options or medication dose for that individual patient to prompt the patient to perform the displayed information at the appropriate time and to provide for selection of variations of therapy for medication, diet and exercise with options for deviations responsive to daily displays provided by the interface display means;

    (2) means to accept and store in the monitor therapy storage means the prompted patient therapy information entered by the patient including adjustments based upon the guidelines selected by the patient on the keyboard on a daily basis based on information as to the patient'"'"'s own selected therapy including deviations from the pre-existing schedule of treatment pursuant to the guidelines and;

    (3) means to display past blood glucose measurements over a period of time as desired by the patient.

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