Non-immediate effects of therapy
First Claim
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1. A method of treating a diabetic patient comprising:
- receiving a BMI and HbA1c level of said diabetic patient;
selecting said patient for treatment with an insulin-resistance reducing signal, according to said BMI being above a BMI threshold, and said HbA1c level being above a HbA1C threshold; and
applying said treatment to said selected patient, said treatment comprising at least one of intra-abdominal and gastric electrical stimulation, thereby reducing an insulin resistance of said patient beyond any reduction which may be caused solely by weight loss, if any, due to said treatment;
wherein said applying causes said patient to generate less insulin for a same amount of food ingested, after said therapy is applied for a month, even if ingested after a pause in therapy of a week,wherein said applying comprises using a signal which is non-excitatory to gastric muscle when applied to said gastric muscle.
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Abstract
A method of treating a metabolic condition in a patient, comprising:
- determining a target non-immediate effect of a therapy relating to treatment of a metabolic condition; and
- applying an electric field to an abdominal cavity of the patient in a manner designed to at least approach said target.
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Citations
38 Claims
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1. A method of treating a diabetic patient comprising:
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receiving a BMI and HbA1c level of said diabetic patient; selecting said patient for treatment with an insulin-resistance reducing signal, according to said BMI being above a BMI threshold, and said HbA1c level being above a HbA1C threshold; and applying said treatment to said selected patient, said treatment comprising at least one of intra-abdominal and gastric electrical stimulation, thereby reducing an insulin resistance of said patient beyond any reduction which may be caused solely by weight loss, if any, due to said treatment; wherein said applying causes said patient to generate less insulin for a same amount of food ingested, after said therapy is applied for a month, even if ingested after a pause in therapy of a week, wherein said applying comprises using a signal which is non-excitatory to gastric muscle when applied to said gastric muscle. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23)
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24. A method of treating a diabetic patient, comprising:
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receiving a BMI level of said patient; selecting said diabetic patient for treatment with an insulin-resistance reducing signal, according to said BMI being above a BMI threshold; and applying an electrical signal to said patient, said signal comprising at least one of intra-abdominal and gastric electrical stimulation, said signal selected to reduce elevated glucose levels in said patient and selected to reduce insulin resistance of said patient, thereby reducing an insulin resistance of said patient beyond any reduction which may be caused solely by weight loss, if any, due to said treatment; wherein said applying causes said patient to generate less insulin for a same amount of food ingested, after said therapy is applied for a month, even if ingested after a pause in therapy of a week, wherein said electrical signal has a frequency between 30 Hz and 200 Hz. - View Dependent Claims (25, 26, 27, 28, 29)
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30. A method of treating a pre-diabetic obese patient, comprising:
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receiving a BMI level of said patient; selecting said pre-diabetic patient for treatment with an insulin-resistance reducing signal, according to said BMI being above a BMI threshold and having difficult in exercising and not being diabetic; and applying an electrical signal to said patient, said signal comprising at least one of intra-abdominal and gastric electrical stimulation, said signal selected to reduce elevated glucose levels in said patient and selected to reduce insulin resistance of said patient, thereby reducing an insulin resistance of said patient beyond any reduction which may be caused solely by weight loss, if any, due to said treatment; wherein said applying causes said patient to generate less insulin for a same amount of food ingested, after said therapy is applied for a month, even if ingested after a pause in therapy of a week, wherein said electrical signal has a magnitude of between 2 mA and 15 mA. - View Dependent Claims (31, 32, 33)
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34. A method of treating a diabetic or pre-diabetic patient comprising:
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receiving a BMI and HbA1c level of said diabetic patient; selecting said patient for treatment with an insulin-resistance reducing signal, according to said BMI being above a BMI threshold, and said HbA1c level being above a HbA1C threshold; and applying said treatment to said selected patient, said treatment comprising at least one of intra-abdominal and gastric electrical stimulation, thereby reducing an insulin resistance of said patient beyond any reduction which may be caused solely by weight loss, if any, due to said treatment; wherein said applying causes said patient to generate less insulin for a same amount of food ingested, after said therapy is applied for a month, even if ingested after a pause in therapy of a week, wherein said applying is timed relative to gastric slow waves.
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35. A method of treating a diabetic patient, comprising:
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receiving a BMI level of said patient; selecting said diabetic patient for treatment with an insulin-resistance reducing signal, according to said BMI being above a BMI threshold; and applying an electrical signal to said patient, said signal comprising at least one of intra-abdominal and gastric electrical stimulation, said signal selected to reduce elevated glucose levels in said patient and selected to reduce insulin resistance of said patient, thereby reducing an insulin resistance of said patient beyond any reduction which may be caused solely by weight loss, if any, due to said treatment; wherein said applying causes said patient to generate less insulin for a same amount of food ingested, after said therapy is applied for a month, even if ingested after a pause in therapy of a week, wherein said applying comprises using a signal which is non-excitatory to gastric muscle when applied to said gastric muscle. - View Dependent Claims (36, 37, 38)
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Specification