Insulin bolus recommendation system

• US 7,553,281 B2
• Filed: 10/05/2007
• Issued: 06/30/2009
• Est. Priority Date: 08/26/2004
• Status: Active Grant

• Current Assignee: Roche Diabetes Care Inc. (Roche Holding AG)
• Original Assignee: Disetronic Licensing Ag, Roche Diagnostics Operations Incorporated (Roche Holding AG)
• Inventors: Hellwig, Robert, Weinert, Stefan
• Primary Examiner(s): Mallari; Patricia C
• Application Number:
  US11/868,003
• Publication Number:
  US 20080058628A1
• Time in Patent Office: 634 Days
• Field of Search: 600/365, 604/31, 604/66
• US Class Current: 600/365
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/17 delivered via infusion or injection

Abstract

A system for recommending insulin bolus quantities to an insulin user includes a display unit and memory unit coupled to a control circuit with a user blood glucose target stored in the memory unit. The control circuit is programmed to receive the user'"'"'s current blood glucose value, to determine and display via the display unit a recommended correction insulin bolus quantity if the current blood glucose value exceeds the blood glucose target, to compute a difference value as the current blood glucose value less the blood glucose target, and to produce a modified blood glucose target as a sum of the blood glucose target and the difference value for a lock-out time period if the difference value is positive. Additional correction insulin bolus quantities may be recommended during the lock-out time period if the user'"'"'s current blood glucose value exceeds the modified blood glucose target.

Claims

1. A system for recommending insulin bolus quantities to an insulin user, the system comprising:

a data input device for providing information from the user,

a display for displaying information to the user, and

a control circuit including a memory having a blood glucose target for the user stored therein, the control circuit receiving a current blood glucose value of the user from information provided by the user via the data input device, the control circuit determining a recommended insulin bolus quantity if the current blood glucose value exceeds the blood glucose target, computing a difference value as the current blood glucose value less the blood glucose target, and increasing the blood glucose target by the difference value for a lock-out time period if the difference value is positive, the control circuit controlling the display to display the recommended insulin bolus quantity to the user.

2. The system of claim 1 wherein the control circuit is configured to repeatedly receive a current blood glucose value of the user from information provided by the user via the data input device, determine a recommended insulin bolus quantity if the current blood glucose value exceeds the blood glucose target, compute a difference value as the current blood glucose value less the blood glucose target, increase the blood glucose target by the difference value for a lock-out time period if the difference value is positive, and control the display to display the recommended insulin bolus quantity to the user.

3. The system of claim 1 wherein the control circuit is configured to control the display to display a high blood glucose warning if the current blood glucose value is greater than a high blood glucose warning value.

4. The system of claim 1 wherein the control circuit is configured to control the display to display a low blood glucose warning if the current blood glucose value is less than a low blood glucose warning value.

5. The system of claim 1 wherein the control circuit is configured to control the display to display a low blood glucose alert if the current blood glucose value is less than a low blood glucose alert value.

6. A system for recommending insulin bolus quantities to an insulin user, the system comprising:

a data input device for providing information from the user,

a display for displaying information to the user, and

a control circuit including a memory having a blood glucose target for the user stored therein, the control circuit receiving a carbohydrate value from information provided by the user via the data input device, the carbohydrate value indicative of a quantity of carbohydrates that will be subsequently ingested by the user, the control circuit determining a recommended compensation insulin bolus quantity as a function of the carbohydrate value and increasing the blood glucose target by a post-prandial increase value to produce a first modified blood glucose target for a post-prandial lock-out time period if the carbohydrate value exceeds a threshold value, the control circuit controlling the display to display the recommended compensation insulin bolus quantity to the user.

7. The system of claim 6 wherein the control circuit receives a current blood glucose value of the user from information provided by the user via the data input device after the recommended compensation insulin bolus quantity is administered to the user, the control circuit determining a recommended correction insulin bolus quantity if the current blood glucose value exceeds the first modified blood glucose target, computing a difference value as the current blood glucose value less the first modified blood glucose target, and increasing the first modified blood glucose target by the difference value to produce a second modified blood glucose target for a correction lock-out time period if the difference value is positive, the control circuit controlling the display to display the recommended correction insulin bolus quantity to the user.

8. The system of claim 7 wherein the control circuit is configured to control the display to display a high blood glucose warning if the current blood glucose value is greater than a high blood glucose warning value.

9. The system of claim 7 wherein the control circuit is configured to control the display to display a low blood glucose warning if the current blood glucose value is less than a low blood glucose warning value.

10. The system of claim 7 wherein the control circuit is configured to control the display to display a low blood glucose alert if the current blood glucose value is less than a low blood glucose alert value.

11. A system for recommending insulin bolus quantities to an insulin user, the system comprising:

a data input device for providing information from the user,

a display for displaying information to the user, and

a control circuit including a memory having a blood glucose target for the user stored therein, the control circuit receiving a current user blood glucose value and a carbohydrate value from information provided by the user via the data input device, the carbohydrate value indicative of a quantity of carbohydrates that will be subsequently ingested by establishing a blood glucose target for the user, the control circuit determining a recommended compensation insulin bolus quantity as a function of the carbohydrate value, and determining a recommended correction insulin bolus quantity if the current blood glucose value exceeds the blood glucose target, the control circuit increasing the blood glucose target by a post-prandial increase value for a post-prandial lock-out time period if the carbohydrate value exceeds a threshold value and increasing the blood glucose target by a difference value, corresponding to the current blood glucose value less the blood glucose target, for a correction lock-out time period if the difference value is positive, the control circuit controlling the display to display the recommended compensation and correction insulin bolus quantities to the user.

12. The system of claim 11 wherein the control circuit is configured to control the display to display a high blood glucose warning if the current blood glucose value is greater than a high blood glucose warning value.

13. The system of claim 11 wherein the control circuit is configured to control the display to display a low blood glucose warning if the current blood glucose value is less than a low blood glucose warning value.

14. The system of claim 11 wherein the control circuit is configured to control the display to display a low blood glucose alert if the current blood glucose value is less than a low blood glucose alert value.