A glucose management and insulin dose adjustment assist dial for critically ill patients

Abstract

This invention relates to the field of clinical medical and nursing device technology, specifically to an auxiliary turntable for blood glucose management and insulin dose adjustment in critically ill patients. It includes a base and a recommendation component. A support column is fixedly connected to the top of the base. The recommendation component includes a recommendation disc fitted outside the support column. A judgment component, including a judgment disc fitted outside the support column, is fitted outside the support column and is located on top of the recommendation cover. An identification component, including an identification disc fitted outside the support column, is fitted outside the support column. A base component, including a base disc fitted outside the support column, is located on top of the identification cover. Through the base, support column, and four sets of adjustment components, standardized and visual matching of multiple blood glucose indicators and insulin adjustment recommendations is achieved. Combined with three-color risk label strips, it quickly identifies abnormal blood glucose levels and fluctuation risks, enabling early detection and intervention, and reducing dose adjustment errors due to experience.

Description

Technical Field

[0001] This invention relates to the field of clinical medical and nursing device technology, and more specifically, to an auxiliary turntable for blood glucose management and insulin dose adjustment for critically ill patients. Background Technology

[0002] Critically ill patients are prone to blood glucose fluctuations due to metabolic disorders, severe and rapidly changing conditions. In clinical practice, they need to be monitored for high frequency. As the core tool for blood glucose management in critically ill patients, insulin pumps require frequent and timely dose adjustments based on blood glucose monitoring results, which places extremely high demands on the efficiency and accuracy of nursing procedures.

[0003] Based on current technology, in clinical practice, nurses often rely on their personal clinical experience to adjust insulin pumps, resulting in significant arbitrariness in operation and a lack of standardized adjustment guidelines. This can easily lead to patients having excessively high or low blood sugar levels due to improper dosage adjustments, thus worsening their condition.

[0004] Although existing technologies have developed a table showing the correspondence between blood glucose monitoring and insulin dosage in an attempt to provide a reference for clinical operations, the content of such tables is cumbersome and has many logical levels. When nurses consult these tables in urgent clinical nursing work, they need to spend a lot of time sorting out the correspondence, which can easily lead to delays in intervention. Summary of the Invention

[0005] This invention provides an auxiliary turntable for blood glucose management and insulin dosage adjustment in critically ill patients. It uses a base, support column, and four independently adjustable components to achieve standardized and visual matching of multiple blood glucose indicators with insulin adjustment recommendations. Combined with three-color risk label strips, medical staff can quickly identify abnormal blood glucose levels and fluctuation risks, enabling early detection and intervention, reducing dosage adjustment errors based on experience. This solves the problems mentioned in the background section, namely: because such tables are cumbersome and have multiple logical levels, nurses need to spend a lot of time sorting out the corresponding relationships when consulting them in urgent clinical nursing work, which can easily lead to delays in intervention.

[0006] To achieve the above objectives, the glycemic management and insulin dose adjustment auxiliary turntable for critically ill patients includes a base and a suggestion assembly. A support column is fixedly connected to the top of the base, and the suggestion assembly includes a suggestion disc sleeved on the outside of the support column, with a suggestion cover coaxially nested inside the suggestion disc. The support column is fitted with a judgment component, which includes a judgment disk fitted outside the support column. The judgment disk is located on top of the suggested cover, and the judgment cover is coaxially nested inside the judgment disk. The support column is fitted with an identification component, which includes an identification disk fitted on the outside of the support column. The identification disk is located on top of the judgment disk, and an identification cover is coaxially nested inside the identification disk. The top of the sign cover is equipped with a base component, which includes a base plate that fits over the support column, and a base cover that is coaxially nested inside the base plate.

[0007] In the above technical solution, the bottom of the suggestion cover has multiple suggestion storage cavities, and the inside of the suggestion tray is fixedly connected to multiple suggestion springs for pushing the paper strip out of the container when replacing the paper strip. When the insulin adjustment suggestion paper strip is inserted into the suggestion tray, the suggestion storage cavity will store the insulin adjustment suggestion paper strip inside. The bottom of the judgment cover has multiple judgment storage cavities, and the inside of the judgment tray is fixedly connected to multiple judgment springs. When the blood glucose change judgment paper strip is inserted into the judgment tray, the judgment storage cavity will store the blood glucose change paper strip inside. The paper strip in the area of ​​increased blood glucose change judgment paper strip is red, while the paper strip in the area of ​​decreased blood glucose change judgment paper strip is yellow.

[0008] Secondly, the bottom of the label cover has three label storage cavities, and the inside of the label disk is fixedly connected to three label springs. When the real-time blood glucose index strip is inserted into the label disk, the label storage cavity will store the real-time blood glucose index strip inside. Among the three real-time blood glucose index strips, the low blood glucose area is a red real-time blood glucose index strip, the high blood glucose area is a yellow real-time blood glucose index strip, and the normal blood glucose area is a green real-time blood glucose index strip. The bottom of the base cover has two base storage cavities, and the inside of the base disk is fixedly connected to two base springs. The two base storage cavities are respectively equipped with basic information prompt strips for glycated hemoglobin values ​​higher than 6.5% and basic information prompt strips for glycated hemoglobin values ​​lower than 6.5%.

[0009] Furthermore, based on the above, a positioning device is provided at the top of the support column. The positioning device includes a positioning column fixedly connected to the top of the support column. A support strip is sleeved on the outside of the positioning column. A plug is fixedly connected to the bottom of the support strip. The support strip is engaged with the base through the plug. A knob is threaded on the outside of the positioning column. An insertion hole is opened at the top of the base. The plug is inserted into the inside of the insertion hole. A suggestion stud and a judgment stud are threaded on the inside of the support strip. The suggestion stud and the judgment stud are located on the top of the suggestion cover and the judgment cover, respectively. An identification stud and a base stud are threaded on the inside of the support strip. The identification stud and the base stud are located on the top of the identification cover and the base cover, respectively.

[0010] Meanwhile, the top of the base plate is equipped with an indicator component, which includes four limiting posts fixedly connected to the top of the base plate. The four limiting posts are covered by a limiting plate, and an indicator strip is fixedly connected to the outside of the limiting plate. The indicator strip is located directly above the suggestion cover, the judgment cover, the identification cover, and the base cover. The suggestion cover, the judgment cover, the identification cover, and the base cover are all made of transparent ABS plastic.

[0011] Compared with the prior art, the beneficial effects of the present invention are as follows: This glycemic control and insulin dosage adjustment assistive turntable for critically ill patients utilizes a base and support column with four independently adjustable components: baseline, indicator, judgment, and suggestion. This allows for standardized and visual matching of baseline glycated hemoglobin values, real-time blood glucose levels, dynamic blood glucose fluctuations, and insulin adjustment suggestions. Combined with red, yellow, and green risk indicator strips on each component, healthcare professionals can quickly identify abnormal blood glucose levels and fluctuation risks, enabling early risk detection and intervention. This reduces improper dosage adjustments due to experience-based operations and improves the standardization of glycemic management in critically ill patients. Each component has a dedicated storage cavity and spring-loaded structure for easy access and replacement of information strips, adapting to the evolving needs of clinical guidelines. The component covers are made of transparent ABS medical-grade plastic, and together with the indicator components on top of the baseline component, information can be clearly observed and indicators quickly aligned. Adjustment suggestions can be obtained within seconds, solving the problems of cumbersome information retrieval and delayed intervention associated with traditional methods. Furthermore, each component is independently detachable for easy cleaning, disinfection, maintenance, and replacement. The positioning device at the top of the support column uses knobs and studs to precisely fix and flexibly adjust the position of each component, preventing component displacement or misalignment during operation. The overall structure of the turntable is compatible with handheld and workbench operation, and can effectively control the patient's blood sugar fluctuations through rapid and accurate insulin dose adjustment. Attached Figure Description

[0012] Figure 1 This is a schematic diagram of the overall structure of the present invention; Figure 2 This is a side view of the proposed disk structure in this invention; Figure 3 This is a cross-sectional view of the proposed disk in this invention; Figure 4 This is a cross-sectional view of the determination disk in this invention; Figure 5 This is a bottom view of the proposed disk structure in this invention; Figure 6 This is a side view of the positioning device in this invention. Figure 7 This is an enlarged structural diagram of point A in this invention.

[0013] The meanings of the labels in the diagram are as follows: 1. Base; 2. Support column; 3. Recommendation component; 31. Recommendation disc; 32. Recommendation cover; 33. Recommendation storage cavity; 34. Recommendation spring; 4. Judgment component; 41. Judgment disc; 42. Judgment cover; 43. Judgment storage cavity; 44. Judgment spring; 5. Marking component; 51. Marking disc; 52. Marking cover; 53. Marking storage cavity; 54. Marking spring; 6. Basic component; 61. Basic disc; 62. Basic cover; 63. Basic storage cavity; 64. Basic spring; 7. Positioning device; 71. Positioning column; 72. Support bar; 73. Insertion column; 74. Knob; 75. Insertion hole; 76. Recommendation stud; 77. Judgment stud; 78. Marking stud; 79. Basic stud; 8. Indicator component; 81. Limiting column; 82. Limiting disc; 83. Indicator bar. Detailed Implementation

[0014] The technical solutions of this invention will now be clearly and completely described with reference to the accompanying drawings. Obviously, the described embodiments are only a part of the embodiments of this invention, and not all of them. All other embodiments obtained by those skilled in the art based on the embodiments of this invention without creative effort are within the scope of protection of this invention.

[0015] Because these types of tables are complex and have multiple logical levels, nurses need to spend a lot of time sorting out the relationships when they need to consult them in urgent clinical nursing work, which can easily lead to delays in intervention.

[0016] Therefore, in view of the above-mentioned problems, the present invention provides an auxiliary turntable for blood glucose management and insulin dose adjustment in critically ill patients, with reference to... Figure 1 - Figure 5 As shown, the device includes a base 1 and a suggestion component 3. A support column 2 is fixedly connected to the top of the base 1. The suggestion component 3 includes a suggestion tray 31 that fits around the support column 2. A suggestion cover 32 is coaxially nested inside the suggestion tray 31. The coaxial nesting structure allows for independent disassembly of the component. The bottom of the suggestion cover 32 has multiple suggestion storage cavities 33 for dedicated storage of insulin adjustment suggestion strips, avoiding information confusion that could affect clinical judgment and improving the accuracy of insulin dose adjustment. Multiple suggestion springs 34 are fixedly connected inside the suggestion tray 31 to push the strip out of the container when changing the strip, eliminating the need for manual removal, shortening the operation time for strip replacement and retrieval, and reducing the operational difficulty and workload of medical staff. When an insulin adjustment suggestion strip is inserted into the suggestion tray 31, the suggestion storage cavity 33 will store the insulin adjustment suggestion strip inside, achieving stable storage of the strip. At the same time, the content of the strip can be flexibly changed according to clinical evidence-based medicine, adapting to the iterative updates of blood glucose management guidelines.

[0017] refer to Figure 3 and Figure 4As shown, a judgment component 4 is fitted around the support column 2. The judgment component 4 includes a judgment disk 41 fitted around the support column 2. The judgment disk 41 is located on top of the suggested cover 32. The judgment cover 42 is coaxially nested inside the judgment disk 41. Multiple judgment storage cavities 43 are opened at the bottom of the judgment cover 42. Multiple judgment springs 44 are fixedly connected inside the judgment disk 41. The storage cavities can neatly store the blood glucose change judgment strips. When the blood glucose change judgment strip is inserted into the judgment disk 41, the judgment storage cavity 43 will store the blood glucose change strip inside. The blood glucose change judgment strip is red in the rising area and yellow in the falling area. The eye-catching colors provide a visual warning of the abnormal blood glucose fluctuation range, allowing medical staff to quickly identify the risk level of blood glucose rise and fall, and achieve early detection and early intervention of blood glucose fluctuation risk.

[0018] refer to Figure 3 and Figure 4 As shown, the support column 2 is fitted with an identification component 5. The identification component 5 includes an identification disk 51 fitted on the outside of the support column 2. The identification disk 51 is located on top of the judgment disk 41. An identification cover 52 is coaxially nested inside the identification disk 51, which can be aligned and matched with the judgment component 4 below to meet the clinical needs for rapid linkage of real-time blood glucose values ​​and blood glucose change amplitude. Three identification storage cavities 53 are opened at the bottom of the identification cover 52. Three identification springs 54 are fixedly connected inside the identification disk 51. When the real-time blood glucose index strip is inserted into the identification disk 51, the identification storage cavity 53 will store the real-time blood glucose index strip inside. The three real-time blood glucose index strips are color-coded according to the low blood glucose zone (red), the high blood glucose zone (yellow), and the normal blood glucose zone (green), providing a conspicuous and standardized color visual warning.

[0019] refer to Figure 3 and Figure 4 As shown, the top of the label cover 52 is provided with a base component 6, which includes a base plate 61 fitted outside the support column 2. The base cover 62 is coaxially nested inside the base plate 61. Two base storage cavities 63 are opened at the bottom of the base cover 62. Two base spring clips 64 are fixedly connected inside the base plate 61. The two base storage cavities 63 are respectively provided with basic information prompt strips indicating that the glycated hemoglobin value is higher than 6.5% and lower than 6.5%. This realizes the standardized carrying and visualization of the patient's basic blood glucose index upon admission, allowing medical staff to quickly retrieve the patient's basic blood glucose information and coordinate it with real-time blood glucose and blood glucose change amplitude, providing a basis for insulin dose adjustment.

[0020] refer to Figure 6 and Figure 7As shown, the top of the support column 2 is provided with a positioning device 7, which includes a positioning column 71 fixedly connected to the top of the support column 2. A support strip 72 is sleeved on the outside of the positioning column 71, and an insertion post 73 is fixedly connected to the bottom of the support strip 72. The insertion post 73 and the insertion hole 75 are engaged to achieve stable support for the support strip 72. A knob 74 is threaded on the outside of the positioning column 71. The support strip 72 is fixed and disassembled by tightening or loosening the knob 74. The top of the base 1 is provided with an insertion hole 75, and the insertion post 73 is inserted into the insertion hole 75. The inner part of the support strip 72 is... The component has a threaded connection with a suggestion stud 76 and a judgment stud 77, which are located on the top of the suggestion cover 32 and the judgment cover 42, respectively. The support bar 72 has an internal threaded connection with a marking stud 78 and a base stud 79, which are located on the top of the marking cover 52 and the base cover 62, respectively. Each stud is aligned with the corresponding component cover. By turning the studs, the rotational position of the four components (suggestion, judgment, marking, and base) can be independently fixed, effectively avoiding the problem of displacement or misalignment after medical staff rotate and adjust the components.

[0021] refer to Figure 7 As shown, the top of the base plate 61 is provided with an indicator component 8. The indicator component 8 includes four limiting posts 81 fixedly connected to the top of the base plate 61. The four limiting posts 81 are covered by a limiting plate 82. An indicator strip 83 is fixedly connected to the outside of the limiting plate 82. The indicator strip 83 is located directly above the suggestion cover 32, the judgment cover 42, the identification cover 52 and the base cover 62, and points directly to the paper information area of ​​each component. This allows medical staff to quickly align the basic blood glucose index, real-time blood glucose index, blood glucose change range and insulin adjustment suggestions, improve the operation efficiency of multi-indicator matching, and avoid reading errors of adjustment suggestions due to index misalignment. The suggestion cover 32, the judgment cover 42, the identification cover 52 and the base cover 62 are ABS transparent plastic covers.

[0022] The working principle of this invention is as follows: When medical staff manage the blood glucose of critically ill patients, based on the patient's basic glycated hemoglobin (HbA1c) level upon admission, they rotate the base cover 62 of the base component 6. With the assistance of the indicator component 8 on the top of the base plate 61, the indicator strip 83 points to the corresponding information strip inside the base cover 62 indicating a HbA1c value higher or lower than 6.5%, thus selecting the basic blood glucose level. Subsequently, based on the patient's real-time blood glucose levels, they rotate the indicator cover 52 of the indicator component 5, pointing the indicator strip 83 to the colored real-time blood glucose indicator strip inside the indicator cover 52 corresponding to the hypoglycemia, hyperglycemia, or normal blood glucose zone. This enables rapid matching of real-time blood glucose levels, and the red, yellow, and green colors allow medical staff to instantly identify the real-time blood glucose risk level. Next, considering the change in the patient's current blood glucose level compared to the previous reading, they rotate the judgment cover 42 of the judgment component 4, pointing the indicator strip 83 to the judgment strip inside the judgment cover 42 corresponding to different levels of blood glucose increase or decrease. The red increase zone and yellow decrease zone quickly indicate the risk of blood glucose fluctuations, thus determining the dynamic change range of blood glucose.

[0023] After completing the rotation matching of the above three indicators, the indicator bar 83 will point to the corresponding insulin adjustment suggestion strip inside the suggestion cover 32 of the suggestion component 3. Medical staff can directly read the standardized insulin dose adjustment instructions through the transparent suggestion cover 32 without manually sorting out the indicator associations or consulting cumbersome tables, and obtain the operation suggestions within seconds. During the entire indicator matching and reading process, the rotation position of each component is independently fixed by turning the suggestion, judgment, marking, and basic studs 79 of the positioning device 7, which effectively avoids indicator matching errors caused by component displacement or misalignment during operation and ensures the accuracy of adjustment suggestion reading. If it is necessary to replace the information strips in each component, the strips can be quickly pushed out by the springs in each tray without manual removal. After replacement, the new strips are inserted into the corresponding storage cavity to complete the neat storage of the strips. The content of the strips can also be flexibly updated according to the iteration of clinical blood glucose management guidelines to adapt to changes in clinical evidence.

[0024] If the indicators need to be adjusted and rematched, simply loosen each stud of the positioning device 7 and rotate the corresponding component again. The operation is flexible and convenient. Each component of the entire turntable can be disassembled independently by loosening the knob 74 of the positioning device 7 and pulling out the plug 73, which facilitates postoperative cleaning and disinfection and meets the infection control requirements of the intensive care unit.

[0025] The foregoing has shown and described the basic principles, main features, and advantages of the present invention. Those skilled in the art should understand that the present invention is not limited to the above embodiments. The embodiments and descriptions in the specification are merely preferred examples and are not intended to limit the invention. Various changes and modifications can be made to the invention without departing from its spirit and scope, and all such changes and modifications fall within the scope of the present invention as claimed. The scope of protection of the present invention is defined by the appended claims and their equivalents.

Claims

1. A glucose management and insulin dose adjustment auxiliary turntable for critically ill patients, comprising a base (1) and a suggestion component (3), characterized in that: The base (1) is fixedly connected to the top of a support column (2), and the suggestion assembly (3) includes a suggestion disk (31) sleeved on the outside of the support column (2), and a suggestion cover (32) is coaxially nested inside the suggestion disk (31). The support column (2) is fitted with a determination component (4), which includes a determination disk (41) fitted on the outside of the support column (2). The determination disk (41) is located on top of the suggestion cover (32), and the determination cover (42) is coaxially nested inside the determination disk (41). The support column (2) is covered with an identification component (5), which includes an identification disk (51) that is covered with the support column (2). The identification disk (51) is located on top of the judgment disk (41), and an identification cover (52) is coaxially nested inside the identification disk (51). The top of the label cover (52) is provided with a base component (6), the base component (6) includes a base plate (61) sleeved on the outside of the support column (2), and the base cover (62) is coaxially nested inside the base plate (61).

2. The auxiliary turntable for blood glucose management and insulin dose adjustment for critically ill patients according to claim 1, characterized in that: The bottom of the suggestion cover (32) is provided with multiple suggestion storage cavities (33), and multiple suggestion springs (34) are fixedly connected inside the suggestion tray (31) for pushing the paper strip out of the container when changing the paper strip. When the insulin adjustment suggestion paper strip is inserted into the suggestion tray (31), the suggestion storage cavity (33) will store the insulin adjustment suggestion paper strip inside.

3. The auxiliary turntable for blood glucose management and insulin dose adjustment for critically ill patients according to claim 2, characterized in that: The bottom of the judgment cover (42) is provided with multiple judgment storage cavities (43), and multiple judgment springs (44) are fixedly connected inside the judgment disk (41). When the blood glucose change judgment strip is inserted into the judgment disk (41), the judgment storage cavity (43) will store the blood glucose change strip inside. The blood glucose change judgment strip in the rising area is red, while the blood glucose change judgment strip in the falling area is yellow.

4. The auxiliary turntable for blood glucose management and insulin dose adjustment in critically ill patients according to claim 3, characterized in that: The bottom of the label cover (52) is provided with three label storage cavities (53). The label disk (51) is fixedly connected with three label springs (54). When the real-time blood glucose index strip is inserted into the label disk (51), the label storage cavity (53) will store the real-time blood glucose index strip inside. Among the three real-time blood glucose index strips, the low blood glucose area is the red real-time blood glucose index strip, the high blood glucose area is the yellow real-time blood glucose index strip, and the normal blood glucose area is the green real-time blood glucose index strip.

5. The auxiliary turntable for blood glucose management and insulin dose adjustment for critically ill patients according to claim 4, characterized in that: The bottom of the base cover (62) has two base storage cavities (63), and the base disk (61) is fixedly connected to two base springs (64). The two base storage cavities (63) are respectively provided with basic information prompt strips for glycated hemoglobin values ​​higher than 6.5% and basic information prompt strips for glycated hemoglobin values ​​lower than 6.5%.

6. The auxiliary turntable for blood glucose management and insulin dose adjustment for critically ill patients according to claim 5, characterized in that: The top of the support column (2) is provided with a positioning device (7). The positioning device (7) includes a positioning column (71) fixedly connected to the top of the support column (2). The positioning column (71) is covered with a support strip (72). The bottom of the support strip (72) is fixedly connected with a plug (73). The support strip (72) is inserted into the base (1) through the plug (73). The positioning column (71) is threaded with a knob (74).

7. The auxiliary turntable for blood glucose management and insulin dose adjustment for critically ill patients according to claim 6, characterized in that: The base (1) has an insertion hole (75) on its top. The insertion post (73) is inserted into the insertion hole (75). The internal thread of the support bar (72) is connected to the suggestion post (76) and the determination post (77). The suggestion post (76) and the determination post (77) are located on the top of the suggestion cover (32) and the determination cover (42), respectively.

8. The auxiliary turntable for blood glucose management and insulin dose adjustment for critically ill patients according to claim 6, characterized in that: The internal threaded connection of the support bar (72) includes a marking stud (78) and a base stud (79), which are located on top of the marking cap (52) and the base cap (62), respectively.

9. The auxiliary turntable for blood glucose management and insulin dose adjustment for critically ill patients according to claim 8, characterized in that: The base plate (61) is provided with an indicator component (8) at the top. The indicator component (8) includes four limiting posts (81) that are fixedly connected to the top of the base plate (61). The four limiting posts (81) are fitted with a limiting plate (82), and the limiting plate (82) is fixedly connected with an indicator strip (83).

10. The auxiliary turntable for blood glucose management and insulin dose adjustment for critically ill patients according to claim 9, characterized in that: The indicator strip (83) is located directly above the suggestion cover (32), the judgment cover (42), the identification cover (52) and the base cover (62), which are ABS transparent plastic covers.

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