Methods of lag-compensation for analyte measurements, and devices related thereto

• US 9,462,970 B2
• Filed: 04/24/2013
• Issued: 10/11/2016
• Est. Priority Date: 04/24/2012
• Status: Active Grant

• Current Assignee: Abbott Diabetes Care Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Abbott Diabetes Care Incorporated (Abbott Laboratories Incorporated)
• Inventors: Budiman, Erwin S., Li, David L.
• Primary Examiner(s): Riggs, II, Larry D
• Application Number:
  US13/869,813
• Publication Number:
  US 20130304389A1
• Time in Patent Office: 1,266 Days
• Field of Search: None
• US Class Current: 1/1
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence

Abstract

In some aspects, methods of lag compensation of analyte measurements are provided. Methods of lag-compensation are provided for analyte point measurements and/or for analyte rate-of-change measurements. The methods include receiving a series of uncompensated analyte measurements and determining parameter values for analyte point and/or rate-of-change estimates based on reference analyte measurements. The analyte rate-of-change estimate is based on a sum of a plurality of scaled rates-of-changes. The analyte point estimate is based on a sum of an analyte point and a sum of a plurality of scaled rates-of-changes. Devices related to the methods are also provided.

Claims

1. A method of determining glucose level in a subject, comprising:

inserting an in vivo sensor in subcutaneous tissue in contact with interstitial fluid of a subject;

positioning an on-body unit on a surface of skin of the subject, wherein the on-body unit is in electrical contact with the in vivo sensor and in communication with a display;

measuring glucose in the interstitial fluid of the subject with the in vivo glucose sensor to produce at least three uncompensated glucose measurements, wherein the three uncompensated glucose measurements including a first uncompensated glucose measurement at an initial reference time, a second uncompensated glucose measurement at a first prior reference time, and a third uncompensated glucose measurement at a second prior reference time;

determining a first scaled rate-of-change by multiplying a first weighting coefficient on a first rate of change computed from the first uncompensated glucose measurement at the initial reference time relative to the second uncompensated glucose measurement at the first prior reference time;

determining a second scaled rate-of-change by multiplying a second weighting coefficient on a second rate of change computed from the first uncompensated glucose measurement at the initial reference time relative to the second uncompensated glucose measurement at the second prior reference time; and

calculating a lag-compensated glucose level from the uncompensated glucose measurements by adding the first scaled rate-of-change, the second scaled rate-of-change and the first uncompensated glucose measurement; and

displaying the lag compensated glucose level to the subject on the display, wherein the lag-compensated glucose level correlates with the subject'"'"'s blood glucose level at the initial reference time.

2. The method of claim 1, further comprising determining a first set of parameter values for a glucose level estimate based on the at least three glucose measurements, wherein the glucose level estimate is based on a sum of:

a glucose level corresponding to measurements at an initial reference time; and

a sum of the first scaled rate-of-change and the second scaled rate-of-change.

3. The method of claim 2, wherein the first set of parameter values comprises:

a first weighting coefficient of the first rate-of-change;

the first prior reference time;

a second weighting coefficient of the second rate-of-change; and

the second prior reference time.

7. The method of claim 1, further comprising measuring glucose in the interstitial fluid of the subject with the in vivo glucose sensor to produce a fourth uncompensated glucose measurement at a third prior reference time and a fifth uncompensated measurement at a fourth prior reference time.

8. The method of claim 7, further comprising:

determining a third scaled rate of change by multiplying a third weighting coefficient on a third rate of change computed from the first uncompensated glucose measurement at the initial reference time relative to the fourth uncompensated glucose measurement at the third prior reference time; and

determining a fourth scaled rate of change by multiplying a fourth weighting coefficient on a fourth rate of change computed from the first uncompensated glucose measurement at the initial reference time relative to the fifth uncompensated glucose measurement at the fourth prior reference time.

9. The method of claim 8, further comprising calculating a lag-compensated glucose level from the uncompensated glucose measurements by adding the first uncompensated glucose measurement with the third scaled rate-of-change and the fourth scaled rate-of-change.

10. The method of claim 9, wherein a second set of parameter values comprises:

a third weighting coefficient of the third rate-of-change;

the third prior reference time;

a fourth weighting coefficient of the fourth rate-of-change;

the fourth prior reference time.

11. The method of claim 9, further comprising calculating a lag-compensated glucose level by averaging a first lag-compensated glucose level and a second lag-compensated glucose level;

where the first lag-compensated glucose level is the sum of the first uncompensated glucose measurement, the first scaled rate-of-change, and the second scaled rate-of-change; and

where the second lag-compensated glucose level is the sum of the first uncompensated glucose measurement, the third scaled rate-of-change, and the fourth scaled rate-of-change.

12. The method of claim 7, further comprising measuring glucose in the interstitial fluid of the subject with the in vivo glucose sensor to produce a sixth uncompensated glucose measurement at a fifth prior reference time and a seventh uncompensated measurement at a sixth prior reference time.

13. The method of claim 12, further comprising:

determining a fifth scaled rate of change by multiplying a fifth weighting coefficient on a fifth rate of change computed from the first uncompensated glucose measurement at the initial reference time relative to the sixth uncompensated glucose measurement at the fifth prior reference time; and

determining a sixth scaled rate of change by multiplying a sixth weighting coefficient on a sixth rate of change computed from the first uncompensated glucose measurement at the initial reference time relative to the seventh uncompensated glucose measurement at the sixth prior reference time.

14. The method of claim 12, further comprising calculating a lag-compensated glucose level from the uncompensated glucose measurements by adding the first uncompensated glucose measurement with the fifth scaled rate of change and the sixth scaled rate of change.

15. The method of claim 14, wherein a third set of parameter values comprises:

a fifth weighting coefficient of the fifth rate-of-change;

the fifth prior reference time;

a sixth weighting coefficient of the sixth rate-of-change;

the sixth prior reference time.

16. The method of claim 12, further comprising calculating a lag-compensated glucose level by averaging a first lag-compensated glucose level and a second lag-compensated glucose level and a third lag-compensated glucose level;

where the first lag-compensated glucose level is the sum of the first uncompensated glucose measurement, the first scaled rate-of-change, and the second scaled rate-of-change;

the second lag-compensated glucose level is the sum of the first uncompensated glucose measurement, the third scaled rate-of-change, and the fourth scaled rate-of-change;

the third lag-compensated glucose level is the sum of the first uncompensated glucose measurement, the fifth scaled rate of change, and the sixth scaled rate of change.

17. The method of claim 16, further comprising determining whether one or more of the uncompensated glucose measurements are physiologically infeasible, invalid or missing.

18. The method of claim 17, wherein when the second uncompensated glucose measurement or the third uncompensated glucose measurement is determined to be physiologically infeasible, invalid or missing, the method comprises:

calculating a lag-compensated glucose level by adding the first uncompensated glucose measurement with;

the third scaled rate-of-change and the fourth scaled rate-of-change;

or

the fifth scaled rate-of-change and the sixth scaled rate-of-change.

19. The method of claim 18, wherein the method comprises calculating a lag-compensated glucose level by adding the first uncompensated glucose measurement with the third scaled rate-of-change and the fourth scaled rate-of-change.

20. The method of claim 18, wherein the method comprises calculating a lag-compensated glucose level by adding the first uncompensated glucose measurement with the fifth scaled rate-of-change and the sixth scaled rate-of-change.

21. The method of claim 17, wherein when the fourth uncompensated glucose measurement or the fifth uncompensated glucose measurement is determined to be physiologically infeasible, invalid or missing, the method comprises:

calculating a lag-compensated glucose level by adding the first uncompensated glucose measurement with;

the first scaled rate-of-change and the second scaled rate-of-change;

or

the fifth scaled rate-of-change and the sixth scaled rate-of-change.

22. The method of claim 21, wherein the method comprises calculating a lag-compensated glucose level by adding the first uncompensated glucose measurement with the first scaled rate-of-change and the second scaled rate-of-change.

23. The method of claim 21, wherein the method comprises calculating a lag-compensated glucose level by adding the first uncompensated glucose measurement with the fifth scaled rate-of-change and the sixth scaled rate-of-change.

24. The method of claim 17, wherein when the sixth uncompensated glucose measurement or the seventh uncompensated glucose measurement is determined to be physiologically infeasible, invalid or missing, the method comprises:

calculating a lag-compensated glucose level by adding the first uncompensated glucose measurement with;

the first scaled rate-of-change and the second scaled rate-of-change;

or

the third scaled rate-of-change and the fourth scaled rate-of-change.

25. The method of claim 24, wherein the method comprises calculating a lag-compensated glucose level by adding the first uncompensated glucose measurement with the first scaled rate-of-change and the second scaled rate-of-change.

26. The method of claim 24, wherein the method comprises calculating a lag-compensated glucose level by adding the first uncompensated glucose measurement with the third scaled rate-of-change and the fourth scaled rate-of-change.

27. The method of claim 16, further comprising determining whether one or more the first rate-of-change, the second rate-of-change, the third rate-of-change, the fourth rate-of-change the fifth rate of change and the sixth rate of change are physiologically infeasible.

28. The method of claim 17, wherein the physiologically infeasible rate of change is indicative of a dropout.

29. The method of claim 1, comprising determining an alternate first uncompensated glucose measurement at an alternate initial reference time.

30. The method of claim 29, wherein the alternate initial reference time is offset with respect to the initial reference time by a time delay.

31. The method of claim 30, further comprising determining an alternate first scaled rate-of-change by multiplying the alternate first weighting coefficient on an alternate first rate of change computed from the alternate first uncompensated glucose measurement at the alternate initial reference time to the alternate second uncompensated glucose measurement at the alternate first prior reference time.

32. The method of claim 31, further comprising determining an alternate second scaled rate-of-change by multiplying the alternate second weighting coefficient on an alternate second rate of change computed from the alternate first uncompensated glucose measurement at the alternate initial reference time to the alternate third uncompensated glucose measurement at the alternate second prior reference time.

33. The method of claim 32, further comprising calculating an alternate lag compensated glucose level from the uncompensated glucose measurements by adding the alternate first uncompensated glucose measurement, the alternate first scaled rate-of-change and the alternate second scaled rate-of-change.

34. The method of claim 31, further comprising determining:

an alternate third scaled rate-of-change by multiplying an alternate third weighting coefficient on an alternate third rate of change computed from the alternate first uncompensated glucose measurement at the alternate initial reference time to an alternate fourth uncompensated glucose measurement at an alternate third prior reference time; and

an alternate fourth scaled rate-of-change by multiplying an alternate fourth weighting coefficient on an alternate fourth rate of change computed from the alternate first uncompensated glucose measurement at the alternate initial reference time to an alternate fifth uncompensated glucose measurement at an alternate fourth prior reference time.

35. The method of claim 34, further comprising calculating an alternate lag-compensated glucose level by averaging an alternate first lag-compensated glucose level and an alternate second lag-compensated glucose level;

where the alternate first lag-compensated glucose level is the sum of the alternate first uncompensated glucose measurement, the alternate first scaled rate-of-change, and the alternate second scaled rate-of-change; and

where the alternate second lag-compensated glucose level is the sum of the alternate first uncompensated glucose measurement, the alternate third scaled rate-of-change and the alternate fourth scaled rate-of-change.

4. A device, comprising:

an in vivo positionable glucose sensor;

a processor,

a display for communicating lag compensated glucose level, wherein the lag compensated glucose level correlates with the subject'"'"'s blood glucose level at an initial reference time and

a memory comprising machine-executable instructions stored thereon for lag compensation of glucose level measurements, the instructions when executed cause the processor to;

receive at least three uncompensated glucose measurements prior to lag compensation, wherein the three uncompensated glucose measurements including a first uncompensated glucose measurement at the initial reference time, a second uncompensated glucose measurement at a first prior reference time, and a third uncompensated glucose measurement at a second prior reference time; and

determine a first scaled rate-of-change by multiplying a first weighting coefficient on a first rate of change computed from the first uncompensated glucose measurement at the initial reference time to the second uncompensated glucose measurement at the first prior reference time and determine a second scaled rate-of-change by multiplying a second weight coefficient on a second rate of change computed from the first uncompensated glucose measurement at the initial reference time to the second uncompensated glucose measurement at the second prior reference time; and

calculate lag-compensated glucose level measurements from the uncompensated glucose measurements by adding the first scaled rate-of-change, the second scaled rate-of-change and the first uncompensated glucose measurement.

5. The device of claim 4, the instructions when executed cause the processor to determine a first set of parameter values for a glucose level estimate based on at least three glucose measurements, wherein the glucose level estimate is based on a sum of:

a glucose level corresponding to measurements at an initial reference time; and

a sum of the first scaled rate-of-change and the second scaled rate-of-change.

6. The device of claim 5, where the instructions comprise:

instructions for calculating error metrics for a plurality of combinations of values as parameters in the glucose level estimate; and

instructions for selecting the first set of parameter values based on the calculated error metrics.

36. The device of claim 4, wherein the memory further comprises instructions when executed cause the processor to receive a fourth uncompensated glucose measurement at a third prior reference time and a fifth uncompensated measurement at a fourth prior reference time.

37. The device of claim 36, wherein the memory further comprises instructions when executed cause the processor to:

determine a third scaled rate of change by multiplying a third weighting coefficient on a third rate of change computed from the first uncompensated glucose measurement at the initial reference time relative to the fourth uncompensated glucose measurement at the third prior reference time; and

determine a fourth scaled rate of change by multiplying a fourth weighting coefficient on a fourth rate of change computed from the first uncompensated glucose measurement at the initial reference time relative to the fifth uncompensated glucose measurement at the fourth prior reference time.

38. The device of claim 37, wherein the memory further comprises instructions when executed cause the processor to calculate a lag-compensated glucose level from the uncompensated glucose measurements by adding the first uncompensated glucose measurement with the third scaled rate-of-change and the fourth scaled rate-of-change.

39. The device of claim 38, wherein the memory further comprises instructions when executed cause the processor to calculate a lag-compensated glucose level by averaging a first lag-compensated glucose level and a second lag-compensated glucose level;

where the first lag-compensated glucose level is the sum of the first uncompensated glucose measurement, the first scaled rate-of-change, and the second scaled rate-of-change; and

where the second lag-compensated glucose level is the sum of the first uncompensated glucose measurement, the third scaled rate-of-change, and the fourth scaled rate-of-change.

40. The device of claim 37, wherein the memory further comprises instructions when executed cause the processor to receive a sixth uncompensated glucose measurement at a fifth prior reference time and a seventh uncompensated measurement at a sixth prior reference time.

41. The device of claim 40, wherein the memory further comprises instructions when executed cause the processor to:

determine a fifth scaled rate of change by multiplying a fifth weighting coefficient on a fifth rate of change computed from the first uncompensated glucose measurement at the initial reference time relative to the sixth uncompensated glucose measurement at the fifth prior reference time; and

determine a sixth scaled rate of change by multiplying a sixth weighting coefficient on a sixth rate of change computed from the first uncompensated glucose measurement at the initial reference time relative to the seventh uncompensated glucose measurement at the sixth prior reference time.

42. The device of claim 40, wherein the memory further comprises instructions when executed cause the processor to calculate a lag-compensated glucose level from the uncompensated glucose measurements by adding the first uncompensated glucose measurement with the fifth scaled rate of change and the sixth scaled rate of change.

43. The device of claim 40, wherein the memory further comprises instructions when executed cause the processor to calculate a lag-compensated glucose level by averaging a first lag-compensated glucose level and a second lag-compensated glucose level and a third lag-compensated glucose level;

where the first lag-compensated glucose level is the sum of the first uncompensated glucose measurement, the first scaled rate-of-change, and the second scaled rate-of-change;

the second lag-compensated glucose level is the sum of the first uncompensated glucose measurement, the third scaled rate-of-change, and the fourth scaled rate-of-change;

the third lag-compensated glucose level is the sum of the first uncompensated glucose measurement, the fifth scaled rate of change, and the sixth scaled rate of change.

44. The device of claim 43, wherein the memory further comprises instructions when executed cause the processor to determine whether one or more of the uncompensated glucose measurements are physiologically infeasible, invalid or missing.

45. The device of claim 44, wherein when the second uncompensated glucose measurement or the third uncompensated glucose measurement is determined to be physiologically infeasible, invalid or missing, the memory further comprises instructions when executed cause the processor to:

calculate a lag-compensated glucose level by adding the first uncompensated glucose measurement with;

the third scaled rate-of-change and the fourth scaled rate-of-change;

or

the fifth scaled rate-of-change and the sixth scaled rate-of-change.

46. The device of claim 45, wherein the memory further comprises instructions when executed cause the processor to calculate a lag-compensated glucose level by adding the first uncompensated glucose measurement with the third scaled rate-of-change and the fourth scaled rate-of-change.

47. The device of claim 45, wherein the memory further comprises instructions when executed cause the processor to calculate a lag-compensated glucose level by adding the first uncompensated glucose measurement with the fifth scaled rate-of-change and the sixth scaled rate-of-change.

48. The device of claim 44, wherein when the fourth uncompensated glucose measurement or the fifth uncompensated glucose measurement is determined to be physiologically infeasible, invalid or missing, the memory further comprises instructions when executed cause the processor to:

calculate a lag-compensated glucose level by adding the first uncompensated glucose measurement with;

the first scaled rate-of-change and the second scaled rate-of-change;

or

the fifth scaled rate-of-change and the sixth scaled rate-of-change.

49. The device of claim 48, wherein the memory further comprises instructions when executed cause the processor to calculate a lag-compensated glucose level by adding the first uncompensated glucose measurement with the first scaled rate-of-change and the second scaled rate-of-change.

50. The device of claim 48, wherein the memory further comprises instructions when executed cause the processor to calculate a lag-compensated glucose level by adding the first uncompensated glucose measurement with the fifth scaled rate-of-change and the sixth scaled rate-of-change.

51. The device of claim 44, wherein when the sixth uncompensated glucose measurement or the seventh uncompensated glucose measurement is determined to be physiologically infeasible, invalid or missing, the memory further comprises instructions when executed cause the processor to:

calculate a lag-compensated glucose level by adding the first uncompensated glucose measurement with;

the first scaled rate-of-change and the second scaled rate-of-change;

or

the third scaled rate-of-change and the fourth scaled rate-of-change.

52. The device of claim 51, wherein the memory further comprises instructions when executed cause the processor to calculate a lag-compensated glucose level by adding the first uncompensated glucose measurement with the first scaled rate-of-change and the second scaled rate-of-change.

53. The device of claim 51, wherein the memory further comprises instructions when executed cause the processor to calculate a lag-compensated glucose level by adding the first uncompensated glucose measurement with the third scaled rate-of-change and the fourth scaled rate-of-change.

54. The device of claim 44, wherein the memory further comprises instructions when executed cause the processor to determine whether one or more the first rate-of-change, the second rate-of-change, the third rate-of-change, the fourth rate-of-change the fifth rate of change and the sixth rate of change are physiologically infeasible.

55. The device of claim 44, wherein the physiologically infeasible rate of change is indicative of a dropout.

56. The device of claim 4, wherein the memory further comprises instructions when executed cause the processor to determine an alternate first uncompensated glucose measurement at an alternate initial reference time.

57. The device of claim 56, wherein the alternate initial reference time is offset with respect to the initial reference time by a time delay.

58. The device of claim 57, wherein the memory further comprises instructions when executed cause the processor to determine an alternate first scaled rate-of-change by multiplying the alternate first weighting coefficient on an alternate first rate of change computed from the alternate first uncompensated glucose measurement at the alternate initial reference time to the alternate second uncompensated glucose measurement at the alternate first prior reference time.

59. The device of claim 58, wherein the memory further comprises instructions when executed cause the processor to determine an alternate second scaled rate-of-change by multiplying the alternate second weighting coefficient on an alternate second rate of change computed from the alternate first uncompensated glucose measurement at the alternate initial reference time to the alternate third uncompensated glucose measurement at the alternate second prior reference time.

60. The device of claim 59, wherein the memory further comprises instructions when executed cause the processor to calculate an alternate lag compensated glucose level from the uncompensated glucose measurements by adding the alternate first uncompensated glucose measurement, the alternate first scaled rate-of-change and the alternate second scaled rate-of-change.

61. The device of claim 58, wherein the memory further comprises instructions when executed cause the processor to determine:

an alternate third scaled rate-of-change by multiplying an alternate third weighting coefficient on an alternate third rate of change computed from the alternate first uncompensated glucose measurement at the alternate initial reference time to an alternate fourth uncompensated glucose measurement at an alternate third prior reference time; and

an alternate fourth scaled rate-of-change by multiplying an alternate fourth weighting coefficient on an alternate fourth rate of change computed from the alternate first uncompensated glucose measurement at the alternate initial reference time to an alternate fifth uncompensated glucose measurement at an alternate fourth prior reference time.

62. The device of claim 61, wherein the memory further comprises instructions when executed cause the processor to calculate an alternate lag-compensated glucose level by averaging an alternate first lag-compensated glucose level and an alternate second lag-compensated glucose level;

where the alternate first lag-compensated glucose level is the sum of the alternate first uncompensated glucose measurement, the alternate first scaled rate-of-change, and the alternate second scaled rate-of-change; and

where the alternate second lag-compensated glucose level is the sum of the alternate first uncompensated glucose measurement, the alternate third scaled rate-of-change and the alternate fourth scaled rate-of-change.