Method for Selecting Bolus Doses in a Drug Delivery System

• US 20080234663A1
• Filed: 03/19/2008
• Published: 09/25/2008
• Est. Priority Date: 03/19/2007
• Status: Abandoned Application

• Current Assignee: Roche Diabetes Care Inc. (Roche Holding AG)
• Original Assignee: Roche Diabetes Care Inc. (Roche Holding AG)
• Inventors: Gescheit, Iddo M., Shapira, Gali, Yodfat, Ofer
• Application Number:
  US12/051,400
• Publication Number:
  US 20080234663A1
• Time in Patent Office: Days
• US Class Current: 604/890.1
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 2005/14268 with a reusable and a disposable component
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/505 Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 5/1413 Modular systems comprising interconnecting elements
• CPC Class Codes: A61M 5/14248 of the skin patch type
• 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: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 20/60 relating to nutrition control, e.g. diets

Abstract

A method, apparatus and system for selecting a bolus dose of a drug in a drug delivery device is disclosed. The method comprises selecting the bolus dose from a pre-determined schedule of bolus doses, wherein each dose corresponds to a range of a body analyte levels.

Claims

1. A method for selecting a bolus dose of a drug in a drug delivery device comprising selecting the bolus dose from a pre-determined schedule of bolus doses, wherein each dose corresponds to a range of a body analyte levels.

2. The method according to claim 1, wherein the pre-determined schedule of doses corresponds to a bolus-grid.

3. The method according to claim 1, wherein the drug comprises insulin and wherein the range of the body analyte levels corresponds to a range of blood glucose levels.

4. The method according to claims 3, wherein the range of the blood glucose levels is represented as a qualitative descriptive parameter (QDP).

5. The method according to claim 4, wherein the QDP is expressed as a plurality of terms, each associated with a pre-determined blood glucose level or a pre-determined range of blood glucose levels.

6. The method according to claim 5, wherein the terms are selected from the group consisting of high, normal and low.

7. The method according to claim 3, wherein the bolus doses are determined as a function of a plurality of parameters.

8. The method according to claim 7, wherein the parameters are selected from the group consisting of time elapsed from a last meal, an amount of one or more previous bolus doses, target blood glucose (TBG) level, carbohydrate-to-insulin ratio (CIR) and insulin sensitivity (IS).

9. The method according to claim 7, wherein the parameters are selected from the group consisting of intensity of physical activity, duration of physical activity, menstrual cycle, concomitant administration of other drugs, the drug injection site, glycemic index, stress and fever.

10. A method for selection of a bolus dose of a drug in a drug delivery device comprising selecting the bolus dose from a pre-determined schedule of bolus doses, wherein each dose corresponds to a range of a nutritional consumable.

11. The method according to claim 10, wherein the pre-determined schedule of bolus doses corresponds to a bolus-grid.

12. The method according to claim 10, wherein the drug is insulin and wherein the nutritional consumable comprises at least one of carbohydrate, fat and protein.

13. The method according to claim 10, wherein the range of the nutritional consumable is represented as a qualitative descriptive parameter (QDP).

14. The method according to claim 13, wherein the QDP is expressed using a plurality of terms, each associated with a pre-determined range of the nutritional consumable.

15. The method according to claim 14, wherein the terms are selected from the group consisting of small, medium and large.

16. The method according to claim 10, wherein the bolus doses are determined as a function of a plurality of parameters.

17. The method according to claim 16, wherein the parameters are selected from the group consisting of time elapsed from a last meal, an amount of one or more previous bolus doses, target blood glucose (TBG) level, carbohydrate-to-insulin ratio (CIR) and insulin sensitivity (IS).

18. A method for selection of a bolus dose of a drug in a drug delivery device comprising selecting the bolus dose from a pre-determined schedule of bolus doses, wherein each bolus dose corresponds to one or more glucose levels and one or more nutritional consumables.

19. The method according to claim 18, wherein each bolus dose corresponds to a range of glucose levels and a range of nutritional consumables.

20. The method according to claim 18, wherein the pre-determined schedule of bolus doses corresponds to a bolus-grid.

21. An apparatus for selecting a bolus dose comprising:

means for providing a pre-determined schedule of bolus doses, wherein each bolus dose corresponds to a range of body analyte levels; and

means for selecting a bolus dose from the pre-determined schedule of bolus doses.

22. The apparatus according to claim 21, further comprising a remote control unit for controlling the means for selecting the bolus dose.

23. The apparatus according to claim 21, wherein the means for providing the pre-determined schedule of bolus doses comprise a display for displaying the pre-determined schedule of bolus doses.

24. The apparatus according to claim 23, wherein the means for selecting the bolus dose comprise either a touch sensitive screen which operates in conjunction with the display or one or more selection buttons/switches.

25. The apparatus according to claim 21, further comprising a dispensing unit for dispensing bolus doses into a user.

26. The apparatus according to claim 21, further comprising at least one body analyte level monitor for monitoring a body analyte level of a user;

and, a processor for matching the body analyte level of the user to the range of body analyte levels.

27. An apparatus for selecting an insulin bolus dose comprising:

means for providing a pre-determined schedule of bolus doses as a function of one or more inputs, said inputs comprising at least one of a carbohydrate-to-insulin ratio (CIR), insulin sensitivity (IS) value and a body analyte level of a user;

means for adjusting the pre-determined schedule of bolus doses based on the inputs;

means for selecting a bolus dose from the pre-determined adjusted schedule of bolus doses.

28. The apparatus according to claim 27, wherein the means for providing the pre-determined schedule of bolus doses comprise a display for displaying the pre-determined schedule of bolus doses.

29. The apparatus according to claim 27, wherein the means for providing the pre-determined schedule of bolus doses further includes means for indicating a bolus dose based on averaged values of previously used blood glucose levels and a carbohydrate intakes during a time interval.

30. The apparatus according to claim 27, wherein the means for providing the pre-determined schedule of bolus doses further includes means for presenting a subset of the predetermined schedule of bolus doses which corresponds to an averaged value of previously used blood glucose levels during a time interval.

31. The apparatus according to claim 28, wherein the means for selecting the bolus dose comprise either a touch sensitive screen which operates in conjunction with the display or one or more selection buttons/switches.

32. The apparatus according to claim 27, further comprising a dispensing unit for dispensing bolus doses into the user.

33. The apparatus according to claim 27, further comprising at least one monitor for monitoring the body analyte level of the user.

34. The apparatus according to claim 27, wherein the means for adjusting the schedule of bolus doses comprises a selecting means for selecting at least one of the CIR and IS values from a schedule.

35. The apparatus according to claim 27, wherein the means for adjusting the schedule of bolus doses comprises means for selecting rules for determining the CIR and IS values.

36. The apparatus according to claim 27, further comprising a display configured to display values corresponding to the inputs in a form of a list, a table or a graphical indication.

37. A method for selecting an insulin bolus dose comprising:

receiving at least one value selected from the group consisting of a carbohydrate-to-insulin ratio (CIR), an insulin sensitivity (IS) value and a target blood glucose (TBG) level of a user;

retrieving a pre-determined schedule of bolus doses based on the at least one received value;

presenting the pre-determined schedule of bolus doses for selection to the user;

selecting at least one bolus dose from the pre-determined schedule of bolus doses based on the user'"'"'s blood glucose level and the user'"'"'s nutritional consumable load.

38. The method according to claim 37, wherein the carbohydrate-to-insulin ratio (CIR) and the insulin sensitivity (IS) values are selected from a schedule by the user.

39. The method according to claim 37, wherein the schedule is determined by using rules for estimation of the carbohydrate-to-insulin ratio (CIR) and the insulin sensitivity (IS) values.

40. The method according to claim 39, wherein the estimation of the carbohydrate-to-insulin ratio (CIR) and the insulin sensitivity (IS) values is based on averaged values of total daily doses (TDD).

41. A system for drug dispensing comprising:

a remote control unit with a display for providing a pre-determined schedule of bolus doses, wherein each dose corresponds to a range of nutritional consumable load and to a range of body analyte levels;

a user interface for selecting a bolus dose from the pre-determined schedule of bolus doses;

a dispensing unit for dispensing the bolus dose into a user, wherein the dispensing unit receives instructions for dispensing the bolus dose from the remote control unit.

42. The system of claim 41, wherein the dispensing unit comprises:

a reusable part which includes a processor and a driving mechanism; and

,

a disposable part which includes a reservoir.

43. The system of claim 41, further comprising a cradle unit.

44. The system of claim 41, further comprising:

a dispensing unit for delivering fluid into the user'"'"'s body;

a sensing means for sensing, measuring and monitoring an analyte concentration level in the user'"'"'s body.

45. The system of claim 44, wherein the fluid is insulin and the analyte is glucose.

46. The system of claim 44, wherein the dispensing unit and the sensing means operate as a semi-closed loop system.

47. A method for delivery of an insulin bolus dose to a user comprising:

selecting at least one bolus dose from a pre-determined schedule of bolus doses based on the user'"'"'s blood glucose level and the user'"'"'s nutritional consumable load, delivering the at least one selected bolus dose to the user.

48. The method of claim 47, in which the delivering of the at least one selected bolus dose is carried out by a delivery device selected from the group consisting of:

insulin pump, insulin pump with a remote control unit, dispensing patch unit, injection pen, insulin jet injector, transdermal insulin delivery device, subcutaneous insulin delivery device, implantable insulin delivery device.

49. The method of claim 48, in which the delivering of the at least one selected bolus dose is carried out upon activating the remote control unit.

50. The method of claim 48, in which the delivering of the at least one selected bolus dose is carried out upon activating bolus buttons located at the dispensing patch unit.