Fractionated Insulin Dosing via Analyte Sensor Feedback

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Solution Overview

Problem

Diabetic patients face challenges in maintaining stable blood glucose levels due to the difficulty in determining optimal insulin dosages, often leading to risks of both hyperglycemia and hypoglycemia, as conventional methods rely on open-loop control models that fail to account for dynamic factors and physiological variations.

Innovation Solution

A computer-implemented method and processor-based system that uses in vivo analyte sensors to monitor glucose levels and rates of change, allowing for the administration of medication in single or fractionated doses, with predictive calculations to avoid hypoglycemic events by adjusting insulin dosages based on real-time data and safety margins.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If conventional open-loop control models are used to determine insulin dosages, then the dosing process is simple and easy to operate, but the accuracy of blood glucose level control deteriorates and hypoglycemic events occur more frequently

Engineering Contradiction:
Improveblood glucose level control accuracyVSAvoiddosage determination system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent implements closed-loop control by continuously monitoring blood glucose levels via analyte sensors and using this feedback to dynamically adjust insulin dosage calculations. The system processes real-time glucose data, rate of change information, and predictive algorithms to automatically modify medication dosing, thereby improving control accuracy while managing complexity through automated feedback mechanisms.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system performs preliminary actions by calculating predictive glucose trends and safety margins before administering insulin. It anticipates future glucose levels based on current rate of change and historical data, pre-adjusting dosage parameters to prevent hypoglycemic events before they occur, thus improving accuracy proactively rather than reactively.

Inventive Principle:
Principle #10Preliminary action

2Reliability

If a single medication dose is administered, then the administration process is simple and quick, but the safety and precision of blood glucose control deteriorate due to inability to respond to dynamic physiological variations

Engineering Contradiction:
Improveblood glucose control safetyVSAvoidmedication administration time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The patent segments the medication dose into multiple discrete administrations rather than a single bolus. The system divides the total required insulin dose into fractions that can be administered at different times, allowing the body to process each portion separately and respond to dynamic physiological changes between doses, thereby improving safety without excessive time loss.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system transitions from static single-dose administration to dynamic multi-dose scheduling that adapts to real-time physiological conditions. The medication administration plan is continuously adjusted based on changing glucose levels, rate of change, and predictive algorithms, enabling the system to respond dynamically to individual patient needs while maintaining safety.

Inventive Principle:
Principle #15Dynamics

3Measurement precision

If medication dosage is calculated without considering rate of change of analyte level, then the calculation process is simple and fast, but the precision of dosage determination deteriorates leading to suboptimal blood glucose management

Engineering Contradiction:
Improvedosage determination precisionVSAvoiddosage calculation speed
Core Design Contradiction:
Measurement precisionVSProductivity

Solution Approach 1:

The system maintains continuous processing of analyte data, including ongoing calculation of rate of change parameters, to ensure dosage precision is always current and accurate. By continuously updating glucose trends and incorporating this real-time information into dosage calculations, the system achieves high precision without significant delays, as the useful action of data processing continues uninterrupted.

Inventive Principle:
Principle #20Continuity of useful action

Data Source

PatentUS20240366121A1Optimizing medication dosage based on analyte sensor data
Publication Date: 2024.11.07 ABBOTT DIABETES CARE INC
  • US20240366121A1 patent drawing
  • US20240366121A1 patent drawing
  • US20240366121A1 patent drawing

AI summary

Methods, apparatuses, and systems are provided for determining whether to administer a medication dose as a single dose or whether to fractionate the single dose to be administered as at least two discrete doses. Embodiments include determining a first analyte level and a first rate of change of the analyte level; determining an initial medication dose based on one or more anticipated subsequent medication doses, the first analyte level relative to an analyte level threshold, and the first rate of change of the analyte level relative to a rate of change threshold; administering the initial medication dose; determining a second analyte level and a second rate of change of the analyte level based on subsequent analyte data; and determining a subsequent medication dose based on the second analyte level relative to the analyte level threshold and the second rate of change relative to the rate of change threshold.