Insulin management

摘要

A method of administering insulin includes receiving blood glucose measurements of a patient at a data processing device from a glucometer. The blood glucose measurements are separated by a time interval. The method also includes receiving patient information at the data processing device and selecting a subcutaneous insulin treatment from a collection of subcutaneous insulin treatments. The selection is based on the blood glucose measurements and the patient information. The selection includes one or more of a subcutaneous standard program, a subcutaneous program without meal boluses, a meal-by-meal subcutaneous program without carbohydrate counting, a meal-by-meal subcutaneous program with carbohydrate counting, and a subcutaneous program for non-diabetic patients. The method also includes executing, using the data processing device, the selected subcutaneous insulin treatment.

主权项

1. A system comprising:
a glucometer measuring blood glucose measurements separated by a time interval; and a dosing controller in communication with the glucometer, the dosing controller including a data processing device and non-transitory memory in communication with the data processing device, the dosing controller:
receiving blood glucose measurements of a patient from the glucometer;receiving patient information; andselecting a subcutaneous insulin treatment from a collection of subcutaneous insulin treatments based on the blood glucose measurements and the patient information, the selected subcutaneous insulin treatment includes one or more of a subcutaneous standard program, a subcutaneous program without meal boluses, a meal-by-meal subcutaneous program without carbohydrate counting, a meal-by-meal subcutaneous program with carbohydrate counting, and a subcutaneous program for non-diabetic patients, wherein during the standard subcutaneous program, the dosing controller:
determines a blood glucose type of the received blood glucose measurement;determines a correction insulin dose based on the blood glucose type by calculating:
CBx=(BGx−BGTarget)/CF;wherein CBx is the correction dose based on blood glucose type X, BGx is the blood glucose measurement, BGTarget is a target blood glucose value of a patient, and CF is a correction factor; andwhen the determined blood glucose type is one of a pre-breakfast blood glucose measurement, a pre-lunch blood glucose measurement, or a pre-dinner blood glucose measurement:
determines if a subsequent blood glucose measurement associated with a subsequent blood glucose type has been received from the glucometer:when the subsequent blood glucose measurement associated with the subsequent blood glucose type has been received, determines an adjustment factor for adjusting a next day's recommended meal bolus for the determined blood glucose type governed by the blood glucose measurement for the subsequent blood glucose type; anddetermines the next day's recommended meal bolus at the time of day associated with the determined blood glucose type by multiplying a current day's recommended meal bolus associated with the determined blood glucose type times the adjustment factor; andtransmits the correction insulin dose to an administration device in communication with the dosing controller, the administration device comprising:
a doser; andan administration computing device in communication with the doser, the administration computing device configured to cause the doser to administer a number of units of insulin to the patient using the correction insulin dose.