Subcutaneous Outpatient Management

Abstract

A method includes receiving glucose data of a patient at a glucometer having a display. The glucose data includes a glucose measurement measured by the glucometer and a glucose time associated with the glucose measurement. The method also includes obtaining patient information associated with the patient that includes a target blood glucose for the patient and a correction factor. The method also includes when the glucose measurement of the patient exceeds the target blood glucose for the patient, calculating a correction dose of insulin based on a function of the glucose measurement of the patient, the target blood glucose for the patient, and the correction factor. The method also includes displaying the correction dose of insulin on the display of the glucometer.

1 . A glucometer comprising:
 a display;   data processing hardware in communication with the data processing hardware; and   memory hardware in communication with the data processing hardware, the memory hardware storing instructions that when executed on the data processing hardware cause the data processing hardware to perform operations comprising:
 receiving glucose data of a patient, the glucose data comprising a glucose measurement measured by the glucometer and a glucose time associated with the glucose measurement; 
 obtaining patient information associated with the patient, the patient information comprising a target blood glucose for the patient and a correction factor; 
 determining whether the glucose measurement of the patient exceeds the target blood glucose for the patient; 
 when the glucose measurement of the patient exceeds the target blood glucose for the patient, calculating a correction dose of insulin based on a function of the glucose measurement of the patient, the target blood glucose for the patient, and the correction factor; 
 displaying the correction dose of insulin on the display of the glucometer; 
 after the correction dose of insulin is administered to the patient, receiving a user input indication indicating selection of a button displayed on the display of the glucometer to record the correction dose of insulin administered to the patient; and 
 transmitting, via a network, to a remote computing system associated with a healthcare provider (HCP) of the patient, the received glucose data and a value of the correction dose of insulin administered to the patient. 
   
     
     
         2 . The glucometer of  claim 1 , wherein glucometer measures the glucose measurement using a test strip in communication with the glucometer. 
     
     
         3 . The glucometer of  claim 1 , wherein the operations further comprise executing a software application to calculate the correction dose of insulin based on the function of the glucose measurement of the patient, the target blood glucose for the patient, and the correction factor. 
     
     
         4 . The glucometer of  claim 1 , wherein obtaining the patient information comprises receiving the patient information from the remote computing system associated with the HCP of the patient, the patient information input to the remote computing system by the HCP of the patient. 
     
     
         5 . The glucometer of  claim 1 , wherein the operations further comprise:
 receiving a number of carbohydrates for a current meal consumed by the patient;   calculating a recommended meal bolus based on the number of carbohydrates consumed by the patient; and   displaying the recommended meal bolus on the display of the glucometer.   
     
     
         6 . The glucometer of  claim 5 , wherein:
 the patient information further comprises a carbohydrate-to-insulin ratio (CIR) for the patient, and   calculating the recommended meal bolus is further based on CIR for the patient.   
     
     
         7 . The glucometer of  claim 1 , wherein the operations further comprise:
 aggregating one or more glucose measurements associated with a breakfast glucose time interval to determine a representative aggregate breakfast glucose measurement for the patient;   aggregating one or more glucose measurements associated with a midsleep glucose time interval to determine a representative aggregate midsleep glucose measurement;   selecting a governing glucose measurement as a lesser one of the representative aggregate midsleep glucose measurement or the representative aggregate breakfast glucose measurement;   determining an adjustment factor for adjusting a next recommended basal dosage based on the selected governing glucose measurement;   obtaining a previous day recommended basal dosage, and   determining the next recommended basal dosage by multiplying the adjustment factor times the previous day recommended basal dosage.   
     
     
         8 . The glucometer of  claim 7 , wherein the operations further comprise displaying the next recommended basal dosage on the display of the glucometer. 
     
     
         9 . The glucometer of  claim 1 , wherein the operations further comprise transmitting the correction dose to an administration device in communication with the data processing hardware, the administration device comprising:
 a doser; and   an administration computing device in communication with the doser, the administration computing device configured to automatically dial in a number of units of insulin for the correction dose and cause the doser to administer the number of units of insulin for the correction dose.   
     
     
         10 . The glucometer of  claim 1 , wherein the operations further comprise displaying a notification on the display of the glucometer indicating when a next glucose measurement from the patient is required. 
     
     
         11 . A method comprising:
 receiving, at data processing hardware of a glucometer, glucose data of a patient, the glucose data comprising a glucose measurement measured by the glucometer and a glucose time associated with the glucose measurement;   obtaining, by the data processing hardware, patient information associated with the patient, the patient information comprising a target blood glucose for the patient and a correction factor;   determining whether the glucose measurement of the patient exceeds the target blood glucose for the patient;   when the glucose measurement of the patient exceeds the target blood glucose for the patient, calculating, by the data processing hardware, a correction dose of insulin based on a function of the glucose measurement of the patient, the target blood glucose for the patient, and the correction factor;   displaying, by the data processing hardware, the correction dose of insulin on a display of the glucometer;   after the correction dose of insulin is administered to the patient, receiving, at the data processing hardware, a user input indication indicating selection of a button displayed on the display of the glucometer to record the correction dose of insulin administered to the patient; and   transmitting, via a network, from the data processing hardware to a remote computing system associated with a healthcare provider (HCP) of the patient, the received glucose data and a value of the correction dose of insulin administered to the patient.   
     
     
         12 . The method of  claim 11 , wherein glucometer measures the glucose measurement using a test strip in communication with the glucometer. 
     
     
         13 . The method of  claim 11 , executing, by the data processing hardware, a software application to calculate the correction dose of insulin based on the function of the glucose measurement of the patient, the target blood glucose for the patient, and the correction factor. 
     
     
         14 . The method of  claim 11 , wherein obtaining the patient information comprises receiving the patient information from the remote computing system associated with the HCP of the patient, the patient information input to the remote computing system by the HCP of the patient. 
     
     
         15 . The method of  claim 11 , further comprising:
 receiving, at the data processing hardware, a number of carbohydrates consumed by the patient;   calculating, by the data processing hardware, a recommended meal bolus based on the number of carbohydrates consumed by the patient; and   displaying, by the data processing hardware, the recommended meal bolus on the display of the glucometer.   
     
     
         16 . The method of  claim 15 , wherein:
 the patient information further comprises a carbohydrate-to-insulin ratio (CIR) for the patient; and   calculating the recommended meal bolus is further based on CIR for the patient.   
     
     
         17 . The method of  claim 11 , further comprising:
 aggregating, by the data processing hardware, one or more glucose measurements associated with a breakfast glucose time interval to determine a representative aggregate breakfast glucose measurement for the patient,   aggregating, by the data processing hardware, one or more glucose measurements associated with a midsleep glucose time interval to determine a representative aggregate midsleep glucose measurement;   selecting, by the data processing, a governing glucose measurement as a lesser one of the representative aggregate midsleep glucose measurement or the representative aggregate breakfast glucose measurement;   determining, by the data processing hardware, an adjustment factor for adjusting a next recommended basal dosage based on the selected governing glucose measurement;   obtaining, by the data processing hardware, a previous day recommended basal dosage; and   determining, by the data processing hardware, the next recommended basal dosage by multiplying the adjustment factor times the previous day recommended basal dosage.   
     
     
         18 . The method of  claim 17 , further comprising displaying, by the data processing hardware, the next recommended basal dosage on the display of the glucometer. 
     
     
         19 . The method of  claim 11 , further comprising transmitting the correction dose from the data processing hardware to an administration device in communication with the data processing hardware, the administration device comprising:
 a doser; and   an administration computing device in communication with the doser, the administration computing device configured to automatically dial in a number of units of insulin for the correction dose and cause the doser to administer the number of units of insulin for the correction dose.   
     
     
         20 . The method of  claim 11 , further comprising displaying, by the data processing hardware, a notification on the display of the glucometer indicating when a next glucose measurement from the patient is required.