Download - Intelligent Devices
© 2004, John Walsh, PA, CDE
Intelligent Devices
A Smart Pen demonstrates possibilities for intelligent diabetes devices
by John Walsh, P.A., C.D.E.
Smart Pen Online Slides
© 2004, John Walsh, PA, CDE
Sample Feedback From An Intelligent Device You are having too many
lows/highs at lunch Over 2 weeks, 6 readings
have been below 50 mg/dl In the last x days, your BG pattern is better/worse Your readings suggest you need more/less insulin Discuss changing your basal rate (carb factor or
correction factor) with your doctor right away You often have lows-to-highs. Are you eating
excess carbs for your lows? Your current BG and BOB indicate you now need
x.x units (or x grams of carb)
© 2004, John Walsh, PA, CDE
The Intelligent Pen
300 personal carb selections with accurate carb counts
Carb factor (1:1 TO 1: 100) Correction factor (1:4 to 1:
400)
5 sec microdraw BG meter 0.1 unit precision motor Non-volatile memory 3,000 events Bluetooth data transfer
© 2004, John Walsh, PA, CDE
SmartPen – Lab Results
Fast lab results without calling. Messaging also allows physician to make recommendations.
© 2004, John Walsh, PA, CDE
Smart Pen – Reminders
Useful reminders
© 2004, John Walsh, PA, CDE
SmartPen – Reminders And Appointments
Reminders for when lab tests should be done and allows convenient appointment changes.
© 2004, John Walsh, PA, CDE
SmartPen – Carb Database
Carb database for accurate carb counts.
© 2004, John Walsh, PA, CDE
SmartPen – Estimate Of Miscalculated Carb Count
A high glucose can be analyzed to determine the magnitude of the error
© 2004, John Walsh, PA, CDE
SmartPen – Carb Suggestions
Suggestions to limit intake based on weight, calorie, or carb goals, or for specific amounts of carb needed for a given situation
© 2004, John Walsh, PA, CDE
SmartPen – Carbs Needed For Exercise
Recommended carb intake (or insulin reduction) to balance activity.
© 2004, John Walsh, PA, CDE
SmartPen – Low High Pattern Alert
Insulin dose suggestions and an alert about past overtreatment of lows.
© 2004, John Walsh, PA, CDE
Smart Pen – Low High Pattern Alert
An intelligent device can provide a person’s precise carb requirement when the blood glucose is tested.
© 2004, John Walsh, PA, CDE
SmartPen – Dose Changes Or Reminders
Dose recommendations and reminders
© 2004, John Walsh, PA, CDE
SmartPen – Dose Changes
New dose recommendations based on lab data, relative amount of correction boluses, and frequency of hypoglycemia
© 2004, John Walsh, PA, CDE
SmartPen – More Dose Changes
New insulin dose suggestions generated from current BG data and reduction of steroid dose.
© 2004, John Walsh, PA, CDE
SmartPen – Pattern Recognition
Insulin dose suggestions and an alert about past overtreatment of lows.
© 2004, John Walsh, PA, CDE
Smart Pen – Pattern Alert
Pattern alerts and advice
© 2004, John Walsh, PA, CDE
Summary Intelligent devices are being evaluated and
designed to improve BG control in diabetes with less effort.
Intelligent devices solve a critical problem: that the current treatment interval of 3 to 4 months between doctor’s visits is too long
Intelligent devices can deliver useful control advice at any time of day
Devices provide short treatment intervals and thereby shorten the time to goal