Self-Treat Cognitive Testing for Diabetic Alert Escalation

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Solution Overview

Problem

Individuals with diabetes may be unable to recognize or respond to critical blood glucose level fluctuations due to mental confusion, leading to ineffective self-treatment during hyperglycemic or hypoglycemic events, and unnecessary emergency alerts may be triggered when they are capable of managing their condition.

Innovation Solution

Implementing a self-treat test on user devices to assess the individual's cognitive and physical abilities to perform self-treatment, using pass/fail criteria, and adjusting a timer based on severity to determine if they can manage the condition independently, with alerts for assistance if necessary.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If emergency alerts are contacted when user fails to respond to alerts, then user safety is improved, but communication resources and processing resources are wasted when user is capable of self-treatment

Engineering Contradiction:
Improveuser safetyVSAvoidcommunication resources
Core Design Contradiction:
ReliabilityVSLoss of energy

Solution Approach 1:

The system performs preliminary cognitive assessment through a self-treat test before triggering emergency alerts. This preliminary action determines whether the user is capable of self-treatment, preventing unnecessary emergency communications and conserving communication resources while maintaining user safety.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system implements feedback by monitoring user responses to alerts and cognitive test results. Based on this feedback, the system intelligently decides whether to escalate to emergency services or allow self-treatment, optimizing the balance between user safety and resource conservation.

Inventive Principle:
Principle #23Feedback

2Loss of energy

If self-treat test is implemented to assess user capability, then unnecessary emergency alerts are reduced, but device complexity increases

Engineering Contradiction:
Improvecommunication resourcesVSAvoidsystem complexity
Core Design Contradiction:
Loss of energyVSDevice complexity

Solution Approach 1:

The system uses a mobile device that the user already possesses, leveraging its existing capabilities for communication, display, and processing. This multi-functional approach avoids adding dedicated complex hardware while still implementing comprehensive cognitive assessment and emergency alert management.

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

Solution Approach 2:

The cognitive test interface is implemented as software on existing mobile devices rather than requiring specialized hardware. This copying of assessment functionality to general-purpose devices reduces device complexity while maintaining test effectiveness.

Inventive Principle:
Principle #26Copying

3Ease of operation

If timer is set to allow user time to self-treat, then user autonomy is improved, but response time for emergency assistance may be delayed

Engineering Contradiction:
Improveuser autonomyVSAvoidresponse time
Core Design Contradiction:
Ease of operationVSLoss of time

Solution Approach 1:

The timer duration is dynamically adjusted based on the severity of the diabetic event and user response. For less severe conditions, longer timers allow greater autonomy. For severe conditions or failed cognitive tests, the timer is shortened or bypassed, ensuring timely emergency response. This dynamic adjustment optimizes both user autonomy and response time.

Inventive Principle:
Principle #15Dynamics

Data Source

PatentEP3818935B1Testing cognitive ability of user to self-treat from medical event
Publication Date: 2025.11.26 ROCHE DIABETES CARE GMBH
  • EP3818935B1 patent drawingFigure 1
  • EP3818935B1 patent drawingFigure 2
  • EP3818935B1 patent drawingFigure 3A

AI summary

A user may be alerted by one or more user devices when the blood glucose level of the user is outside of a predefined threshold. When the predefined threshold for the blood glucose level of the user is reached, the user be in a state of elevated mental confusion and may be unable to realize the extreme state or take immediate action self-treat the diabetic condition. In response, the user may be provided with a self-treat test that includes pass/fail criteria to test the ability of the user to self-treat themselves. If the user passes the self-treat test, the user may be assumed to be able to self-treat the diabetic condition. If the user fails the test, a diabetes-related alert may be provided via a user device.