Bolus Calculator Parameter Setup via Healthcare Provider Portal

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Solution Overview

Problem

Current diabetes management systems, particularly for diabetic patients, face challenges in providing timely and accurate monitoring of blood glucose levels due to the limitations of conventional self-monitoring methods, leading to delayed detection of hyperglycemic or hypoglycemic conditions, and lack of user-friendly, FDA-approved bolus calculator options for multiple daily injection therapy (MDI) users.

Innovation Solution

The development of systems and methods that enable secure communication between healthcare providers and patients for setting up and optimizing bolus calculators, utilizing continuous glucose monitoring data, and integrating with medicament delivery devices, allowing for real-time data analysis and parameter adjustments, including the use of smartphone apps and third-party data validation for accurate insulin dosing.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If conventional self-monitoring blood glucose (SMBG) methods are used, then patients can obtain glucose level readings, but the monitoring frequency is limited to 2-4 times per day due to discomfort and inconvenience, resulting in delayed detection of hyperglycemic or hypoglycemic conditions

Engineering Contradiction:
Improveglucose level detection accuracyVSAvoidtime delay in detecting glucose level changes
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent replaces the mechanical finger-pricking SMBG method with an electrochemical continuous glucose monitoring (CGM) system. The CGM sensor continuously measures interstitial fluid glucose levels and transmits data wirelessly to a display device, eliminating the need for repeated manual blood sampling and providing real-time glucose level monitoring without time delays.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Measurement precision

If continuous glucose monitoring (CGM) is implemented, then real-time glucose level monitoring is achieved, but patients require carrying a dedicated display device or smartphone with monitoring apps, increasing device complexity and portability requirements

Engineering Contradiction:
Improvereal-time glucose level monitoringVSAvoidportability and device management complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent integrates CGM functionality with universally carried smartphones or wearables that patients already possess. The system uses existing mobile devices with screens, processors, and wireless communication capabilities to display glucose data, trends, and alerts, eliminating the need for dedicated CGM display devices and reducing overall system complexity.

Inventive Principle:
Principle #6Universality (Multi-functionality)

3Ease of operation

If bolus calculator parameters are manually configured by patients, then setup is simple, but dosing accuracy is insufficient without healthcare provider optimization and FDA approval

Engineering Contradiction:
Improvebolus calculator setup simplicityVSAvoidinsulin dosing accuracy
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The patent introduces a healthcare provider portal as an intermediary between patients and bolus calculator parameter optimization. Providers can remotely access patient CGM data, adjust bolus calculator parameters through a secure web interface, and transmit optimized settings to the patient's device. This intermediary system enables FDA-approved, clinically-optimized dosing parameters while maintaining ease of patient setup through automated data collection and provider-guided optimization.

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentUS20230170083A1Systems and methods for CGM-based bolus calculator for display and for provision to medicament delivery devices
Publication Date: 2023.06.01 DEXCOM INC
  • US20230170083A1 patent drawing
  • US20230170083A1 patent drawing
  • US20230170083A1 patent drawing

AI summary

Disclosed are systems and methods for secure and seamless set up and modification of bolus calculator parameters for a bolus calculator tool by a health care provider (HCP). In one aspect, a method for enabling HCP set up of a bolus calculator includes providing a server accessible by both an HCP and a patient; upon login by the HCP, displaying, or transmitting for display, a fillable form, the fillable form including one or more fields for entry of one or more bolus calculator parameters; receiving data from the fillable form, the data corresponding to one or more bolus calculator parameters; and upon login by the patient, transmitting data to a device associated with the patient, the transmitted data based on the received data, where the transmitted data corresponds to one or more of the bolus calculator parameters in a format suitable for entry to a bolus calculator.