The embodiments relate generally to the use of optical non-invasive techniques to determine changes in blood glucose concentration.
Blood glucose monitoring is of increasing interest and importance. Blood glucose monitoring is used, for example, by individuals with diabetes. Diabetes mellitus is a group of diseases causing abnormal blood sugar levels over a prolonged period of time. Diabetes is a result of either the pancreas not producing enough insulin, or the failure of the cells to respond to the insulin produced. As of November 2014, studies estimate that around 347 million people worldwide have the disease, Lancet, 378(9785):31-40 (2011).
Glucose monitors have improved from biochemical reactions in which a color change would be visually compared to a color chart, to electrochemical reactions in which a reaction with the glucose in the blood would be measured and read digitally. In the last 50 years, tests have gotten faster (from over a minute to just a few seconds) and easier (early tests required washing and blotting test strips), and lancets have evolved from steel strips with a point to spring-loaded needles. These changes have made home testing better, but the fact remains that drawing blood for testing using known glucose monitors is not only a potential health hazard, but also carries with it social stigma, pain, it produces medical waste that needs proper disposal, and the patient has to bear the cost of one time use test strips.
In addition to managing diabetes, interest in determining changes in blood glucose concentration is also increasing in healthy individuals. Uses of blood glucose information for athletic training, in dieting for weight loss, in determining proper food intake to support healthy exercise, and continuing increasing interest in improved nutrition and in certain modes of diet and the impact on the health of the individual (such as kosher, vegetarian, local sourced, low-carb, low-fat and other nutrition modes including paleo, gluten-free, and the like) all lead to additional and increasing interest in a capability to easily determine changes in blood glucose concentration.
One prior known approach to glucose concentration measurement is described in U.S. Pat. No. 8,743,355, (the '355 Patent), entitled “Simple Sugar Concentration Sensor and Method,” issued Jun. 3, 2014, which is hereby incorporated by reference herein in its entirety. The '355 Patent discloses optical sensing of the angular rotation of optical energy passed through a sample including a sugar, for example, glucose in a fluid such as blood. In particular the '355 Patent discloses using photosensitive detectors to sense the rotation of polarized light that passes through a sample, for example, through human tissue including blood.
The '355 Patent describes optical measurements made on a portion of the human ear using multiple polarizers to create polarized light, and a difference measurement taken between two photosensitive detectors, one with a polarizer, and one without. However, using the prior known approaches that are described in the '355 Patent, the readings obtained require additional accuracy and an increase in reproducibility in order to enable a practical glucose meter for individual and consumer or patient use.
The inventor of the present application has researched the approach of the '355 Patent and related non-invasive glucose measurements and has found that the prior known approaches described to date lack the accuracy, reproducibility in results, efficiency and ease of use needed to provide a practical commercial non-invasive glucose monitor.
Improvements are therefore needed in non-invasive glucose monitoring in order to address the deficiencies and the disadvantages of the prior known approaches. Solutions are needed that reduce the cost and complexity of the monitor system and which can accurately measure changes in blood glucose concentration.
Methods and apparatus for determining changes in blood glucose using optical non-invasive monitoring are provided. In the novel methods and apparatus, an arrangement has been unexpectedly discovered that uses only a single light source and a single photo-detector. Surprisingly, a measurement that correlates strongly to changes in blood glucose concentration is obtained using this novel approach.
In an aspect of the present application a method for performing an optical non-invasive blood glucose concentration change indication, comprising: providing an optical energy source spaced from a photo-detector by a sensing area; transmitting energy from the optical energy source across human tissue disposed in the sensing area and onto the photo-detector; storing a first reading corresponding to a light intensity observed by the photo-detector; and displaying the first reading on a display of a user device, the first reading corresponding to a baseline blood glucose concentration.
In another aspect of the present application, the above described method is performed and further comprising: subsequently, again transmitting energy from the optical energy source across the tissue disposed in the sensing area and onto the photo-detector; storing a second reading corresponding to the light intensity observed by the photo-detector; determining a difference between the first reading and the second reading; and displaying the difference between the first reading and the second reading indicating a change in blood glucose concentration from the baseline blood glucose concentration.
In yet another aspect of the present application, the above methods are performed and wherein transmitting energy from the optical energy source across human tissue disposed in the sensing area further comprises transmitting energy across a portion of a human ear.
In still another aspect of the present application, an apparatus includes: an illumination source; a photo-detector spaced from the illumination source by a sensing area configured for insertion of human tissue between the illumination source and the photo-detector; and circuitry coupled to the photo-detector for outputting readings corresponding to light intensity observed by the photo-detector for light transmitted by the illumination source.
In an additional aspect of the present application, the above described apparatus further includes: a transimpedance amplifier coupled to the photo-detector for receiving a current and outputting a voltage corresponding to light received by the photo-detector.
In yet another aspect of the present application, the above described apparatus further includes an analog to digital converter coupled to the transimpedance amplifier and outputting a digital signal corresponding to the voltage.
In still another aspect of the present application, the above described apparatus is provided and further comprises a microcontroller coupled to the analog to digital converter and coupled to the illumination source, and configured to control the illumination source and to store readings corresponding to the digital signal.
In yet another aspect of the present application, the above described apparatus is provided and further comprises a radio transceiver for transmitting data corresponding to the stored readings in the microcontroller.
Additional alternative arrangements are also described to form additional aspects of the present application.
For a more complete understanding of the illustrative embodiments described herein and the advantages thereof, reference is now made to the following descriptions taken in conjunction with the accompanying drawings, in which:
Corresponding numerals and symbols in the different figures generally refer to corresponding parts unless otherwise indicated. The figures are drawn to clearly illustrate the relevant aspects of the arrangements of the present application and are not necessarily drawn to scale.
The making and using of example illustrative arrangements that form aspects of the present application are discussed in detail below. It should be appreciated, however, that the arrangements provide many applicable inventive concepts that can be embodied in a wide variety of specific contexts. The specific example arrangements discussed are merely illustrative of specific ways to make and use the various arrangements, and do not limit the scope of the specification, or the appended claims.
The inventor of the present application has surprisingly and unexpectedly discovered that a simple and effective method of determining changes in blood glucose concentration in an individual can be reliably and reproducibly obtained using a non-invasive optical measurement taken across human tissue such as at a portion of the human ear, for example. In sharp contrast to prior known approaches, the novel glucose change method requires only a single illumination source and a single photo-detector. The measurement is of light intensity changes. Unlike the known prior solutions, the novel measurements do not require advanced signal processing, spectroscopy, or the use of complex electronics. As a result a simple, affordable and effective battery powered appliance that can be worn continuously by a user can be utilized, and continuous monitoring of changes in the concentration of glucose in the blood can be readily attained. In some of the arrangements, a wearable sensor is linked by wire or linked by using a wireless interface to a user device. The user device can include portable devices such as tablet computers, smartphones, laptops, biometric sensor displays, fitness watches, or the like to provide a platform for a user interface. The user can select and change the display style, the sensitivity, and the frequency of the glucose readings for example. In addition, the blood glucose monitoring sensor can also be added to and the added features can provide additional biometric information such as temperature, pulse, pulse-oximeter, pedometer, GPS, accelerometers and the like. When the sensors are used together with a smartphone, smart watch or other portable user device, the sensors can provide an overall biometric sensing system. Because the sensor can be worn while the individual walks, runs, cycles or trains, and because the sensor can communicate to mobile user devices, a continuous monitor providing these biometric information can be formed including the novel blood glucose change indications.
While diabetic persons can use the blood glucose monitoring as information for managing their diabetes, many other applications are also contemplated for many individuals including both diabetic and healthy persons. Example applications of the arrangements of the present application include, but are not limited to, athletic training, nutrition, diet coaching and weight loss support, and the like.
In a sensing operation, the LED 101 is illuminated briefly, and after allowing time for the system to stabilize, a reading corresponding to the light intensity received at the photodetector 107 is obtained. The LED 101 is then turned off. In additional and alternative embodiments contemplated by the inventor as providing further aspects of the present application, multiple readings can be taken in a short time, and the readings can be averaged or otherwise sampled. The use of multiple samples can be used to reduce noise errors or can be used to eliminate outlying samples or clearly erroneous results.
A transceiver device within module 202 can communicate to any user device such as a tablet, smartphone, a web browsing device, or a laptop or desktop computer. Component 201 represents an illumination source. In an example embodiment, a light emitting diode (LED) can be used as component 201 to produce optical energy in the form of signal light. In a non-limiting example, a red LED can be used as component 201. In another example, an alternate light source, such as a laser, can be used. Near-infrared light can also be used. In an example implementation, an LED of about 600-700 nanometer wavelength, such as a red LED, was used.
It has been surprisingly discovered by the inventor of the present application that the apparatus depicted in
The novel method described above was determined by making many trial readings using a device similar to the apparatus in
The transimpedance amplifier 311 can be coupled to an analog to digital converter 313. In one example a micro-controller 315 supplied by Atmel Corporation, numbered the Atmega128 was used, this device includes a 10 bit analog to digital (ADC) converter such as 313 in
In
In
At step 703, the method continues following an interrupt received on the communications interface. The microcontroller in the circuit as described above can turn on the LED and wait for a short time for the system components to stabilize. After the time elapses, which can be less than 1 second, the method continues to step 705. At step 705 a reading is taken at the photodetector. This reading can be obtained from a voltage output by a transimpedance amplifier coupled to the photodetector, for example, as described above.
At step 707 the LED is turned off. Turning off the LED as soon as the reading is taken reduces power consumption, extending battery life for the sensor.
At step 709, the reading is transmitted to the receiver over a wireless or wired interface. The method then returns to step 701 and awaits another interrupt signal on the interface.
While the steps and the illustration in
The use of a program such as a smartphone application provides many additional user selections as added features. The user can, for example, change the scale or the sensitivity of the displayed data. The user can set a timed polling interval, if desired, so that the user device automatically interrupts the sensor and obtains a new reading when the time elapses. Alternatively readings can be taken when the user specifically requests a new reading. An alarm or alert can be added for readings that indicate a change in the blood glucose is greater than a threshold. In additional arrangements, various alternative features can be combined in the sensor and displayed with the change in blood glucose, such as pulse, pulse-oximeter, temperature, distance, time and the like to provide on the same screen a variety of biometric information. If these added features are present, the user interface can be configured by the user and various colors, fonts, and styles can be used to tailor the display to the taste of a particular user.
In an aspect of the present application a method for performing an optical non-invasive blood glucose concentration change indication, comprising: providing an optical energy source spaced from a photo-detector by a sensing area; transmitting energy from the optical energy source across human tissue disposed in the sensing area and onto the photo-detector; storing a first reading corresponding to a light intensity observed by the photo-detector; and displaying the first reading on a display of a user device, the first reading corresponding to a baseline blood glucose concentration.
In another aspect of the present application, the above described method is performed and further comprising: subsequently, again transmitting energy from the optical energy source across the tissue disposed in the sensing area and onto the photo-detector; storing a second reading corresponding to the light intensity observed by the photo-detector; determining a difference between the first reading and the second reading; and displaying the difference between the first reading and the second reading indicating a change in blood glucose concentration from the baseline blood glucose concentration.
In yet another aspect of the present application, the above methods are performed and wherein transmitting energy from the optical energy source across human tissue disposed in the sensing area further comprises transmitting energy across a portion of a human ear.
In still another aspect of the present application, the above methods are performed wherein transmitting energy across a portion of the human ear further comprises positioning the optical energy source behind the human ear and positioning the photo-detector adjacent a front portion of the human ear.
In yet another aspect of the present application, the above methods are performed wherein providing an optical energy source spaced from a photo-detector by a sensing area further comprises providing a light emitting diode.
In still another method of the present application, the above methods are performed wherein providing the light emitting diode further comprises providing a red light emitting diode.
In still another method of the present application, the above methods are performed, wherein displaying the first reading on a display of a user device, the first reading corresponding to a baseline blood glucose concentration further comprises transmitting a signal over an over the air interface to the user device.
In yet another alternative aspect of the present application, the above described methods are performed and include wherein transmitting a signal over an over the air interface to the user device further comprises transmitting a signal over a Bluetooth interface.
In yet another aspect of the present application, the above described methods further include receiving the signal at the user device, and displaying an indication on the user device corresponding to the first reading.
In still another aspect of the present application, the above described methods include wherein displaying the difference between the first reading and the second reading indicating a change in blood glucose concentration from the baseline blood glucose concentration further comprises transmitting a signal to a user device using an over the air interface.
In a further aspect of the present application, the above described methods are performed and include receiving the signal using the over the air interface at the user device and displaying a change in blood glucose concentration corresponding to the difference between the first reading and the second reading.
In still another aspect of the present application, the above described methods are performed and further include: prior to transmitting energy from the optical energy source across human tissue disposed in the sensing area and onto the photo-detector, receiving a control signal from a user device from an over the air interface.
In another aspect of the present application, the above described methods are performed wherein the control signal is an interrupt signal.
In still another aspect of the present application, the above described methods are performed and further include displaying the first reading for a user on a display device, the first reading corresponding to a baseline blood glucose concentration further comprises receiving the first reading at a user device over the over the air interface, and receiving an indication from a user that the first reading is a baseline reading.
In still another aspect of the present application, an apparatus includes: an illumination source; a photo-detector spaced from the illumination source by a sensing area configured for insertion of human tissue between the illumination source and the photo-detector; and circuitry coupled to the photo-detector for outputting readings corresponding to light intensity observed by the photo-detector for light transmitted by the illumination source.
In an additional aspect of the present application, the above described apparatus further includes: a transimpedance amplifier coupled to the photo-detector for receiving a current and outputting a voltage corresponding to light received by the photo-detector.
In yet another aspect of the present application, the above described apparatus further includes an analog to digital converter coupled to the transimpedance amplifier and outputting a digital signal corresponding to the voltage.
In still another aspect of the present application, the above described apparatus is provided and further comprises a microcontroller coupled to the analog to digital converter and coupled to the illumination source, and configured to control the illumination source and to store readings corresponding to the digital signal.
In yet another aspect of the present application, the above described apparatus is provided and further comprises a radio transceiver for transmitting data corresponding to the stored readings in the microcontroller.
In an additional aspect of the present application, the above described apparatus is provided and further comprises a user device configured to receive the data transmitted by the radio transceiver. While it is possible to form a user display with various added features, the novel arrangements described herein can be implemented to indicate only a change in blood glucose from a baseline reading. In this arrangement, the indication is solely for blood glucose changes and the claims and the arrangements described do not require these added features.
Although the example embodiments have been described in detail, it should be understood that various changes, substitutions and alterations can be made herein without departing from the spirit and scope of the application as defined by any appended claims.
Moreover, the scope of the present application is not intended to be limited to the particular embodiments of the process, machine, manufacture, and composition of matter, means, methods and steps described in the specification. As one of ordinary skill in the art will readily appreciate from the disclosure, processes, machines, manufacture, compositions of matter, means, methods or steps, presently existing or later to be developed, that perform substantially the same function or achieve substantially the same result as the corresponding embodiments described herein may be utilized according to the embodiments and alternative embodiments. Accordingly, the appended claims are intended to include within their scope such processes, machines, manufacture, compositions of matter, means, methods, or steps.
The present application claims priority to U.S. Provisional Application Ser. No. 62/103,961 (attorney docket SOC-1003P) filed on Jan. 15, 2015, entitled “Methods and Apparatus for Optical Non-Invasive Blood Glucose Change Indication,” which application is hereby incorporated in its entirety herein by reference.
Number | Date | Country | |
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62103961 | Jan 2015 | US |