Computer-implemented system and method for improving glucose management through modeling of circadian profiles
First Claim
1. A computer-implemented method for improving glucose management through modeling of circadian profiles, comprising the steps of:
- defining a plurality of meal periods that each occur each day at a set time;
building a circadian profile for a diabetic patient, comprising the steps of;
choosing an observational time frame for the circadian profile comprising a plurality of days that have occurred recently;
assembling meal period data comprising at least two typical measurements of pre-meal and post-meal self-measured blood glucose that were recorded at each of the meal periods that occurred each day in the observational time frame; and
identifying doses of diabetes medication that were respectively taken during each of the meal periods for which the blood glucose measurements were recorded;
creating a model of glucose management for the diabetic patient, comprising the steps of;
defining a modeling period comprising a plurality of days, which each comprise the same plurality of the meal periods that occurred each day in the observational time frame;
estimating expected blood glucose values and their predicted errors at each of the meal periods occurring each day in the modeling period from the blood glucose measurements based on the meal periods in the circadian profile that respectively occur at the same set times and visualizing the expected blood glucose values and their predicted errors over time for each meal period occurring each day in the modeling period in a log-normal distribution;
determining target ranges for blood glucose at each of the meal periods occurring each day in the modeling period and superimposing the target ranges over the expected blood glucose values for each meal period occurring each day in the modeling period in the log-normal distribution; and
selecting one of the meal periods that occurs on one of the days in the modeling period and modeling a change in the dose of the diabetes medication for the selected meal period, comprising the steps of;
obtaining a dose-response characteristic comprising a blood glucose lowering effect over time for the modeled change in the dose of the diabetes medication, wherein the blood glucose lowering effect has been normalized with blood glucose lowering effects of diabetes medications based on the same change in the dose;
propagating the normalized blood glucose lowering effect over time for the modeled change in the dose of the diabetes medication to the expected blood glucose values, beginning with the selected meal period and continuing with each of the meal periods occurring subsequently in the modeling period, the normalized blood glucose lowering effect being adjusted in proportion to the set time of each subsequent meal period until the normalized blood glucose lowering effect is exhausted; and
visualizing the expected blood glucose values as propagated and their predicted errors in the log-normal distribution,wherein the steps are performed on a suitably-programmed computer.
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Abstract
A computer-implemented system and method for improving glucose management through modeling of circadian profiles is provided. Meal period data is assembled, which includes, for each stated period, at least two measurements of pre-meal and post-meal self-measured blood glucose. Diabetes medication dosed over the periods is identified. The assembled meal period data and the medication are organized into a circadian profile for a diabetic patient. A model including expected blood glucose values and their predicted errors at each period is created from the blood glucose measurements and is visualized in a log-normal distribution. Target ranges for blood glucose at each period are determined and superimposed over the expected blood glucose values. Pharmacodynamics of the medication are obtained. An incremental change in dosing of the medication is propagated over a model day and the expected blood glucose values and their predicted errors are adjusted in response to the incremental dosing change.
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Citations
21 Claims
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1. A computer-implemented method for improving glucose management through modeling of circadian profiles, comprising the steps of:
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defining a plurality of meal periods that each occur each day at a set time; building a circadian profile for a diabetic patient, comprising the steps of; choosing an observational time frame for the circadian profile comprising a plurality of days that have occurred recently; assembling meal period data comprising at least two typical measurements of pre-meal and post-meal self-measured blood glucose that were recorded at each of the meal periods that occurred each day in the observational time frame; and identifying doses of diabetes medication that were respectively taken during each of the meal periods for which the blood glucose measurements were recorded; creating a model of glucose management for the diabetic patient, comprising the steps of; defining a modeling period comprising a plurality of days, which each comprise the same plurality of the meal periods that occurred each day in the observational time frame; estimating expected blood glucose values and their predicted errors at each of the meal periods occurring each day in the modeling period from the blood glucose measurements based on the meal periods in the circadian profile that respectively occur at the same set times and visualizing the expected blood glucose values and their predicted errors over time for each meal period occurring each day in the modeling period in a log-normal distribution; determining target ranges for blood glucose at each of the meal periods occurring each day in the modeling period and superimposing the target ranges over the expected blood glucose values for each meal period occurring each day in the modeling period in the log-normal distribution; and selecting one of the meal periods that occurs on one of the days in the modeling period and modeling a change in the dose of the diabetes medication for the selected meal period, comprising the steps of; obtaining a dose-response characteristic comprising a blood glucose lowering effect over time for the modeled change in the dose of the diabetes medication, wherein the blood glucose lowering effect has been normalized with blood glucose lowering effects of diabetes medications based on the same change in the dose; propagating the normalized blood glucose lowering effect over time for the modeled change in the dose of the diabetes medication to the expected blood glucose values, beginning with the selected meal period and continuing with each of the meal periods occurring subsequently in the modeling period, the normalized blood glucose lowering effect being adjusted in proportion to the set time of each subsequent meal period until the normalized blood glucose lowering effect is exhausted; and visualizing the expected blood glucose values as propagated and their predicted errors in the log-normal distribution, wherein the steps are performed on a suitably-programmed computer. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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13. A computer-implemented system for managing diabetes with circadian profiles, comprising:
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an electronically-stored database comprising a plurality of records, each record comprising a circadian profile, comprising; a plurality of meal period categories that each occur each day at a set time and divide each circadian profile into the meal period categories; an observational time frame comprising a plurality of days that have occurred recently; at least two of typical measurements of pre-meal and post-meal self-measured blood glucose that were recorded at each of the meal period categories that occurred each day in the observational time frame; and doses of diabetes medication that were respectively taken during each of the meal period categories for which the blood glucose measurements were recorded; and an executable application configured to model glucose management, comprising; a model period module configured to define a modeling period comprising a plurality of days, which each comprise the same plurality of the meal period categories that occurred each day in the observational time frame; a collection module configured to collect the blood glucose measurements along a category axis comprising each of the meal period categories; a statistical engine configured to determine expected blood glucose values and their predicted errors at each of the meal period categories occurring each day in the modeling period from the blood glucose measurements based on the meal period categories on the category axes in the circadian profile that respectively occur at the same set times and to visualize the expected blood glucose values and their predicted errors over time for each meal period category occurring each day in the modeling period in a log-normal distribution; and a change modeling module configured to select one of the meal period categories that occurs on one of the days in the modeling period and to model a change in the dose of the diabetes medication for the selected meal period category, comprising; a dose-response characteristic module configured to obtain a dose-response characteristic comprising a blood glucose lowering effect over time for the modeled change in the dose of the diabetes medication, wherein the blood glucose lowering effect has been normalized with blood glucose lowering effects of diabetes medications based on the same change in the dose; a dosing module configured to propagate the normalized blood glucose lowering effect for the modeled change in the dose of the diabetes medication to the expected blood glucose values, beginning with the selected meal period category and continuing with each of the meal period categories occurring subsequently in the modeling period, the normalized blood glucose lowering effect being adjusted in proportion to the set time of each subsequent meal period category until the normalized blood glucose lowering effect is exhausted; and a visualization module to visualize the expected blood glucose values aspronagated and their predicted errors in the log-normal distribution. - View Dependent Claims (14, 15, 16)
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17. A computer-implemented method for managing diabetes with circadian profiles, comprising the steps of:
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structuring a database comprising a plurality of records, each record comprising a circadian profile, comprising; defining a plurality of meal period categories that each occur each day at a set time and dividing each circadian profile into the meal period categories; choosing an observational time frame for the circadian profile comprising a plurality of days that have occurred recently; storing at least two of typical measurements of pre-meal and post-meal self-measured blood glucose that were recorded at each of the meal period categories that occurred each day in the observational time frame; and identifying doses of diabetes medication that were respectively taken during each of the meal period categories for which the blood glucose measurements were recorded; and modeling glucose management, comprising; defining a modeling period comprising &
plurality of days, which each comprise the same plurality of the meal period categories that occurred each day in the observational time frame;collecting the blood glucose measurements along a category axis comprising each of the meal period categories; determining expected blood glucose values and their predicted errors at each of the meal period categories occurring each day in the modeling period from the blood glucose measurements based on the meal period categories on the category axes in the circadian profile that respectively-occur at the same set times and visualizing the expected blood glucose values and their predicted errors over time for each meal period category occurring each day in the modeling period in a log-normal distribution; selecting one of the meal period categories that occurs on one of the days in the modeling period and modeling a change in the dose of the diabetes medication for the selected meal period category, comprising; obtaining a dose-response characteristic comprising a blood glucose lowering effect over time for the modeled change in the dose of the diabetes medication, wherein the blood glucose lowering effect has been normalized with blood glucose lowering effects of diabetes medications based on the same change in the dose; propagating the normalized blood glucose lowering effect for the modeled change in the dose of the diabetes medication to the expected blood glucose values, beginning with the selected meal period category and continuing with each of the meal period categories occurring subsequently in the modeling period, the normalized blood glucose lowering effect being adjusted in proportion to the set time of each subsequent meal period category until the normalized blood glucose lowering effect is exhausted; and visualizing the expected blood glucose values as propagated and their predicted errors in the log-normal distribution, wherein the steps are performed on a suitably-programmed computer. - View Dependent Claims (18, 19, 20, 21)
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Specification