© 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

© 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


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)


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


SmartPen – Lab Results

Fast lab results without calling. Messaging also allows physician to make recommendations.


Smart Pen – Reminders

Useful reminders


SmartPen – Reminders And Appointments

Reminders for when lab tests should be done and allows convenient appointment changes.


SmartPen – Carb Database

Carb database for accurate carb counts.


SmartPen – Estimate Of Miscalculated Carb Count

A high glucose can be analyzed to determine the magnitude of the error


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


SmartPen – Carbs Needed For Exercise

Recommended carb intake (or insulin reduction) to balance activity.


SmartPen – Low High Pattern Alert

Insulin dose suggestions and an alert about past overtreatment of lows.


Smart Pen – Low High Pattern Alert

An intelligent device can provide a person’s precise carb requirement when the blood glucose is tested.


SmartPen – Dose Changes Or Reminders

Dose recommendations and reminders


SmartPen – Dose Changes

New dose recommendations based on lab data, relative amount of correction boluses, and frequency of hypoglycemia


SmartPen – More Dose Changes

New insulin dose suggestions generated from current BG data and reduction of steroid dose.


SmartPen – Pattern Recognition

Insulin dose suggestions and an alert about past overtreatment of lows.


Smart Pen – Pattern Alert

Pattern alerts and advice


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

Documents

© 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