Diabetes Care Host-Client Architecture and Data Management System

Abstract

A host-client data sharing system manages diabetes care data. A host database, preferably web or internet based, is implemented for storing diabetes care data relating to multiple diabetics. A client or local database stores the diabetes care data relating to multiple diabetics on a personal appliance such as a PC, or a portable or handheld microprocessor-based computing device. The host database uses multiple servers for handling client interactions with the system.

1 - 49 . (canceled) 
     
     
         50 . A handheld health monitoring unit comprising:
 a user interface comprising a display to display at least one report comprising health signals of a user and a user input to receive input from the user, wherein the input from the user comprises a medication dosage and a food intake; and   a microprocessor comprising programming to determine statistical data based on at least one of the health signals of the user and the input from the user and generate the report based on the health signals of the user and the input from the user,   wherein the report comprises:
 the health signals of the user that are within a target range, above the target range and below the target range over a time period; 
 an average of the health signals of the user over the time period; 
 an average of the medication dosage over the time period; and 
 an average of the food intake over the time period. 
   
     
     
         51 . The unit of  claim 50 , wherein the statistical data comprises the standard deviation of the health signals of the user over the time period. 
     
     
         52 . The unit of  claim 50 , wherein the time period comprises a day or more. 
     
     
         53 . The unit of  claim 52 , wherein the time period comprises a day, a week or fourteen days. 
     
     
         54 . The unit of  claim 50 , wherein the target range comprises a pre-meal target range or a post-meal target range. 
     
     
         55 . The unit of  claim 54 , wherein the pre-meal target range is the same as the post-meal target range. 
     
     
         56 . The unit of  claim 54 , wherein the pre-meal target range is different from the post-meal target range. 
     
     
         57 . The unit of  claim 50 , wherein the microprocessor comprises programming to associate the health signals with a tag or the input from the user. 
     
     
         58 . The unit of  claim 57 , wherein the tag comprises the date and the time the health signals were measured. 
     
     
         59 . The unit of  claim 57 , wherein the report comprises the tag. 
     
     
         60 . The unit of  claim 50 , wherein the medication dosage comprises an insulin dosage. 
     
     
         61 . The unit of  claim 50 , wherein the food intake comprises grams of carbohydrates. 
     
     
         62 . The unit of  claim 50 , wherein the food intake comprises bread exchange units. 
     
     
         63 . The unit of  claim 50 , wherein the input from the user further comprises one or more of a calibration code, a user symptom and a period of exercise. 
     
     
         64 . The unit of  claim 63 , wherein the user symptom comprises a hypoglycemic symptom or a hyperglycemic symptom. 
     
     
         65 . The unit of  claim 64 , wherein the user symptom comprises the hypoglycemic symptom. 
     
     
         66 . The unit of  claim 65 , wherein the report comprises the number of health signals associated with the hypoglycemic symptom. 
     
     
         67 . The unit of  claim 50 , wherein the handheld health monitoring unit comprises a blood glucose monitor. 
     
     
         68 . The unit of  claim 67 , wherein the health signals comprise blood glucose test results. 
     
     
         69 . The unit of  claim 50 , wherein the report comprises the health signals displayed as alphanumeric information. 
     
     
         70 . The unit of  claim 50 , wherein the report comprises the health signals displayed as graphical information. 
     
     
         71 . The unit of  claim 50 , further comprising a connector to communicate at least one of the health signals, the input from the user and the report between the handheld health monitoring unit and a data management unit. 
     
     
         72 . The unit of  claim 71 , wherein data management unit comprises a data port to communicate at least one of the health signals, the input from the user and the report between the data management unit and a server. 
     
     
         73 . The unit of  claim 50 , wherein the microprocessor comprises programming to display instructions for operating the handheld health monitoring unit. 
     
     
         74 . The unit of  claim 73 , wherein the instructions comprise step-by-step instructions for operating the handheld health monitoring unit. 
     
     
         75 . The unit of  claim 73 , wherein the instructions comprise instructions for performing a blood glucose test. 
     
     
         76 . A method of operating a handheld health monitoring unit, the method comprising:
 monitoring health signals of a user with a handheld health monitoring unit comprising a user interface including a display to display at least one report comprising the health signals of the user and a user input to receive input from the user, wherein the input from the user comprises a medication dosage and a food intake;   determining statistical data using the handheld health monitoring unit, wherein the statistical data is based on at least one of the health signals of the user and the input from the user;   generating the report based on the health signals of the user and the input from the user; and   displaying the report, wherein the report comprises:
 the health signals of the user that are within a target range, above the target range and below the target range over a time period; 
 an average of the health signals of the user over the time period; 
 an average of the medication dosage over the time period; and 
 an average of the food intake over the time period. 
   
     
     
         77 . The method of  claim 76 , wherein the statistical data comprises the standard deviation of the health signals of the user over the time period. 
     
     
         78 . The method of  claim 76 , wherein the period of time comprises a day or longer. 
     
     
         79 . The method of  claim 78 , wherein the period of time comprises a day, a week or fourteen days. 
     
     
         80 . The method of  claim 76 , wherein the report comprises a pre-meal target range or a post-meal target range. 
     
     
         81 . The method of  claim 80 , wherein the pre-meal target range is the same as the post-meal target range. 
     
     
         82 . The method of  claim 80 , wherein the pre-meal target range is different from the post-meal target range. 
     
     
         83 . The method of  claim 76 , further comprising associating the health signals with a tag or the input from the user. 
     
     
         84 . The method of  claim 83 , wherein the tag comprises the date and the time the health signals were measured. 
     
     
         85 . The method of  claim 83 , wherein the report comprises the tag. 
     
     
         86 . The method of  claim 76 , wherein the medication dosage comprises an insulin dosage. 
     
     
         87 . The method of  claim 76 , wherein the food intake comprises grams of carbohydrate. 
     
     
         88 . The method of  claim 76 , wherein the food intake comprises bread exchange units. 
     
     
         89 . The method of  claim 76 , wherein the input from the user further comprises one or more of a calibration code, a user symptom and a period of exercise. 
     
     
         90 . The method of  claim 89 , wherein the user symptom comprises a hypoglycemic symptom or a hyperglycemic symptom. 
     
     
         91 . The method of  claim 90 , wherein the user symptom comprises the hypoglycemic symptom. 
     
     
         92 . The method of  claim 91 , wherein the report comprises the number of health signals associated with the hypoglycemic symptom. 
     
     
         93 . The method of  claim 76 , wherein the handheld health monitoring unit comprises a blood glucose monitor. 
     
     
         94 . The method of  claim 93 , wherein the health signals comprise blood glucose test results. 
     
     
         95 . The method of  claim 76 , wherein the report comprises the health signals displayed as alphanumeric information. 
     
     
         96 . The method of  claim 76 , wherein the report comprises the health signals displayed as graphical information. 
     
     
         97 . The method of  claim 76 , further comprising communicating at least one of the health signals, the input from the user and the report between the handheld health monitoring unit and a data management unit. 
     
     
         98 . The method of  claim 97 , further comprising analyzing at least one of the health signals and the input from the user using the data management unit to generate a report at the data management unit. 
     
     
         99 . The method of  claim 97 , further comprising communicating at least one of the health signals, the input from the user, the report from the health monitoring unit and the report from the data management unit between the data management unit and a server. 
     
     
         100 . The method of  claim 99 , further comprising analyzing at least one of the health signals and the input from the user using the server to generate a report at the server. 
     
     
         101 . The method of  claim 99 , further comprising storing at least one of the health signals, the input from the user, the report from the health monitoring unit, the report from the data management unit and the report from the server on the server. 
     
     
         102 . The method of  claim 100 , further comprising transmitting from the server at least one of the health signals, the input from the user, the report from the health monitoring unit, the report from the data management unit and the report from the server to a health care professional computer. 
     
     
         103 . The method of  claim 76 , further comprising displaying instructions for operating the handheld health monitoring unit. 
     
     
         104 . The method of  claim 103 , wherein the instructions comprise step-by-step instructions for operating the handheld health monitoring unit. 
     
     
         105 . The method of  claim 103 , wherein the instructions comprise instructions for performing a blood glucose test. 
     
     
         106 . A health care monitoring system comprising:
 (a) a handheld health monitoring unit comprising:
 (1) a user interface comprising a display to display at least one report comprising health signals of a user and a user input to receive input from the user, wherein the input from the user comprises a medication dosage and a food intake; 
 (2) a microprocessor comprising programming to determine statistical data based on at least one of the health signals of the user and the input from the user and generate the report based on the health signals of the user and the input from the user; and 
 (3) a first connector, 
 wherein the report comprises:
 (i) the health signals of the user that are within a target range, above the target range and below the target range over a time period; 
 (ii) an average of the health signals of the user over the time period; 
 (iii) an average of the medication dosage over the time period; and 
 (iv) an average of the food intake over the time period; and 
 
   (b) a data management unit comprising a second connector,   wherein the first connector and the second connector communicate data between the handheld health monitoring unit and the data management unit.   
     
     
         107 . The system of  claim 106 , wherein the data communicated between the handheld health monitoring unit and the data management unit comprises at least one of the health signals of the user, the input from the user and the report. 
     
     
         108 . The system of  claim 107 , wherein the data management unit further comprises a processor comprising programming to determine statistical data based on at least one of the health signals of the user and the input from the user, and to generate a report at the data management unit. 
     
     
         109 . The system of  claim 108 , wherein the data management unit further comprises a display to display at least one of the report from the handheld health monitoring unit and the report from the data management unit. 
     
     
         110 . The system of  claim 108 , wherein data management unit further comprises a data port to communicate data between the data management unit and a server. 
     
     
         111 . The system of  claim 110 , wherein the data port communicates data between the data management unit and the server through a wired connection. 
     
     
         112 . The system of  claim 110 , wherein the data port communicates data between the data management unit and the server through a wireless connection. 
     
     
         113 . The system of  claim 110 , wherein the data communicated between the data management unit and the server comprises at least one of the health signals of the user, the input from the user, the report from the handheld health monitoring unit and the report from the data management unit. 
     
     
         114 . The system of  claim 113 , wherein the server comprises a processor comprising programming to determine statistical data based on at least one of the health signals of the user and the input from the user, and to generate a report at the server. 
     
     
         115 . The system of  claim 106 , wherein the input from the user further comprises one or more of a calibration code, a user symptom and a period of exercise. 
     
     
         116 . The system of  claim 106  wherein the handheld health monitoring unit comprises a blood glucose monitor. 
     
     
         117 . The system of  claim 116 , wherein the health signals comprise blood glucose test results. 
     
     
         118 . A program executable by a programmable data processor of a health care monitoring system, the program comprising:
 program instructions for programming the programmable data processor of the health care monitoring system to perform a data protocol comprising:
 (a) monitoring health signals of a user with a handheld health monitoring unit, the handheld health monitoring unit comprising a user interface including a display to display at least one report comprising the health signals of the user and a user input to receive input from the user, wherein the input from the user comprises a medication dosage and a food intake; 
 (b) determining statistical data using the handheld health monitoring unit, wherein the statistical data is based on at least one of the health signals of the user and the input from the user; 
 (c) generating the report based on the health signals of the user and the input from the user; and 
 (d) displaying the report, wherein the report comprises:
 (1) the health signals of the user that are within a target range, above the target range and below the target range over a time period; 
 (2) an average of the health signals of the user over the time period; 
 (3) an average of the medication dosage over the time period; and 
 (4) an average of the food intake over the time period. 
 
   
     
     
         119 . The program of  claim 118 , wherein the data protocol further comprises associating the health signals with a tag or the input from the user. 
     
     
         120 . The program of  claim 119 , wherein the tag comprises the date and the time the health signals were measured. 
     
     
         121 . The program of  claim 119 , wherein the report comprises the tag. 
     
     
         122 . The program of  claim 118 , wherein the input from the user further comprises one or more of a calibration code, a user symptom and a period of exercise. 
     
     
         123 . The program of  claim 118 , wherein the handheld health monitoring unit comprises a blood glucose monitor. 
     
     
         124 . The program of  claim 123 , wherein the health signals comprise blood glucose test results. 
     
     
         125 . The program of  claim 118 , wherein the program instructions comprise programming for displaying the report as alphanumeric information. 
     
     
         126 . The program of  claim 118 , wherein the program instructions comprise programming for displaying the report as graphical information. 
     
     
         127 . The program of  claim 118 , wherein the program instructions comprise programming for displaying the report as alphanumeric information and graphical information. 
     
     
         128 . The program of  claim 118 , wherein the data protocol further comprises communicating at least one of the health signals, the input from the user and the report between the handheld health monitoring unit and a data management unit. 
     
     
         129 . The program of  claim 118 , wherein the data protocol further comprises displaying instructions for operating the handheld health monitoring unit. 
     
     
         130 . The program of  claim 129 , wherein the instructions comprise step-by-step instructions for operating the handheld health monitoring unit. 
     
     
         131 . The program of  claim 129 , wherein the instructions comprise instructions for performing a blood glucose test.