Exercise safety prediction based on physiological conditions
Described are techniques, processes, devices, computer-readable media that enable provision of an indication of whether it is safe for a person with diabetes to participate in exercise while using a wearable drug delivery system. A processor may receive or obtain physiological data related to a condition of a wearer of the wearable drug delivery system and by evaluating an exercise model that uses inputs related to the physiological data to make the determination of whether it is safe to exercise and output an exercise safety signal. Modifications to the wearer's medication treatment plan and other actions may be based on an outputted exercise safety signal.
1. A wearable drug delivery device, comprising:
a processor,
a reservoir configured to contain insulin;
a pump mechanism communicatively coupled to the processor and fluidically coupled to the reservoir; and
a memory coupled to the processor and operable to store programming code that, when executed by the processor, causes the processor to:
use an insulin on board (IOB) curve in determining a basal dose of insulin to deliver to a wearer;
receive data indicative of a physiological condition of the wearer of the wearable drug delivery device;
evaluate the received data with relation to the wearer participating in exercise;
based on a result of the evaluation,
determine whether it is safe for the wearer to participate in exercise; and
output an exercise safety signal indicating a result of the determination of whether it is safe or unsafe for the wearer to participate in exercise; and
where the evaluation determines that the wearer is exercising,
lengthening the IOB curve, and
using the lengthened IOB curve to determine a next basal dose of insulin for the wearer.
2. The wearable drug delivery device of claim 1 , wherein the processor, when determining whether it is safe for the wearer to participate in exercise, is further operable to:
determine whether the result of the evaluation indicates a presence of one or more conditions; and
based on the determination of the presence of the one or more conditions, generate an indication that exercise is unsafe.
3. The wearable drug delivery device of claim 2 , wherein the one or more conditions include a blood glucose measurement value, a total daily insulin amount, a request for a bolus or a request to use a hypoglycemia protect mode, a current calculation of an amount of insulin onboard, or an amount of insulin delivered in a past evaluation period.
4. The wearable drug delivery device of claim 1 , wherein the processor, when determining whether it is safe for the wearer to participate in exercise, is further operable to:
determine whether the result of the evaluation indicates that a trajectory of blood glucose measurement values of the wearer is trending downward; and
based on the determination that the trajectory of the glucose measurement values of the wearer are trending downward, generate an indication that exercise is unsafe.
5. The wearable drug delivery device of claim 1 , wherein the processor, when executing the stored programming code, is further operable to:
retrieve physiological data from the memory, wherein the physiological data contains a number of days of data related to the wearer's participation in exercise; and
update an exercise model using the retrieved physiological data.
6. The wearable drug delivery device of claim 5 , wherein the processor, when evaluating the received data related to the wearer participating in exercise, is further operable to:
input values obtained from the received data in the exercise model; and
analyze an output of the exercise model with reference to threshold values related to exercise safety for the wearer.
7. The wearable drug delivery device of claim 1 , wherein the received data includes a current blood glucose measurement value, a total daily insulin value, a time and amount of a requested bolus, a current insulin onboard value, or an amount of insulin delivered within a past evaluation period.
8. The wearable drug delivery device of claim 7 , wherein the past evaluation period is a 15 minute period, a 30 minute period, a 60 minute period or a 120 minute period of time.
9. The wearable drug delivery device of claim 1 , further comprising:
a communication device, wherein the communication device is operable to provide a wireless communication connection with an external device; and
the processor is further operable to:
control the communication device;
establish the wireless communication connection with the external device,
wherein the external device is a data network device;
retrieve physiological data from a memory source, wherein the physiological data contains a number of days of data related to the wearer's participation in exercise; and
update an exercise model using the retrieved physiological data.
10. The wearable drug delivery device of claim 1 , wherein the processor is further configured to:
obtain data from a dataset including physiological data related to physiological conditions of the wearer;
split data in the dataset into training data and validation data;
train a logistic regression model using the training data;
use the validation data to validate an output of the logistic regression model;
based on a result of the validation of the output of the logistic regression model, perform hyperparameter tuning to improve accuracy of the logistic regression model;
retrieve the obtained data related to the physiological conditions of the wearer;
input the retrieved data into the logistic regression model for evaluation;
based on a value of output data from the logistic regression model, label the output data as either indicating an unsafe condition for exercise or a safe condition for exercise; and
generate the exercise safety signal based on any label indicating the unsafe condition for exercise.
11. The wearable drug delivery device of claim 1 , further comprising:
an output device coupled to the processor, wherein the processor is further operable to:
interpret the outputted exercise safety signal; and
provide an output signal to the output device based on the outputted exercise safety signal.
12. The wearable drug delivery device of claim 1 , wherein the processor is further operable to:
modify a medication treatment plan based on the outputted exercise safety signal.
13. A wearable drug delivery system, comprising:
a drug delivery device, including:
logic circuitry operable to control the drug delivery device;
a reservoir configured to contain insulin;
a communication device coupled to the logic circuitry; and
a pump mechanism responsive to the logic circuitry and fluidically coupled to the reservoir; and
a controller, including:
a processor;
a memory coupled to the processor and configured to store a medication delivery application, an exercise safety application, and programming code that, when the exercise safety application is executed by the processor, the processor is operable to:
receive an input related to a physiological condition of a wearer, wherein the input is from the wearer;
evaluate data parameters related to physiological conditions of a wearer and the received input related to the physiological condition of a wearer;
determine whether the wearer has participated in exercise;
in response to a determination that the wearer has participated in exercise and a result of the evaluation of the data parameters, generate an exercise safety signal;
present an indication of a result of an interpretation of the exercise safety signal, wherein the indication is a safe or unsafe indicator;
modify a medication treatment plan in response to the generation of the exercise safety signal, wherein the modifying includes lengthening an insulin on board (IOB) curve and using the lengthened IOB curve to determine basal insulin doses for a period of multiple hours.
14. The wearable drug delivery system of claim 13 , wherein the data parameters related to physiological conditions of a wearer include one or more of:
a blood glucose measurement value,
a total daily insulin amount,
a request for a bolus,
a request to use a hypoglycemia protect mode,
a current calculation of an amount of insulin onboard, or
an amount of insulin delivered in a past evaluation period.
15. The wearable drug delivery system of claim 13 , wherein the controller is a device separate from the drug delivery device.
16. The wearable drug delivery system of claim 13 , wherein the controller further comprises:
a user interface communicatively coupled to the processor and operable to receive the input related to a physiological condition of a wearer and provide the input to the processor, wherein the input is a request for a bolus dosage.
17. The wearable drug delivery system of claim 13 , further comprising:
an analyte sensor configured to be attached to a body of the wearer, and including an analyte processor and an analyte communication device, wherein the analyte sensor is operable to:
measure a blood glucose measurement value of the wearer, and
communicate with the controller and the drug delivery device via the analyte communication device under control of the analyte processor.
18. The wearable drug delivery system of claim 13 , wherein the processor, when evaluating the data parameters, is further operable to:
input data parameters including a blood glucose measurement value, a total daily insulin value, a time and an amount of a requested bolus, an amount of insulin onboard value, or an amount of insulin delivered within a past evaluation period into an exercise model; and
based on a result of an output from the exercise model, generate the exercise safety signal.
19. A non-transitory computer-readable storage medium, the computer-readable storage medium including instructions that when executed by a processor, cause the processor to:
determine that wearer of a wearable drug delivery device is participating in exercise;
lengthen an insulin on board curve in response to the determination that a wearer is participating in exercise;
use the lengthened insulin on board curve to calculate subsequent doses of insulin to be delivered to the wearer during a period of multiple hours.
20. The non-transitory computer-readable storage medium of claim 19 , further including instructions that when executed by the processor, cause the processor to:
in response to the determination that the wearer of a wearable drug delivery device is participating in exercise, determine a current insulin onboard of the wearer;
compare the determined current insulin onboard to a threshold value set for the wearer;
in response to the current insulin onboard being above the threshold value set for the wearer, generate an exercise safety signal indicating an unsafe exercise condition; and
based on the generated exercise safety signal, suspend delivery of insulin for a period of time.