Equipment and method for contemporaneous decision supporting metabolic control

• US 6,368,272 B1
• Filed: 04/12/1999
• Issued: 04/09/2002
• Est. Priority Date: 04/10/1998
• Status: Active Grant

• Current Assignee: Porumbescu Aureliu M
• Original Assignee: Proactive Metabolics Company
• Inventors: Porumbescu, Aureliu M.
• Primary Examiner(s): Nasser, Robert L.
• Assistant Examiner(s): Astorino, Michael C
• Application Number:
  US09/290,094
• Time in Patent Office: 1,093 Days
• Field of Search: 600/300-301, 600/309, 600/361-365, 600/345, 128/898, 128/920-925, 434/265
• US Class Current: 600/300
• 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 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 20/60 relating to nutrition control, e.g. diets
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

The invention addresses hardware and software products capable to make contemporaneous accurate predictions regarding how a person'"'"'s biological system will respond to a series of stimuli. The predictions can then be communicated in real time, enabling confirmation of good control status, need for corrective action, planning future actions, or even outside intervention in case of emergency. Also addresses by the invention is a family of diagnostic hardware based on intelligent optoelectronic sensors that incorporate one or more Wedge-and-Strip Position-Sensitive Photo-Detectors optimized for probabilistic real time evaluation of spectroscopy data from living subjects.

Claims

1. A method to generate ongoing metabolic state predictions for improved decision support in metabolic control, comprising the following steps:

(a) entering into an apparatus ongoing metabolite contemporaneous time-stamped inputs from a user-patient and from biomedical assay equipment according to an interactive, time-stamped mode;

(b) allowing said user-patient to accept or reject the contemporaneous time-stamped inputs and storing the accepted inputs in appropriate memory areas of said apparatus;

(c) selecting one or more biological analytes (metabolite output values) to be controlled proactively using metabolic state predictions;

(d) assigning to each said metabolite contemporaneous time-stamped input an appropriate time function that describes its dynamic characteristics;

(e) computing predicted values of each contemporaneous time-stamped input in an ongoing manner, starting from the time of the appropriate time stamp data;

(f) assigning to each predicted value a time function/mathematical model, said time function/mathematical model being described by a time function/mathematical model comprising the general formula of;

2. The method of claim 1, wherein the contemporaneous time-stamped inputs are selected and specified in light of their predominant impact on the output value.

3. The method of claim 2, wherein the selection is made from nutrients, medication, physical activity, illness, or hormonal challenges.

4. The method of claim 3, wherein the nutrient is food, and the metabolite is “

exogenous glucose”

from the food.

5. The method of claim 1, wherein the metabolite output values are stored in said apparatus and are patient information.

6. The method of claim 1, whereby contemporaneous decision support in metabolic control is achieved for diabetes.

7. The method of claim 6, wherein one metabolite contemporaneous time-stamped input is exogenous insulin following an injection or infusion pump action, and said input is:

(a) generating exogenous insulin time functions using the formula;

8. The method according to claim 6, wherein b=1.0 for regular insulin, b=0.5 for NPH insulin, b=0.25 for lente insulin, and b=0.2 ultralente insulin.

9. The method according to claim 6, wherein N=1 to 5.

10. The method according to claim 6, wherein N=4.

11. The method according to claim 6, wherein b is a population averaged value or is specific for an individual.

12. A method to estimate the ongoing dynamic bio-availability of metabolite inputs that affect metabolic control, comprising at least one of the following steps:

(a) dividing intake matter into distinct components, wherein each component is uniquely characterized by the dynamics of its transformation into a metabolite;

(b) assigning each said distinct component to an elementary category, wherein each category is described mathematically by a category-specific time function;

(c) calculating the time functions corresponding to the distinct components;

(d) calculating the combined effect of said components as a function of time;

said time function comprising a general formula of;

13. The method of claim 12, wherein the elementary categories are foods, simple sugars, starches, protein, and fat, and wherein each of the said elementary categories is described by a unique pair of coefficients a and N.

14. The method of claim 13, wherein the elementary food categories are further refined by executing at least one of the following steps:

(a) dividing each food category into sub-categories, each said sub-category being described by its unique pair of coefficients a and N;

(b) dividing the food category “

starches”

into three sub-categories corresponding to glucose-based, galactose-based, and fructose-based carbohydrates; and

(c) adjusting the values of any said pair of coefficients a and N to reflect any individual-specific differences in ability to process the category or sub-category of food.

15. The method of claim 14, whereby one metabolite contemporaneous time-stamped input is exogenous glucose following a meal.

16. The method according to claim 12, wherein a=12 for all sugars, a=1/1.5 for starchy glucose, a=½

for starchy galactose, a=⅓

for starchy fructose, a=⅕

for protein, and a=⅛

for fats.

17. The method according to claim 12, wherein N=1 to 5.

18. The method according to claim 12, wherein N=4.

19. The method according to claim 12, wherein a is a population averaged value or is specific for an individual.