2004, John Walsh, PA, CDEIntelligent DevicesA Smart Pen demonstrates possibilities for intelligent diabetes devicesby John Walsh, P.A., C.D.E.Smart Pen Online Slides 2004, John Walsh, PA, CDESample Feedback From An Intelligent DeviceYou 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, CDEThe Intelligent Pen300 personal carb selections with accurate carb countsCarb 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, CDESmartPen Lab ResultsFast lab results without calling. Messaging also allows physician to make recommendations. 2004, John Walsh, PA, CDESmart Pen RemindersUseful reminders 2004, John Walsh, PA, CDESmartPen Reminders And AppointmentsReminders for when lab tests should be done and allows convenient appointment changes. 2004, John Walsh, PA, CDESmartPen Carb DatabaseCarb database for accurate carb counts. 2004, John Walsh, PA, CDESmartPen Estimate Of Miscalculated Carb CountA high glucose can be analyzed to determine the magnitude of the error 2004, John Walsh, PA, CDESmartPen Carb SuggestionsSuggestions 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, CDESmartPen Carbs Needed For Exercise Recommended carb intake (or insulin reduction) to balance activity. 2004, John Walsh, PA, CDESmartPen Low High Pattern AlertInsulin dose suggestions and an alert about past overtreatment of lows. 2004, John Walsh, PA, CDESmart Pen Low High Pattern AlertAn intelligent device can provide a persons precise carb requirement when the blood glucose is tested. 2004, John Walsh, PA, CDESmartPen Dose Changes Or RemindersDose recommendations and reminders 2004, John Walsh, PA, CDESmartPen Dose ChangesNew dose recommendations based on lab data, relative amount of correction boluses, and frequency of hypoglycemia 2004, John Walsh, PA, CDESmartPen More Dose ChangesNew insulin dose suggestions generated from current BG data and reduction of steroid dose. 2004, John Walsh, PA, CDESmartPen Pattern RecognitionInsulin dose suggestions and an alert about past overtreatment of lows. 2004, John Walsh, PA, CDESmart Pen Pattern AlertPattern alerts and advice 2004, John Walsh, PA, CDESummaryIntelligent 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 doctors visits is too longIntelligent devices can deliver useful control advice at any time of day Devices provide short treatment intervals and thereby shorten the time to goal