Means and method for improved glycemic control for diabetic patients

• US 9,171,343 B1
• Filed: 09/14/2012
• Issued: 10/27/2015
• Est. Priority Date: 09/11/2012
• Status: Active Grant

• Current Assignee: Glytec LLC (Aseko, Inc.)
• Original Assignee: Aseko, Inc.
• Inventors: Fischell, Robert E., Booth, Robert C.
• Primary Examiner(s): SOREY, ROBERT A
• Application Number:
  US13/617,776
• Time in Patent Office: 1,138 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 2562/0295 Strip shaped analyte sensors for apparatus classified in A61B5/145 or A61B5/157
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• 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: G06F 3/04847 Interaction techniques to control parameter settings, e.g. interaction with sliders or dials
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• 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 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A glycemic control system includes a physician processor, remote processor, and a portable telephone having a data input mechanism, a display, and an internal processor for bi-directional communication with the physician'"'"'s processor and the remote processor. A patient inputs data to the internal processor responsive to input from the physician'"'"'s processor and then transmits the information to the remote processor where an optimized number of units to be administered is sent back and displayed on the portable telephone.

Claims

1. A system for glycemic control of a diabetic patient, the system comprising:

a blood glucose meter configured to measure a blood glucose level of a blood sample from the diabetic patient; and

a smart phone in communication with the blood glucose meter and controlled by the diabetic patient, the smart phone executing instructions of a glucose application that cause the smart phone to;

receive a current blood glucose measurement from the blood glucose meter;

receive a prescription from a remote computer system that was manually input by an authorized medical professional, the prescription comprising;

extreme hyperglycemia patient instructions associated with an extreme hyperglycemia blood glucose range defined by first upper and lower blood glucose limits;

typical hyperglycemia patient instructions associated with a typical hyperglycemia blood glucose range defined by second upper and lower blood glucose limits, the second upper blood glucose limit less than the first lower blood glucose limit;

typical hypoglycemia patient instructions associated with a typical hypoglycemia blood glucose range defined by third upper and lower blood glucose limits, the third upper blood glucose limit less than the second lower blood glucose limit; and

extreme hypoglycemia patient instructions associated with an extreme hypoglycemia blood glucose range defined by fourth upper and lower blood glucose limits, the fourth upper blood glucose limit less than the third lower blood glucose limit;

send the current blood glucose measurement of the patient to the remote system; and

send parameters to the remote computer system, the parameters comprising at least one of a type of food, a quantity of food that the patient has ingested, a time when the patient ingested the food, or a future time when the patient plans on ingesting food;

wherein the remote computer system;

receives the prescription from a medical professional computer associated with the authorized medical professional, the medical professional computer in communication with the remote computer system;

calculates a prescribed number of units of insulin to control a blood glucose value of the patient, the calculated number of prescribed units of insulin based on the parameters received from the smart phone and a patient past history comprising previously received parameters associated with the patient, the prescribed number of units of insulin comprising a correction dosage calculated as;

2. The system of claim 1, wherein the smart phone:

displays a list of foods;

receives a selection and quantities of a subset of the list of foods from the patient transmits to the remote computer system the selected quantities of the subset list of foods;

receives an estimated quantity of carbohydrates in the selected quantities of the subset list of foods; and

displays a message comprising the prescribed number of units of insulin to maintain a normal level of blood glucose at that time for the patient.

3. The system of claim 2, wherein the quantity of food displayed on the smart phone comprises three levels:

small;

medium; and

large.

4. The system of claim 2, wherein the list of foods displayed on the smart phone comprises a number of slices of bread, a number of ears of corn, a number of drinks of an alcoholic beverage, a number of glasses of beer, or any similar quantization of items of food.

5. The system of claim 1, wherein the set of patient instructions displayed by the smart phone comprises a medication recommendation or food-type recommendation when the smart phone determines that the blood glucose measurement is within the typical hypoglycemia blood glucose range or the extreme hypoglycemia blood glucose range.

6. The system of claim 5, wherein the medication recommendation or food-type recommendation is greater when the blood glucose measurement is within the extreme hypoglycemia blood glucose range.

7. The system of claim 1, wherein the smart phone displays a message received from the remote computer system, the message comprising the recommended number of units of insulin and a name of the patient or a password recognizable by the patient.

8. The system of claim 1, wherein the smart phone displays a range of previously recommended units of insulin.

9. The system of claim 1, wherein the parameters further comprise at least one of an exercise parameter, an exercise intensity parameter, a stress parameter, or a physical parameter.

10. The system of claim 1, wherein the set of patient instructions displayed on the smart phone is based on a state of the patient being a mid-sleep state or a fasting state.

11. The system of claim 1, wherein the smart phone displays an injection recommendation having a number of units of insulin based on the blood glucose measurement.

12. The system of claim 1, wherein the smart phone displays an additional insulin injection recommendation and a blood glucose measurement recommendation after a period of time of between about 10 minutes and about 60 minutes when the blood glucose measurement is within the typical hypoglycemia blood glucose range or the extreme hypoglycemia blood glucose range.

13. The system of claim 1, wherein the smart phone alerts a patient physician or a patient monitor when the blood glucose measurement is within the extreme hypoglycemia blood glucose range or within the extreme hyperglycemia blood glucose range.