Glucose Control Indicators for Infant Neurodevelopmental Risk
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Solution Overview
Problem
Current methods fail to accurately assess chronic glucose regulation in infants, particularly in premature infants, which is crucial for identifying the risk of neurodevelopmental disorders such as retinopathy of prematurity and cerebral palsy, as existing glucose control indicators like Hemoglobin A1c are not validated for use in infants or pregnant women.
Innovation Solution
The use of glucose control indicators like glycated hemoglobin and glycated albumin fractions, calculated relative to total whole blood protein, to assess chronic glucose status over extended periods, providing a comprehensive glucose control indicator that is applicable during infancy and pregnancy, allowing for early detection and treatment of developmental diabetes and associated neurodevelopmental disorders.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Measurement precision
If Hemoglobin A1c is used as a glucose control indicator, then glucose control can be assessed, but it cannot be validated for use in infants or pregnant women
Solution Approach 1:
The patent changes the parameter basis for glucose control assessment from Hemoglobin A1c to glucose control indicators calculated relative to total whole blood protein. This parameter change enables valid assessment in infants and pregnant women whose hemoglobin levels and composition differ from adults, thus resolving the limitation of A1c validation while maintaining measurement precision
2Loss of information
If chronic glucose regulation is assessed using existing methods, then some glucose status information can be obtained, but accurate risk assessment for neurodevelopmental disorders cannot be achieved
Solution Approach 1:
The patent replaces the conventional Hemoglobin A1c measurement system with a new calculation system based on glucose control indicators relative to total whole blood protein. This substitution provides more complete glucose status information and enables reliable neurodevelopmental disorder risk assessment in infant populations where A1c fails
3Reliability
If glucose control indicators are not used in infancy and pregnancy, then existing validated methods can be applied, but early detection and treatment of developmental diabetes cannot occur
Solution Approach 1:
The patent enables preliminary glucose control assessment during critical periods of infancy and pregnancy by introducing validated glucose control indicators calculated relative to total whole blood protein. This preliminary action allows early detection and treatment of developmental diabetes before neurodevelopmental disorders manifest, overcoming the timing limitation of existing methods
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
This approach enables accurate monitoring of chronic dysglycemia, allowing for timely intervention and reducing the risk of neurodevelopmental disorders by providing a reliable method for assessing glucose control in infants and pregnant women, overcoming the limitations of existing methods.
Implementation Method 1
The use of glucose control indicators like glycated hemoglobin and glycated albumin fractions, calculated relative to total whole blood protein, to assess chronic glucose status over extended periods
Data Source
AI summary
Dysglycemia as a risk factor for neurodevelopmental disorder or developmental diabetes. The risk is assessed based on measurement of a glucose control indicator in a blood sample. One particular example of a neurodevelopmental disorder is retinopathy of prematurity in an infant. One particular example of a glucose control indicator is ‘comprehensive glycated hemoglobin fraction’ or ‘comprehensive glycated albumin fraction.’ This is calculated using ‘total whole blood protein’ in the denominator. In the case of chronic hyperglycemia, there is an increased risk of proliferative retinopathy of prematurity. In the case of chronic hypoglycemia, there is an increased risk of non-proliferative retinopathy of prematurity. This ‘total whole blood protein’ technique could also be used to determine the glucose control status in other types of patients.
