DE2500167A1 - Early-warning system for diabetic crises in young patients - with electrolyte-sensitive skin probe to detect characteristic cold sweats - Google Patents

Early-warning system for diabetic crises in young patients - with electrolyte-sensitive skin probe to detect characteristic cold sweats

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Publication number
DE2500167A1
DE2500167A1 DE19752500167 DE2500167A DE2500167A1 DE 2500167 A1 DE2500167 A1 DE 2500167A1 DE 19752500167 DE19752500167 DE 19752500167 DE 2500167 A DE2500167 A DE 2500167A DE 2500167 A1 DE2500167 A1 DE 2500167A1
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Germany
Prior art keywords
patient
electrolyte
early
crises
diabetic
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Pending
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DE19752500167
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German (de)
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Joern Dr Med Roth
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Individual
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Individual
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Priority to DE19752500167 priority Critical patent/DE2500167A1/en
Publication of DE2500167A1 publication Critical patent/DE2500167A1/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14542—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring blood gases
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/1468—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means
    • A61B5/1477—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means non-invasive

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  • Life Sciences & Earth Sciences (AREA)
  • Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Optics & Photonics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

An apparatus for detecting the early symptoms of hypoglycaemic state in young diabetes mellitus patients comprises (i) an electrolyte sensitive probe directly attached to the patient's skin and (ii) a signal transmitter which comes into operation when the probe is in contact with a particular electrolyte cover. The apparatus promptly wakes a patient in whom a hypoglycaemic state is starting, allowing him to control it by oral ingestion of glucose. The onset of a crisis is accompanied by symptoms such as cold sweats, nausea etc. So is easily recognised when the patient is awake, but may remain unnoticed during sleep. By detecting the characteristic cold sweating, the present apparatus alerts the patient in time.

Description

Gerät zur Registrierung eines Sr.ho#kjorlauf#y'i'ptoms beim jugendlichen Diabetes mellitus.Device for registering a Sr.ho # kjorlauf # y'i'ptom in adolescents Diabetes mellitus.

Auffälligstes Merkmal vor allem des jugendlichen Diabetes mellitus ist die Labilität, d.h. die stark wechselnde Empfindlichkeit gegenüber Insulin, die sich in erheblichen Schwankungen des Blutzuckerspiegels trotz gleichbleibender Insulingaben und diätetischer Einstellung zeigt.Most noticeable feature of juvenile diabetes mellitus in particular is the lability, i.e. the strongly changing sensitivity to insulin, which translates into significant fluctuations in blood sugar levels despite being constant Shows insulin administration and dietary attitudes.

Sehr häufig kommt es dadurch zu einem so ausgeprägten oder raschen Abfall der Blutglukosekonzentration, dass ein hypoglykämischer Schock auftritt. Ein solches Ereignis kann akut zum Tode führen oder bei häufiger Wiederholung bzw. längerer Dauer bleibende Schädigungen des Gehirns (z.B. Schwachsinn, Epilepsie) verursachen (ROSENKRANZ, A.: Diabetes mellitus im Kindesalterß Stuttgart 1971 - HAUSS, W.: Lehrbuch der inneren Medizin» München 1966) Eine der wesentlichsten Aufgaben bei der Betreuung von Diabetikern muss es deshalb sein, solche Schockzustände zu vermeiden oder wenigstens rasch zu beenden. Soweit sie tagsüber auftreten, sind die bedingungen für rasches Eingreifen noch relativ günstig: Der Patient selbst kann eine beginnende Hypoglykämie an den Vorlaufsymptomen (Heisshunger, kalter Schweissausbruch, Herzklopfen, Übelkeit usw.) erkennen und Gegenmassnahmen ergreifen, oder die Umgebung kann den beginnenden oder bereits eingetretenen Bewusstseinsverlust wahrnehmen.Very often this leads to such a pronounced or rapid one Drop in blood glucose levels such that hypoglycemic shock occurs. Such an event can be acutely fatal or if it is repeated or repeated frequently. Long-term permanent damage to the brain (e.g. dementia, epilepsy) cause (ROSENKRANZ, A .: Diabetes mellitus in childhood, Stuttgart 1971 - HAUSS, W .: Textbook of Internal Medicine »Munich 1966) One of the most important tasks When caring for diabetics, it must therefore be to avoid such shock states avoid or at least end quickly. As far as they occur during the day, are The conditions for rapid intervention are still relatively favorable: the patient himself the onset of hypoglycemia can be caused by the preliminary symptoms (ravenous hunger, cold sweat, Detect palpitations, nausea, etc.) and take countermeasures, or the environment can perceive the beginning or already occurring loss of consciousness.

Grosse Schwierigkeiten dagegen bereiten die häufigen nächtlichen Schockereignisse, bei denen der Patient von der Umgebung unbemerkt aus dem Schlaf in einen hypoglykämischen Schock mit tiefer Bewusst a losigkeit gerät, der sich dann Xuch über längere Zeit hinziehen kann.The frequent nocturnal shock events, on the other hand, cause great difficulties. in which the patient goes from sleep to hypoglycemic unnoticed by the environment Shock comes with deep loss of consciousness, which then Xuch for a long time can drag on.

Bei rechtzeitiger Entdeckung des drohenden Schocks ist die Kupierung durch orale Zufuhr von Zucker sehr einfach und rasch wirksam.If the impending shock is discovered in good time, the docking Effective quickly and easily through the oral intake of sugar.

Die rechtzeitige Entdeckung des bevorstehenden Schocks durch dauernde personelle Überwachung des Patienten ist ein in der häuslichen Umgebung nicht durchführbares Verfahren. Praktikabel dagegen wäre ein Verfahren, bei dem durch eine technische Vorkehrung ein Vorlaufsymptom registriert und der Patient und seine Umgebung aufmerksam gemacht werden. Eine solche Vorkehrung, die das Vorlaufsymptom des kalten Schweissausbruchs ausnutzt, besteht aus einem elektrolytempfindlichen Messfühler, der der Haut des Patienten unmittelbar anliegt, und einem damit verbundenen Signalgeber, der bei einer definierten Elektrolytkonzentration am Messfühler in Tätigkeit tritt. Durch ein solches Gerät kann der Patient rechtzeitig aus dem Schlaf geweckt werden, so dass er die Kupierung cies beginnenden Schocks durch Zufuhr von Glukose selbst vornehmen kann.The timely discovery of the impending shock by lasting Personal monitoring of the patient is not feasible in the home environment Procedure. Practical, however, would be a process in which a technical As a precaution, a preliminary symptom is registered and the patient and his surroundings are attentive be made. Such a precaution, the preliminary symptom of the cold sweat uses, consists of an electrolyte-sensitive probe that is attached to the skin of the Patient, and an associated signal transmitter, the at a defined electrolyte concentration on the sensor comes into operation. By Such a device can wake the patient from sleep in time, so that he can perform the docking of the initial shock by supplying glucose himself can.

Claims (1)

Patentansprüche: Gerät zur Registrierung eines Schockvorlaufsymptoms beim jugendlichen Diabetes mellitus, gekennzeichnet durch a. einen der Haut des Patienten unmittelbar anliegenden elektrolytempfindlichen Messfühler, sowie b. einen Signalgeber, der bei einer definierten Elektrolytkonzentration am Messfühler in Tätigkeit tritt.Claims: Device for registering a pre-shock symptom in juvenile diabetes mellitus, characterized by a. one of the skin of the Electrolyte-sensitive sensors in contact with the patient, and b. a Signal transmitter, which at a defined electrolyte concentration on the sensor in Activity occurs.
DE19752500167 1975-01-03 1975-01-03 Early-warning system for diabetic crises in young patients - with electrolyte-sensitive skin probe to detect characteristic cold sweats Pending DE2500167A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
DE19752500167 DE2500167A1 (en) 1975-01-03 1975-01-03 Early-warning system for diabetic crises in young patients - with electrolyte-sensitive skin probe to detect characteristic cold sweats

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE19752500167 DE2500167A1 (en) 1975-01-03 1975-01-03 Early-warning system for diabetic crises in young patients - with electrolyte-sensitive skin probe to detect characteristic cold sweats

Publications (1)

Publication Number Publication Date
DE2500167A1 true DE2500167A1 (en) 1976-07-08

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DE19752500167 Pending DE2500167A1 (en) 1975-01-03 1975-01-03 Early-warning system for diabetic crises in young patients - with electrolyte-sensitive skin probe to detect characteristic cold sweats

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DE (1) DE2500167A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3471604A4 (en) * 2016-06-17 2020-04-01 Predictive Safety Srp, Inc. Impairment detection system and method

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3471604A4 (en) * 2016-06-17 2020-04-01 Predictive Safety Srp, Inc. Impairment detection system and method
EP3472796A4 (en) * 2016-06-17 2020-04-29 Predictive Safety SRP, Inc. Geo-fencing system and method
US10867272B2 (en) 2016-06-17 2020-12-15 Predictive Safety Srp, Inc. Geo-fencing system and method
US10867271B2 (en) 2016-06-17 2020-12-15 Predictive Safety Srp, Inc. Computer access control system and method
US10956851B2 (en) 2016-06-17 2021-03-23 Predictive Safety Srp, Inc. Adaptive alertness testing system and method
US10970664B2 (en) 2016-06-17 2021-04-06 Predictive Safety Srp, Inc. Impairment detection system and method
US11074538B2 (en) 2016-06-17 2021-07-27 Predictive Safety Srp, Inc. Adaptive alertness testing system and method
US11282024B2 (en) 2016-06-17 2022-03-22 Predictive Safety Srp, Inc. Timeclock control system and method

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