Glucose or ketone body analyte monitoring in vivo

• US 10,108,781 B2
• Filed: 09/27/2013
• Issued: 10/23/2018
• Est. Priority Date: 09/28/2012
• Status: Active Grant

• Current Assignee: Abbott Diabetes Care Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Abbott Diabetes Care Incorporated (Abbott Laboratories Incorporated)
• Inventors: Doniger, Kenneth J., Hayter, Gary A., Springer, Scott A., McGarraugh, Geoffrey V.
• Primary Examiner(s): Vanni, G Steven
• Application Number:
  US14/039,758
• Publication Number:
  US 20140095081A1
• Time in Patent Office: 1,852 Days
• Field of Search: None
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

Methods, devices, and systems are provided that determine analyte trends according to different methods depending on whether a change-resistant state is active or not active. The method used when the change-resistant state is activated provides for different requirements for a resulting analyte trend to transition between states (e.g., level to non-level). Furthermore, in some aspects, methods, devices, and systems of selecting or modifying a response rate of an analyte monitoring device for an individual user are provided. User instructions for selecting or modifying a response rate of the device or system is received externally via a user interface or communication channel. The response rate of the analyte monitoring device or system is then selected or modified to the first response rate, and the device or system operated with the first response rate.

Claims

1. A method comprising:

repeatedly receiving, with a processor of an analyte monitoring device, in vivo derived analyte measurements of an analyte, wherein the analyte is glucose or a ketone body;

calculating, with the processor, an initial analyte trend as level or non-level based on a rate-of-change for a current analyte measurement of the analyte measurements and at least one past analyte measurement of the analyte measurements, wherein the initial analyte trend is level when the rate-of-change is zero or within a predetermined tolerance range for zero; and

determining, with the processor, whether a final analyte trend for display via a user interface is level or non-level, wherein the final analyte trend determination is based on the initial analyte trend and whether a change-resistant state is active;

wherein when the change-resistant state is active, a minimum threshold of change is required between the current analyte measurement and a past analyte measurement of the analyte measurements selected as a reference for the final analyte trend to be determined as non-level when a previous final analyte trend was determined to be level;

wherein the change-resistant state is activated when the final analyte trend is determined to be level and deactivated when the final analyte trend is determined to be non-level; and

wherein the minimum threshold of change varies based on the current analyte measurement.

2. The method of claim 1, wherein when the change-resistant state is not active, the final analyte trend is determined to be the same as the initial analyte trend;

wherein when the change-resistant state is active and the initial analyte trend is calculated to be level, the final analyte trend is determined to be level; and

wherein when the change-resistant state is active and the initial analyte trend is calculated to be non-level, the minimum threshold of change is implemented to determine whether the final analyte trend is non-level.

3. The method of claim 1, further comprising displaying the final analyte trend via the user interface on a display of the analyte monitoring device.

4. The method of claim 1, wherein when the change resistant state is active and the initial analyte trend is determined to be level, the final analyte trend is determined to be level and is displayed.

5. The method of claim 4, wherein the change resistant state remains active.

6. The method of claim 1, wherein the final analyte trend is determined to be level when:

the change resistant state is active,

the initial analyte trend is determined to be non-level, and

the minimum threshold of change is not exceeded between the current analyte measurement and the past analyte measurement selected as the reference.

7. The method of claim 5, wherein the change resistant state remains active.

8. The method of claim 1, wherein the final analyte trend is determined to be level when:

the change resistant state is active,

the initial analyte trend is determined to be non-level, and

the minimum threshold of change is not exceeded between the current analyte measurement and the past analyte measurement selected as the reference.

9. The method of claim 8, wherein the change resistant state is deactivated.

10. The method of claim 1, wherein when the change resistant state is not active and the initial analyte trend is determined to be level, the final analyte trend is determined to be level and is displayed.

11. The method of claim 10, wherein the change resistant state is activated.

12. The method of claim 1, wherein when the change resistant state is not active and the initial analyte trend is determined to be non-level, the final analyte trend is determined to be non-level and is displayed.

13. The method of claim 12, wherein the change resistant state remains not active.

14. An analyte monitoring device, comprising:

a display for displaying glucose or ketone body analyte trends via a user interface;

a processor operably coupled to the display; and

memory operably coupled to the processor, wherein the memory includes instructions stored therein that, when executed by the processor, cause the processor to;

repeatedly receive in vivo derived analyte measurements of an analyte from an in vivo analyte sensor, wherein the analyte is glucose or a ketone body;

calculate an initial analyte trend as level or non-level based on a rate-of-change for a current analyte measurement of the analyte measurements and at least one past analyte measurement of the analyte measurements, wherein the initial analyte trend is level when the rate-of-change is zero or within a predetermined tolerance range for zero; and

determine whether a final analyte trend for display via the user interface is level or non-level, wherein the final analyte trend determination is based on the initial analyte trend and whether a change-resistant state is active;

wherein when the change-resistant state is active, a minimum threshold of change is required between the current analyte measurement and a past analyte measurement of the analyte measurements selected as a reference for the final analyte trend to be determined as non-level when a previous final analyte trend was determined to be level;

wherein the change-resistant state is activated when the final analyte trend is determined to be level and deactivated when the final analyte trend is determined to be non-level; and

wherein the minimum threshold of change varies based on the current analyte measurement.

15. The analyte monitoring device of claim 14, wherein when the change-resistant state is not active, the final analyte trend is determined to be the same as the initial analyte trend;

wherein when the change-resistant state is active and the initial analyte trend is calculated to be level, the final analyte trend is determined to be level; and

wherein when the change-resistant state is active and the initial analyte trend is calculated to be non-level, the minimum threshold of change is implemented to determine whether the final analyte trend is non-level.

16. The analyte monitoring device of claim 14, wherein the instructions include instructions that, when executed by the processor, cause the processor to display the final analyte trend via the user interface on the display of the analyte monitoring device.

17. The analyte monitoring device of claim 14, wherein the memory includes instructions stored therein that, when executed by the processor, cause the processor to determine the final analyte trend is level when the change resistant state is active and the initial analyte trend is determined to be level.

18. The analyte monitoring device of claim 17, wherein the change resistant state remains active.

19. The analyte monitoring device of claim 14, wherein the memory includes instructions stored therein that, when executed by the processor, cause the processor to determine the final analyte trend is level when:

the change resistant state is active,

the initial analyte trend is determined to be non-level, and

the minimum threshold of change is not exceeded between the current analyte measurement and the past analyte measurement selected as the reference.

20. The analyte monitoring device of claim 19, wherein the change resistant state remains active.

21. The analyte monitoring device of claim 14, wherein the memory includes instructions stored therein that, when executed by the processor, cause the processor to determine the final analyte trend is non-level when:

the change resistant state is active,

the initial analyte trend is determined to be non-level, and

the minimum threshold of change is not exceeded between the current analyte measurement and the past analyte measurement selected as the reference.

22. The analyte monitoring device of claim 21, wherein the change resistant state is deactivated.

23. The analyte monitoring device of claim 14, wherein the memory includes instructions stored therein that, when executed by the processor, cause the processor to determine the final analyte trend is level when the change resistant state is not active and the initial analyte trend is determined to be level.

24. The analyte monitoring device of claim 23, wherein the change resistant state is activated.

25. The analyte monitoring device of claim 14, wherein the memory includes instructions stored therein that, when executed by the processor, cause the processor to determine the final analyte trend is non-level when the change resistant state is not active and the initial analyte trend is determined to be non-level.

26. The analyte monitoring device of claim 25, wherein the change resistant state remains not active.

27. An analyte monitoring system, comprising:

an in vivo positionable analyte sensor;

sensor electronics coupled to the in vivo positionable analyte sensor comprising;

a first processor and first memory operably coupled to the first processor; and

an analyte monitoring device configured to communicate with the sensor electronics, the analyte monitoring device comprising;

a display for displaying analyte trends via a user interface, a second processor operably coupled to the display, and second memory operably coupled to the second processor;

wherein at least one of the first memory and second memory includes instructions stored therein that, when executed by at least one of the first processor or the second processor, cause the at least one of the first processor or the second processor to;

receive in vivo derived analyte measurements of an analyte from the in vivo positionable analyte sensor, wherein the analyte is glucose or a ketone body;

calculate an initial analyte trend as level or non-level based on a rate-of-change for a current analyte measurement of the analyte measurements and at least one past analyte measurement of the analyte measurements, wherein the initial analyte trend is level when the rate-of-change is zero or within a predetermined tolerance range for zero; and

determine whether a final analyte trend for display via the user interface is level or non-level, wherein the final analyte trend determination is based on the initial analyte trend and whether a change-resistant state is active;

wherein when the change-resistant state is active, a minimum threshold of change is required between the current analyte measurement and a past analyte measurement of the analyte measurements selected as a reference for the final analyte trend to be determined as non-level when a previous final analyte trend was determined to be level;

wherein the change-resistant state is activated when the final analyte trend is determined to be level and deactivated when the final analyte trend is determined to be non-level; and

wherein the minimum threshold of change varies based on the current analyte measurement.

28. The analyte monitoring system of claim 27, wherein when the change-resistant state is not active, the final analyte trend is determined to be the same as the initial analyte trend;

wherein when the change-resistant state is active and the initial analyte trend is calculated to be level, the final analyte trend is determined to be level; and

wherein when the change-resistant state is active and the initial analyte trend is calculated to be non-level, the minimum threshold of change is implemented to determine whether the final analyte trend is non-level.

29. The analyte monitoring system of claim 27, wherein the instructions include instructions that, when executed by the at least one of the first processor or the second processor, cause the at least one of the first processor or the second processor to display the final analyte trend via the user interface on the display of the analyte monitoring device.