Diabetes therapy management system, apparatus and method
First Claim
Patent Images
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, 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;
b) a portable monitor means;
c) interface means 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 periodically 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 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) blood glucose test means to measure automatically the blood glucose value of the patient;
vi) 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 a blood glucose test means for access by the patient'"'"'s use of the keyboard;
vii) the programmed computer of the portable monitor means comprising1) 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 periodic 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 periodic basis based on information as to the patient'"'"'s own selected therapy including deviations from the preexisting schedule of treatment pursuant to the guidelines and;
3) means to display past patient therapy measurements over a period of time as desired by the patient.
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Abstract
A system and apparatus for efficient medical control of a medical condition such as diabetes comprises a recorder, an interface and a master computer. The master computer develops a programme of therapy which is downloaded into the recorder which then reminds the patient of any therapy due and records that the therapy has been effected. The recorded from the recorder is subsequently fed back to the master computer to improve or alter the therapy programme.
629 Citations
16 Claims
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1. A system for outpatient treatment management for diabetes, the system which comprises:
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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, 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; b) a portable monitor means; c) interface means 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 periodically 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 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) blood glucose test means to measure automatically the blood glucose value of the patient; vi) 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 a blood glucose test means for access by the patient'"'"'s use of the keyboard; 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 periodic 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 periodic basis based on information as to the patient'"'"'s own selected therapy including deviations from the preexisting schedule of treatment pursuant to the guidelines and; 3) means to display past patient therapy measurements over a period of time as desired by the patient. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A method of treating a patient having a medical condition which method comprises:
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a) deriving a program of treatment from patient information and medical condition including diet, exercise and insulin including pre-stored guidelines for diabetic therapy which permit the patient to make alterations in therapy by using the guidelines without the necessity of connecting back up to a central computer; b) providing the patient with a portable monitor means comprising a computer having a memory, a monitor display means and a keyboard means for accessing pre-stored guidelines comprising action keys; c) loading the program into the computer to display on the monitor display means at appropriate times the desired treatment or medication including guidelines for blood glucose therapy, insulin therapy, diet therapy, exercise therapy and urine therapy; d) recording in the computer memory information of treatment or medication received by the patient, entered by the patient by use of the keyboard means in response to the display of pre-stored guidelines for a treatment or medication which prompts the patient to enter the information at the appropriate time by use of the keyboard means; e) retrieving the recorded information; f) revising the program of treatment or medication in light of the information recorded and the pre-stored guidelines provided; g) reading the information stored in the monitor means and providing a display on command of the patient of selected patient therapy information; h) displaying at appropriate times to the patient information from the program including guidelines relative to the desired treatment options for medication therapy, diet therapy and exercise therapy for that patient to prompt the patient to perform the displayed information at the appropriate time and to provide options for deviations responsive to information provided by the interface means. - View Dependent Claims (11, 12, 13, 14, 15)
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16. A system of outpatient treatment management of diabetes, which system comprises:
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a) a master computer programmed to receive input as to patient diabetic-related information to develop and to revise periodically on the basis of subsequent data of a patient received from a portable monitor the optimum program of diabetic treatment including patient therapy and medication information for the patient and to load individualized instructions of diabetic treatment into the portable monitor to be stored; b) computer storage means for storage individual patient data inputted and for storing subsequent input data received from the monitor; c) analyzing means for comparing individual patient data with previous individual patient data stored in the master computer with the said optimum program and for changing the optimum program of treatment responsive to subsequent input data including patient therapy information for the patient on a periodic basis; d) the portable monitor in the possession of the patient; e) interface means for enabling the master computer and the portable monitor to exchange information and for displaying on an interface display means individual summary patient data or graphical information to provide the patient with a bases for variation in therapy and medication; f) the monitor comprising; i) a monitor display means to display information to the patient; ii) a keyboard; iii) a programmed computer into which computer treatment information is entered by the patient'"'"'s use of the keyboard; iv) storage means for accepting and storing patient treatment information from the master computer; v) monitor storage means for accepting patient therapy information entered by the patient'"'"'s use of the keyboard and blood glucose values measured by the blood glucose test means; vi) a blood glucose test means to measure the blood glucose value of the patient; vii) the monitor computer being programmed; 1) to display at appropriate times to the patient from the storage means information relative to the desired treatment or medication dose to prompt the patient to make an election of treatment or therapy and to perform the displayed information at the appropriate time; 2) to accept and store in the monitor storage means the prompted information entered by the patient on the keyboard to include the automatic storage of present blood glucose measurements from the blood glucose test means; and 3) to display guidelines for medication, diet and exercise, with change options and to permit the patient by use of the keyboard to select variations to the guidelines on a periodic basis; viii) monitor display means for displaying treatment guidelines with change options to permit the patient to select by use of the key means variations to optimum guidelines available on a periodic basis; and g) key means included in the keyboard for recording or processing patient treatment information selected by the patient in the monitor therapy storage means from a plurality of individualized choices.
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Specification