Systems, methods and devices for achieving glycemic balance
First Claim
1. A method for treating a patient'"'"'s diabetes by providing treatment guidance, the method comprising:
- storing one or more components of the patient'"'"'s insulin dosage regimen;
obtaining data corresponding to the patient'"'"'s blood glucose-level measurements determined at a plurality of times;
initiating a timer to monitor the predetermined time period;
incrementing the timer based on at least one of the passage of a predetermined increment of time and the receipt of at least one of the plurality of blood glucose-level measurements;
tagging the blood glucose-level measurements with an identifier reflective of when or why the reading was obtained;
determining, after obtaining one of the plurality of blood glucose-level measurements but before obtaining a subsequent blood glucose-level measurement, the patient'"'"'s current glycemic state relative to a desired balance point; and
determining from at least one of a plurality of the data corresponding to the patient'"'"'s blood glucose-level measurements whether and by how much to vary at least one of the one or more components in the patient'"'"'s present insulin dosage regimen to get closer to the patient'"'"'s desired glycemic balance point;
reducing at least one of the one or more components in the patient'"'"'s insulin dosage regimen in response to the determination that the most recently obtained blood glucose-level measurement represents a severe hypoglycemic event;
reducing at least one of the one or more components in the patient'"'"'s insulin dosage regimen in response to a determination that the most recently obtained blood glucose-level measurement results in an excessive number of hypoglycemic events during the predetermined time period;
wherein the timer is reinitiated after the determination that there have been an excessive number of hypoglycemic events over the predetermined amount of time; and
determining at the end of the predetermined time period, from a plurality of the data corresponding to the patient'"'"'s blood glucose-level measurements whether and by how much to vary at least one of the one or more components in the patient'"'"'s present insulin dosage regimen in order to maintain the patient'"'"'s blood glucose-level measurements within a predefined range;
wherein the timer is reinitiated after the determination of whether and by how much to vary at least one of the one or more components in the patient'"'"'s present insulin dosage regimen;
wherein the desired glycemic balance point is the patient'"'"'s lowest blood glucose-level within a predetermined range achievable before increasing the frequency of hypoglycemic events above a predetermined threshold.
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Accused Products
Abstract
Systems, methods and/or devices for optimizing a patient'"'"'s insulin dosage regimen over time, comprising at least a first memory for storing data inputs corresponding at least to one or more components in a patient'"'"'s present insulin dosage regimen, and data inputs corresponding at least to the patient'"'"'s blood-glucose-level measurements determined at a plurality of times, and a processor operatively connected to the at least first memory. The processor is programmed at least to determine from the data inputs corresponding to the patient'"'"'s blood-glucose-level measurements determined at a plurality of times whether and by how much to vary at least one of the one or more components in the patient'"'"'s present insulin dosage regimen. Also disclosed are systems, methods and/or devices for treating a patient'"'"'s diabetes by providing treatment guidance, wherein the patient'"'"'s current glycemic state is determined relative to a desired balance point; and determining from at least one of a plurality of the data corresponding to the patient'"'"'s blood glucose-level measurements whether and by how much to vary at least one of the one or more components in the patient'"'"'s present insulin dosage regimen to get closer to the patient'"'"'s desired balance point; wherein the desired balance point is the patient'"'"'s lowest blood glucose-level within a predetermined range achievable before increasing the frequency of hypoglycemic events above a predetermined threshold.
90 Citations
30 Claims
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1. A method for treating a patient'"'"'s diabetes by providing treatment guidance, the method comprising:
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storing one or more components of the patient'"'"'s insulin dosage regimen; obtaining data corresponding to the patient'"'"'s blood glucose-level measurements determined at a plurality of times; initiating a timer to monitor the predetermined time period; incrementing the timer based on at least one of the passage of a predetermined increment of time and the receipt of at least one of the plurality of blood glucose-level measurements; tagging the blood glucose-level measurements with an identifier reflective of when or why the reading was obtained; determining, after obtaining one of the plurality of blood glucose-level measurements but before obtaining a subsequent blood glucose-level measurement, the patient'"'"'s current glycemic state relative to a desired balance point; and determining from at least one of a plurality of the data corresponding to the patient'"'"'s blood glucose-level measurements whether and by how much to vary at least one of the one or more components in the patient'"'"'s present insulin dosage regimen to get closer to the patient'"'"'s desired glycemic balance point; reducing at least one of the one or more components in the patient'"'"'s insulin dosage regimen in response to the determination that the most recently obtained blood glucose-level measurement represents a severe hypoglycemic event; reducing at least one of the one or more components in the patient'"'"'s insulin dosage regimen in response to a determination that the most recently obtained blood glucose-level measurement results in an excessive number of hypoglycemic events during the predetermined time period;
wherein the timer is reinitiated after the determination that there have been an excessive number of hypoglycemic events over the predetermined amount of time; anddetermining at the end of the predetermined time period, from a plurality of the data corresponding to the patient'"'"'s blood glucose-level measurements whether and by how much to vary at least one of the one or more components in the patient'"'"'s present insulin dosage regimen in order to maintain the patient'"'"'s blood glucose-level measurements within a predefined range;
wherein the timer is reinitiated after the determination of whether and by how much to vary at least one of the one or more components in the patient'"'"'s present insulin dosage regimen;wherein the desired glycemic balance point is the patient'"'"'s lowest blood glucose-level within a predetermined range achievable before increasing the frequency of hypoglycemic events above a predetermined threshold. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30)
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16. An apparatus for treating a patient'"'"'s diabetes by providing treatment guidance, comprising:
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at least first computer-readable memory for storing one or more components of the patient'"'"'s insulin dosage regimen; at least one data input for obtaining data corresponding to the patient'"'"'s blood glucose-level measurements determined at a plurality of times; a timer for monitoring the predetermined time period; at least one processor operatively connected to the at least first computer-readable memory, the processor programmed at least to; initiate a timer to monitor the predetermined time period; increment the timer based on at least one of the passage of a predetermined increment of time and the receipt of at least one of the plurality of blood glucose-level measurements; tag the blood glucose-level measurements with an identifier reflective of when or why the reading was obtained; determine, after obtaining one of the plurality of blood glucose-level measurements but before obtaining a subsequent blood glucose-level measurement, the patient'"'"'s current glycemic state relative to a desired balance point; and determine from at least one of a plurality of the data corresponding to the patient'"'"'s blood glucose-level measurements whether and by how much to vary at least one of the one or more components in the patient'"'"'s present insulin dosage regimen to get closer to the patient'"'"'s desired glycemic balance point; reduce at least one of the one or more components in the patient'"'"'s insulin dosage regimen in response to the determination that the most recently obtained blood glucose-level measurement represents a severe hypoglycemic event; reduce at least one of the one or more components in the patient'"'"'s insulin dosage regimen in response to a determination that the most recently obtained blood glucose-level measurement results in an excessive number of hypoglycemic events during the predetermined time period;
wherein the timer is reinitiated after the determination that there have been an excessive number of hypoglycemic events over the predetermined amount of time; anddetermine at the end of the predetermined time period, from a plurality of the data corresponding to the patient'"'"'s blood glucose-level measurements whether and by how much to vary at least one of the one or more components in the patient'"'"'s present insulin dosage regimen in order to maintain the patient'"'"'s blood glucose-level measurements within a predefined range;
wherein the timer is reinitiated after the determination of whether and by how much to vary at least one of the one or more components in the patient'"'"'s present insulin dosage regimen;wherein the desired glycemic balance point is the patient'"'"'s lowest blood glucose-level within a predetermined range achievable before increasing the frequency of hypoglycemic events above a predetermined threshold.
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Specification