JP3145671U - HOMA-R electronic graph output device - Google Patents

Abstract

A HOMA-R electronic graph output device capable of indicating the suitability of HOMA-R as an insulin resistance index using blood insulin and blood glucose during fasting.
A fasting blood glucose, a fasting blood insulin, a fasting blood insulin, a fasting blood insulin, and a fasting blood insulin and fasting in which HOMA-R is a first to Nth (an integer greater than or equal to 1) value. Image data storage unit 11 for storing graph image data of a HOMA-R electronic graph representing first to Nth hyperbola representing the relationship of fasting blood glucose, accepting to receive fasting blood glucose and fasting blood insulin values Unit 12, an image generation unit 13 for generating point graphic image data of a point graphic indicating a position on the HOMA-R electronic graph corresponding to the received fasting blood glucose and fasting blood insulin values, graph image data, and An image data output unit 14 for outputting point graphic image data is provided.
[Selection] Figure 1

Description

  The present invention relates to a HOMA-R electronic graph output device that outputs image data such as a graph in which fasting blood insulin and fasting blood glucose are taken on two orthogonal axes.

  Insulin secretion failure and insulin resistance are important as causes of diabetes. Insulin resistance means that even if the same concentration of blood insulin is present due to obesity, lack of exercise and other causes, the effect is diminished. Although it is necessary to investigate insulin resistance in order to understand the morbid state of diabetic patients and determine an appropriate treatment method, a method for confirming the insulin resistance index has been proposed as a simple method for that purpose. Yes. The usefulness of HOMA-R (homeostasis model assessment ratio or homeostasis model assessment as an index of insulin resistance), which is one of the insulin resistance indexes, is widely recognized. It can be obtained by the following equation (for example, see Non-Patent Document 1). When the HOMA-R value is 1.6 or less, it is normal, and when it is 2.5 or more, insulin resistance is considered. However, it is not used for patients undergoing insulin treatment.

HOMA-R =
Fasting blood glucose (mg / dl) × Fasting blood insulin (μU / ml) / 405
Edited by Japan Diabetes Society, “Diabetic Treatment Guide 2008-2009”, Bunkodo, February 2008, p. 10

  However, in order to calculate the insulin resistance index (HOMA-R) by doctors using the above formula, it is necessary to use a calculator or the like, which is an extra effort in busy clinical practice. There were times when it was not used. In addition, in order to calculate the value of HOMA-R, it is necessary to memorize the formula of HOMA-R, or to perform calculation using a calculator or the like while referring to the formula. It was difficult. Moreover, even if there was insulin resistance, there was also a problem that the degree was difficult to understand.

  On the other hand, the general purpose of calculating HOMA-R using the above formula is to calculate the value of HOMA-R, and whether HOMA-R is in a normal range or an abnormal range. Often it was to know information about insulin resistance.

  The present invention has been made in view of the above situation, and HOMA-R, which is one of the insulin resistance indexes, is in a normal range using fasting blood insulin and fasting blood glucose. It is an object of the present invention to provide a HOMA-R electronic graph output device that can easily know information related to insulin resistance such as whether or not it is.

  In order to achieve the above object, a HOMA-R electronic graph output device according to the present invention includes a first axis indicating fasting blood glucose, and a second axis orthogonal to the first axis and indicating fasting blood insulin. And HOMA-R as the insulin resistance index (where HOMA-R = fasting blood glucose (mg / dl) × fasting blood insulin (μU / ml) / 405)) Image data of a HOMA-R electronic graph representing first to Nth hyperbola representing the relationship between fasting blood insulin and fasting blood glucose when the value is N (N is an integer equal to or greater than 1). An image data storage unit for storing the graph image data, and an image data output unit for reading the graph image data from the image data storage unit and outputting the graph image data.

  With such a configuration, a HOMA-R electron graph can be output. If the fasting blood insulin and fasting blood glucose are known by referring to the output HOMA-R electronic graph, the HOMA-R as the insulin resistance index is expressed by the first to Nth hyperbolic curves. It is possible to easily know in which area of the divided N + 1 areas. Therefore, by appropriately setting the first to Nth values, for example, it can be easily known whether the HOMA-R exists in a normal range or an abnormal range. It becomes like this. Further, when it exists in an abnormal range, the degree of the abnormality can be easily grasped visually.

  Further, in the HOMA-R electronic graph output device according to the present invention, a receiving unit for receiving a fasting blood glucose value and a fasting blood insulin value, a fasting blood glucose value received by the receiving unit, and a fasting rate An image generation unit that generates point graphic image data that is image data of a point graphic that is a graphic indicating a position on the coordinate plane of the HOMA-R electronic graph corresponding to the value of blood insulin; The image data output unit may also output the point graphic image data.

  With this configuration, the point graphic is displayed on the HOMA-R electronic graph, and the position on the coordinate plane corresponding to the accepted fasting blood glucose value and fasting blood insulin value can be easily set. Can be shown. As a result, the user viewing the HOMA-R electronic graph can easily know information regarding insulin resistance such as whether the HOMA-R is in a normal range by confirming the position of the point graphic.

  In the HOMA-R electronic graph output device according to the present invention, the receiving unit receives an instruction regarding the position of the point graphic on the coordinate plane of the HOMA-R electronic graph, thereby corresponding to the position of the point graphic. Fasting blood glucose values and fasting blood insulin values may be accepted.

  With this configuration, it becomes possible to intuitively input fasting blood glucose values and fasting blood insulin values using a GUI (Graphical User Interface), and input those values. User convenience is improved.

  Further, in the HOMA-R electronic graph output device according to the present invention, the image generation unit is configured to display a first vertical line graphic that is a first vertical line graphic drawn perpendicularly to the first axis from the point graphic. First vertical line graphic image data that is image data, and second vertical line graphic image data that is a second vertical line graphic drawn perpendicularly to the second axis from the point graphic. The vertical line graphic image data may also be generated, and the image data output unit may output the first vertical line graphic image data and the second vertical line graphic image data.

  With such a configuration, the first and second vertical line figures are displayed on the HOMA-R electronic graph, and the fasting blood glucose value and the fasting blood insulin value corresponding to the point figure can be easily obtained. To be able to know. As a result, for example, when a fasting blood glucose value and a fasting blood insulin value corresponding to the position of the point graphic are received, the target point graphic position can be quickly found.

  In the HOMA-R electronic graph output device according to the present invention, the image generation unit is image data of a fasting blood glucose value received by the reception unit, and the first axis and the first vertical line figure Fasting blood glucose image data that is image data displayed at the position of the intersection with the fasting blood glucose image data and fasting blood insulin value data received by the receiving unit, the second axis and the second vertical Fasting blood insulin image data that is image data displayed at the position of the intersection with the line figure is also generated, and the image data output unit is configured to output the fasting blood glucose image data and the fasting blood insulin image. Data may also be output.

  With this configuration, the fasting blood glucose value and the fasting blood insulin value are displayed on the HOMA-R electronic graph, and the fasting blood glucose value and the fasting blood insulin corresponding to the point graphic are displayed. It becomes possible to easily know the exact value of the value of.

  Further, in the HOMA-R electronic graph output device according to the present invention, the image generation unit includes a first enlarged graphic that is a graphic obtained by enlarging the position of the intersection of the first axis and the first vertical line graphic. Image data of a second enlarged graphic that is a graphic obtained by enlarging the position of the intersection between the first enlarged graphic image data that is image data and the second axis and the second vertical line graphic. The enlarged graphic image data may also be generated, and the image data output unit may also output the first enlarged graphic image data and the second enlarged graphic image data.

  With such a configuration, the first and second enlarged graphics are displayed on the HOMA-R electronic graph, and the detailed values of the fasting blood glucose value and the fasting blood insulin value corresponding to the point graphic are shown. It becomes possible to know the value easily.

  Further, in the HOMA-R electronic graph output device according to the present invention, the image generation unit has a HOMA-R value corresponding to a fasting blood glucose value received by the receiving unit and a fasting blood insulin value. HOMA-R image data that is image data may also be generated, and the image data output unit may also output the HOMA-R image data.

  With such a configuration, the HOMA-R value corresponding to the accepted fasting blood glucose value and fasting blood insulin value is displayed on the HOMA-R electronic graph, which corresponds to the point graphic. It becomes possible to know HOMA-R easily.

  In the HOMA-R electronic graph output apparatus according to the present invention, the image generation unit also generates point enlarged graphic image data that is image data of a point enlarged graphic that is a graphic obtained by enlarging the position of the point graphic, The image data output unit may also output the point enlarged graphic image data.

  With this configuration, the position of the point graphic is enlarged and displayed, and the fasting blood glucose and the fasting blood insulin value corresponding to the point graphic can be easily known.

In the HOMA-R electronic graph output device according to the present invention, the output from the image data output unit may be a display or a transmission.
With such a configuration, graph image data or the like is displayed or transmitted.

In the HOMA-R electronic graph output device according to the present invention, the N + 1 regions divided by the first to Nth hyperbola may be colored with different colors for each region.
With such a configuration, it is possible to easily identify N + 1 areas.

In the HOMA-R electronic graph output device according to the present invention, the HOMA-R electronic graph includes a plurality of auxiliary hyperbola indicating the relationship between fasting blood insulin and fasting blood glucose for each predetermined value of HOMA-R. It may be further represented.
With such a configuration, for example, an approximate value of HOMA-R can be known using the auxiliary hyperbola.

  According to the HOMA-R electronic graph output device according to the present invention, whether or not HOMA-R, which is one of the insulin resistance indexes, is in a normal range using fasting blood insulin and fasting blood glucose. Information on insulin resistance can be easily obtained.

  Hereinafter, a HOMA-R electronic graph output apparatus according to the present invention will be described using embodiments. In the following embodiments, components and steps denoted by the same reference numerals are the same or equivalent, and repetitive description may be omitted.

(Embodiment 1)
A HOMA-R electronic graph output apparatus according to Embodiment 1 of the present invention will be described with reference to the drawings.

  FIG. 1 is a block diagram showing a configuration of a HOMA-R electronic graph output apparatus 1 according to this embodiment. The HOMA-R electronic graph output apparatus 1 according to the present embodiment includes an image data storage unit 11, a reception unit 12, an image generation unit 13, and an image data output unit 14.

  The image data storage unit 11 stores graph image data. The graph image data is image data of a HOMA-R electronic graph, and may be an image itself such as raster data as long as the image data can finally display a HOMA-R electronic graph. Alternatively, it may be data that becomes an image by being rasterized like vector data. As shown in FIG. 4, the HOMA-R electron graph 20 displays a first axis 21, a second axis 22, a first hyperbola 23, and a second hyperbola 24.

  The first axis 21 is an axis indicating fasting blood glucose (mg / dl) which is a variable. The second axis 22 is an axis indicating fasting blood insulin (μU / ml), which is a variable. Note that the second axis 22 is orthogonal to the first axis. In FIG. 4, fasting blood glucose is plotted on the horizontal axis and fasting blood insulin is plotted on the vertical axis, but it goes without saying that the opposite is also possible. Further, as shown in FIG. 4, information indicating that the variable indicated by the axis is fasting blood glucose, for example, a character string “fasting blood glucose” is displayed near the first axis 21. It may be. Moreover, the scale and the numerical value may be displayed on the first axis 21 as shown in FIG. The same applies to the second axis 22. In the vicinity of the second axis 22, information indicating that the variable indicated by the axis is fasting blood insulin, for example, “fasting blood insulin”. A character string may be displayed. Further, a scale and a numerical value may be displayed on the second axis 22.

  The first hyperbola 23 is a hyperbola showing the relationship between fasting blood insulin and fasting blood glucose when HOMA-R as the insulin resistance index has a first value. The second hyperbola 24 is a hyperbola showing the relationship between fasting blood insulin and fasting blood glucose when HOMA-R takes the second value. Here, HOMA-R is as described above, and is represented by the following formula.

HOMA-R =
Fasting blood glucose (mg / dl) × Fasting blood insulin (μU / ml) / 405

  As is apparent from this equation, a curve having a constant value of HOMA-R is a hyperbola. In the present embodiment, it is assumed that the first value of HOMA-R is “1.6” and the second value is “2.5”. Needless to say, these values may be other appropriate values.

  In the graph displayed as the HOMA-R electron graph 20, the coordinate plane is divided into three regions by the first hyperbola 23 and the second hyperbola 24. That is, a region divided by the first axis 21, the second axis 22, and the first hyperbola 23 (this region is referred to as a “first region”), the second axis 22, , A region delimited by the first hyperbola 23 and the second hyperbola 24 (this region will be referred to as a “second region”) and a region delimited by the second hyperbola 24 (this region is designated as “ It is called “third region”). The first hyperbola 23 is a hyperbola with a HOMA-R of 1.6, and the second hyperbola 24 is a hyperbola with a HOMA-R of 2.5, so that the first region is HOMA-R. Is a region where HOMA-R is larger than 1.6 and smaller than 2.5, and the third region is a region where HOMA-R is larger than 2.5. . In FIG. 1, different types of shading are performed for each of these areas, but these shadings may correspond to different colors. That is, the three regions divided by the first hyperbola 23 and the second hyperbola 24, that is, the first to third regions, may be colored with different colors for each region.

  Since the first region is a region where HOMA-R is smaller than 1.6, it becomes a region of “no insulin resistance”. On the other hand, the third region is an “insulin resistant” region because HOMA-R is larger than 2.5. In addition, since the HOMA-R is between 1.6 and 2.5, the second region is an “insulin resistant slightly present” region. In order to clarify the insulin resistance of each region, as shown in FIG. 4, the words “no insulin resistance”, “some insulin resistance”, and “insulin resistance” are displayed for each region. May be.

  The process in which the graph image data is stored in the image data storage unit 11 does not matter. For example, the graph image data may be stored in the image data storage unit 11 via a recording medium, and the graph image data transmitted via a communication line or the like may be stored in the image data storage unit 11. Alternatively, the graph image data input via the input device may be stored in the image data storage unit 11. Storage in the image data storage unit 11 may be temporary storage in a RAM or the like, or may be long-term storage. The image data storage unit 11 can be realized by a predetermined recording medium (for example, a semiconductor memory, a magnetic disk, an optical disk, etc.).

  The reception unit 12 receives the value of fasting blood glucose and the value of fasting blood insulin. These values are used, for example, for specifying the position in the HOMA-R electron graph 20 and calculating the value of HOMA-R.

  For example, the reception unit 12 may receive a fasting blood glucose value and a fasting blood insulin value input from an input device (for example, a keyboard or a numeric keypad), and manages patient test values. The fasting blood glucose value and the fasting blood insulin value read from a recording medium such as a database or an electronic medical record (for example, an optical disk, a magnetic disk, a semiconductor memory, etc.) may be received. The fasting blood glucose value and the fasting blood insulin value transmitted via the communication line may be received. In addition, the accepting unit 12 accepts an instruction related to the position of a point graphic, which will be described later, on the coordinate plane of the HOMA-R electronic graph 20, whereby the fasting blood glucose value corresponding to the position of the point graphic and the fasting blood insulin May be accepted. In this case, for example, the value of fasting blood glucose and the value of fasting blood insulin are received by clicking a corresponding part of the HOMA-R electronic graph 20 with a mouse or a touch panel. The instruction regarding the position of the point graphic may be, for example, an instruction for determining a position where the point graphic is set for the first time (in this case, the point graphic is displayed on the HOMA-R electronic graph 20 by this instruction). For example, a point graphic may be set by clicking on a corresponding part of the HOMA-R electronic graph 20, or an instruction for moving a point graphic already displayed may be used (for example, already displayed). The point graphic being moved may be moved by dragging with the mouse, or may be moved by clicking a new position of the point graphic). In this case, for example, the reception unit 12 has coordinate values of the point graphic in the HOMA-R electronic graph 20 (for example, the number of pixels in the first axis 21 direction and the number of pixels in the second axis 22 direction). And may be other coordinate values), and the information corresponding to the fasting blood glucose value corresponding to the coordinate value and the fasting blood insulin value is used to correspond to the position of the point graphic. Fasting blood glucose values and fasting blood insulin values may be received. The information for associating the coordinate value with the fasting blood glucose value and the fasting blood insulin value may be, for example, information in a table format for associating both, or a function using the coordinate value as an argument. There may be. The reception unit 12 may or may not include a device (for example, a modem or a network card) for reception. In addition, the reception unit 12 may be realized by hardware, or may be realized by software such as a driver that drives a predetermined device.

  The image generation unit 13 generates point graphic image data, first and second vertical line graphic image data, fasting blood glucose image data, fasting blood insulin image data, and HOMA-R image data. These data will be described with reference to FIG.

  The point graphic image data is image data of the point graphic 31. The point graphic 31 is a graphic showing the position on the coordinate plane of the HOMA-R electronic graph 20 corresponding to the fasting blood glucose value received by the receiving unit 12 and the fasting blood insulin value. Therefore, the insulin resistance can be determined by displaying the point graphic 31 on the HOMA-R electronic graph 20 and checking in which region the point graphic 31 exists.

  The first vertical line graphic image data is image data of the first vertical line graphic 32. The first vertical line graphic 32 is a graphic of a first vertical line drawn perpendicularly from the point graphic 31 to the first axis 21. The fasting blood glucose value corresponding to the position of the point graphic 31 can be easily known by the intersection of the first vertical line graphic 32 and the first axis 21.

  The second vertical line graphic image data is image data of the second vertical line graphic 33. The second vertical line graphic 33 is a graphic of a second vertical line drawn perpendicularly from the point graphic 31 to the second axis 22. The value of the fasting blood insulin corresponding to the position of the point graphic 31 can be easily known by the intersection of the second vertical line graphic 33 and the second axis 22.

  The fasting blood glucose image data is image data of the fasting blood glucose value 34 received by the receiving unit 12. The fasting blood glucose image data is image data displayed at the intersection of the first axis 21 and the first vertical line graphic 32. The position of the intersection between the first axis 21 and the first vertical line graphic 32 may be directly above the intersection or may be a position in the vicinity of the intersection. The fasting blood glucose value 34 is displayed at the position of the intersection of the first axis 21 and the first vertical line graphic 32, so that the exact fasting blood sugar value corresponding to the position of the point graphic 31 can be easily obtained. To be able to know.

  The fasting blood insulin image data is image data of the fasting blood insulin value 35 received by the receiving unit 12. This fasting blood insulin image data is image data displayed at the position of the intersection of the second axis 22 and the second vertical line figure 33. The position of the intersection of the second axis 22 and the second vertical line figure 33 may be directly above the intersection or may be a position in the vicinity of the intersection. This fasting blood insulin value 35 is displayed at the position of the intersection of the second axis 22 and the second vertical line graphic 33, so that the fasting blood insulin corresponding to the position of the point graphic 31 It becomes easy to know the correct value.

  The HOMA-R image data is image data of a HOMA-R value 36 corresponding to the fasting blood glucose value received by the receiving unit 12 and the fasting blood insulin value. The HOMA-R value 36 is a HOMA-R value corresponding to the point graphic. The position at which the HOMA-R value 36 is displayed is not limited, but may be in the vicinity of the point graphic 31, for example, as shown in FIG.

  The point graphic image data, the first and second vertical line graphic image data, the fasting blood glucose image data, the fasting blood insulin image data, and the HOMA-R image data are image data such as a point graphic, respectively. As long as the image data can finally display a point graphic or the like, for example, it may be an image itself such as raster data, or data that becomes an image by being rasterized like vector data. Also good. The point graphic image data or the like may be generated on the HOMA-R electronic graph 20 indicated by the graph image data, or may be generated separately from the HOMA-R electronic graph 20. In the latter case, it is preferable that each image data has information indicating a display position on the HOMA-R electronic graph 20. The point graphic image data or the like may be temporarily stored in a recording medium (not shown), or may be temporarily stored in the image data storage unit 11.

  The image data output unit 14 reads the graph image data from the image data storage unit 11 and uses the graph image data as the point graphic image data generated by the image generation unit 13, the first and second vertical line graphic image data, Output together with fasting blood glucose image data, fasting blood insulin image data, and HOMA-R image data.

  Here, the output may be, for example, display on a display device (for example, a CRT or a liquid crystal display), transmission via a wired or wireless communication line to a predetermined device, printing by a printer, It may be stored in a recording medium or delivered to another component. Even if the output is transmission to a predetermined device, storage to a recording medium, or delivery to another component, the graph image data or the like may eventually be displayed on the display device. It is assumed that the HOMA-R electronic graph 20 and the point graphic 31 are visually shown to the user by being printed by a printer. In the present embodiment, it is assumed that the output is a display on a display device. The image data output unit 14 may or may not include an output device (for example, a display device or a printer). The image data output unit 14 may be realized by hardware, or may be realized by software such as a driver that drives these devices.

  Next, operation | movement of the HOMA-R electronic graph output apparatus 1 by this Embodiment is demonstrated using the flowchart of FIG.

  (Step S101) The image data output unit 14 determines whether to output graph image data. If it is output, the process proceeds to step S102. If not, the process of step S101 is repeated until it is determined to output. The image data output unit 14 may determine to output the graph image data when the HOMA-R electronic graph output device 1 receives an instruction to output the graph image data, for example, at other timings. It may be determined that the graph image data is output.

  (Step S <b> 102) The image data output unit 14 reads graph image data from the image data storage unit 11.

  (Step S103) The image data output unit 14 outputs the graph image data read in step S102.

  (Step S104) The accepting unit 12 determines whether or not a fasting blood glucose value and a fasting blood insulin value have been accepted. If it is accepted, the process proceeds to step S105, and if not, the process proceeds to step S107. The fasting blood glucose value and the fasting blood insulin value may be received by numerical input using, for example, a numeric keypad as described above, and the point graphic 31 is operated by operating a mouse or the like. It is also possible to use an input using a GUI such as moving

  (Step S105) The image generation unit 13 generates image data such as the point graphic 31 according to the fasting blood glucose value received by the receiving unit 12 and the fasting blood insulin value. Details of this processing will be described later with reference to the flowchart of FIG.

  (Step S106) The image data output unit 14 also outputs image data such as the point graphic 31 generated by the image generation unit 13. Then, the process returns to step S104. Note that the image data output unit 14 may output graph image data together with the image data such as the point graphic 31 generated by the image generation unit 13.

  (Step S107) The image data output unit 14 determines whether to end the output of graph image data or the like. If the process is to end, the process returns to step S101; otherwise, the process returns to step S104. Note that the image data output unit 14 may determine that the output of the graph image data or the like is to be ended when, for example, receiving an instruction to end the output of the graph image data, or the output of the image data It may be determined that the output of graph image data or the like is terminated when a predetermined time has elapsed since the last time.

In the flowchart of FIG. 2, the process is terminated by powering off or a process termination interrupt.
In the flowchart of FIG. 2, a case has been described in which values such as fasting blood glucose are received and image data such as the point graphic 31 is output after the graph image data is output, but this need not be the case. For example, when values such as fasting blood glucose are numerically input using a numeric keypad, first, values such as fasting blood glucose are accepted, and then image data such as graph image data and point graphic 31 are output in a batch. You may make it do.

  FIG. 3 is a flowchart showing details of processing for generating image data such as the point graphic 31 in the flowchart of FIG.

  (Step S201) The image generation unit 13 generates point graphic image data using values such as fasting blood glucose received by the reception unit 12. The image generation unit 13 uses, for example, a correspondence table between a position on the coordinate plane of the HOMA-R electronic graph 20, a fasting blood glucose value, and a fasting blood insulin value, and the hungry received by the receiving unit 12. It is specified which position in the coordinate plane of the HOMA-R electronic graph 20 the value of blood glucose etc. corresponds to, and a point graphic 31 stored in advance on a recording medium (not shown) is displayed at the specified position. In addition, point graphic image data may be generated. Thus, the generation of the point graphic image data may be, for example, a process of determining the display position of the point graphic 31.

  (Step S202) The image generation unit 13 performs first and second image data of first and second vertical line figures 32 and 33 extending perpendicularly from the point figure 31 to the first and second axes 21 and 22, respectively. 2 vertical line graphic image data is generated. For example, when the fasting blood glucose value corresponding to the point graphic 31 is X and the fasting blood insulin value is Y, the image generation unit 13 sets (X, Y) to (X, 0). The first vertical line graphic image data may be generated so that the first vertical line graphic 32 that is a line segment of the first line graphic is displayed on the HOMA-R electronic graph 20. Similarly, the image generation unit 13 displays the second vertical line figure 33 that is a line segment from (X, Y) to (0, Y) so that the second vertical line figure 33 is displayed on the HOMA-R electronic graph 20. Vertical line figure image data may be generated.

  (Step S203) The image generation unit 13 calculates HOMA-R by substituting values such as fasting blood glucose received by the receiving unit 12 into the above-described formula for calculating the value of HOMA-R, and the HOMA- HOMA-R image data for displaying the R value 36 is generated. For example, the image generation unit 13 reads out image data of a figure such as a frame stored in advance on a recording medium (not shown), and inserts the calculated HOMA-R numerical text into the image data, so that HOMA- R image data may be generated. The position where the HOMA-R value 36 is displayed may be in the vicinity of the point graphic 31 as described above, or may be another position. The HOMA-R formula may be stored in a recording medium (not shown).

  (Step S204) The image generating unit 13 uses the values such as fasting blood glucose received by the receiving unit 12 to display image data for displaying a fasting blood glucose value 34 and a fasting blood insulin value 35, that is, The fasting blood glucose image data and the fasting blood insulin image data are generated. For example, the image generation unit 13 reads out image data of a graphic such as a frame stored in advance on a recording medium (not shown), and inserts numerical text such as fasting blood glucose into the image data, thereby fasting blood glucose. Image data and fasting blood insulin image data may be generated. And it returns to the flowchart of FIG.

  In the flowchart of FIG. 3, the order in which the image data is generated does not matter. Accordingly, the point graphic image data, the first and second vertical line graphic image data, and the like may be generated in an arbitrary order.

  Next, the operation of the HOMA-R electronic graph output apparatus 1 according to the present embodiment will be described using a specific example. In this specific example, it is assumed that the HOMA-R electronic graph 20, the point graphic 31 and the like are displayed on the display by the image data output unit 14 outputting various image data to the display.

  First, it is assumed that the user inputs an instruction to output the HOMA-R electronic graph 20 to the HOMA-R electronic graph output device 1 by operating a mouse or a keyboard. Then, the image data output unit 14 determines that it is time to output the graph image data (step S101), reads the graph image data from the image data storage unit 11, and outputs it to the display (steps S102 and S103). As a result, the HOMA-R electronic graph 20 shown in FIG. 4 is displayed on the display.

  Next, it is assumed that the user clicks a point on the coordinate plane of the HOMA-R electronic graph 20 displayed on the display by operating the mouse. Then, the reception unit 12 determines that a value such as fasting blood glucose has been received, and acquires a fasting blood glucose value and a fasting blood insulin value corresponding to the clicked point (step S104). As for those values, it is assumed that the fasting blood glucose value is “150 (mg / dl)” and the fasting blood insulin value is “10.0 (μU / ml)”. The accepting unit 12 passes these values to the image data output unit 14.

  When receiving a value such as fasting blood glucose, the image data output unit 14 performs processing for generating image data such as the point graphic 31 (step S105). Specifically, the image generation unit 13 generates point graphic image data corresponding to the received value such as fasting blood glucose (step S201). The image generation unit 13 also includes first and second image data of first and second vertical line figures 32 and 33 extending vertically from the point graphic 31 to the first and second axes 21 and 22, respectively. Vertical line figure image data is generated (step S202). Further, the image generation unit 13 calculates HOMA-R using the received value such as fasting blood glucose, and generates the HOMA-R image data (step S203). The image generation unit 13 generates fasting blood glucose image data and fasting blood insulin image data using the received values such as fasting blood glucose (step S204). Thereafter, the image data output unit 14 outputs graph image data including the point graphic image data generated by the image generation unit 13 to the display (step S106). As a result, the display shown in FIG. 5 is made. In FIG. 5, the shading corresponding to the coloring displayed in FIG. 4 is deleted for convenience of explanation, but the shading for each region, that is, coloring may be made.

  The user can know that the point graphic 31 exists in the region “with insulin resistance” by looking at the display of FIG. 5. In addition, the user sees the fasting blood glucose value 34 and the fasting blood insulin value 35 in FIG. 5 so that the fasting blood glucose value corresponding to the point graphic 31 is “150”, and the fasting blood glucose level It can be easily known that the value of insulin is “10.0”. Further, by looking at the value 36 of HOMA-R, the numerical value “3.70” of HOMA-R can also be known. In addition, by looking at the first and second vertical lines 32 and 33, it is possible to easily know where the fasting blood glucose level and the fasting blood insulin level are.

  In the case where the position of the point graphic 31 is not the position intended by the user, for example, an insulin having a fasting blood glucose value of “160” and a fasting blood insulin value of “8.5”. The operation when the resistance is desired will be briefly described. In that case, the user moves the point graphic 31 by dragging the point graphic 31 with a mouse or the like or by clicking a point on a new target coordinate plane. Then, the fasting blood glucose value and the fasting blood insulin value corresponding to the points on the new coordinate plane are received by the receiving unit 12 (step S104), and the point graphic image data corresponding to these values is received. Are generated, the HOMA-R electronic graph 20 is updated (steps S105 and S106). By repeating such processing, the user can set the fasting blood glucose value and the fasting blood insulin value indicated by the point graphic 31 to the actually measured values. It is possible to know the presence or absence of insulin resistance and the degree of the insulin resistance related to the patient for which HOM is measured, and to know the numerical value of HOMA-R.

  Further, by setting the position of the point graphic 31 as described above, the fasting blood glucose value and the fasting blood insulin value may be set together, or the fasting blood glucose value and The fasting blood insulin value may be set separately. The latter case will be briefly described. For example, by dragging the first and second vertical lines 32 and 33 with a mouse or the like, the position of the point graphic 31 is changed only in the direction in which fasting blood glucose changes or only in the direction in which fasting blood insulin changes. When the user can move the first vertical line graphic 32, the user operates the mouse or the like and drags the first vertical line graphic 32 to determine the position of the first vertical line graphic 32. By this operation, the value of fasting blood glucose can be set. Similarly, the user operates the mouse or the like to drag the second vertical line graphic 33 to determine the position of the second vertical line graphic 33. By this operation, the value of fasting blood insulin can be set. In this way, by setting the fasting blood glucose value and the fasting blood insulin value separately, it is possible to concentrate on only one value and perform the setting operation. Thus, the setting operation can be made easier than in the case of setting. Note that the method of setting the fasting blood glucose value and the fasting blood insulin value separately is not limited to the above description. For example, the point graphic 31 is moved only in the direction in which the fasting blood glucose changes. In the mode that can change the position of the point graphic 31 in the mode that can be set to set the value of fasting blood glucose, and then move the point graphic 31 only in the direction in which the fasting blood insulin changes A method of setting the value of fasting blood insulin by changing the position of the graphic 31 may be used, or another method may be used. Further, when the fasting blood glucose value and the fasting blood insulin value are set separately, the order of setting does not matter. That is, the fasting blood glucose value may be set first, and the fasting blood insulin value may be set first.

  As described above, according to the HOMA-R electronic graph output apparatus 1 according to the present embodiment, the normal range of HOMA-R as the insulin resistance index using fasting blood insulin and fasting blood glucose. It is possible to easily know information on insulin resistance such as whether or not it is present, that is, whether there is no insulin resistance, whether there is insulin resistance or not, and whether there is insulin resistance. Therefore, there is a merit that convenience for doctors who want to confirm insulin resistance can be improved. Further, in the case of “insulin resistance is present” or “insulin resistance is somewhat present”, it is possible to visually read how much the degree is. For example, when the point graphic 31 is present at a position close to the second hyperbola 24 in the region of “insulin resistance somewhat”, “insulin resistance is slightly” which becomes “insulin resistance slightly”. It becomes easy to know that.

  In the present embodiment, the case where HOMA-R image data is always output has been described, but this need not be the case. For example, a desired value such as fasting blood glucose may be set by moving the point graphic 31 with a mouse or the like, and HOMA-R image data may be output when a decision button or the like is subsequently pressed. By doing so, it is possible to avoid displaying unnecessary HOMA-R values until values such as fasting blood glucose are finally set.

  In general, when HOMA-R is smaller than “1.6”, there is no insulin resistance, and when HOMA-R is larger than “2.5”, it is determined that there is insulin resistance. In this embodiment, the first value is set to “1.6” and the second value is set to “2.5”. However, the first and second values are limited to them. is not. For example, the first value may be set to “1.5” and the second value may be set to “2.6” according to the theory or research result.

  Further, as shown in FIG. 1, the first hyperbola 23 and the second hyperbola 24 may be those in which the hyperbola is clearly drawn, or as a result, the position of the hyperbola is You may come to understand. In the latter case, for example, the first region and the second region may have different colors so that the position of the first hyperbola 23 that is the boundary of the region is known.

  Further, it is preferable that the colors of the first to third regions are adapted to the properties of the regions. For example, since the third region is an “insulin resistant” region, it is preferable that the third region is colored with red or the like which is not preferable. In addition, since the first region is a region of “no insulin resistance”, it is preferable that the first region is colored with blue or green that reminds of being normal. In addition, since the second region is in the middle thereof, it is preferable that the second region is colored with yellow or the like that calls attention. These are merely examples, and it goes without saying that the color of each region is not limited when each region is colored.

  In the present embodiment, the case where the first to third regions are colored with different colors for each region has been described, but this need not be the case. Different shading may be made for each region, and the brightness may be different for each region. Also, different coloring or shading may not be performed for each region. Even in that case, the regions can be distinguished by the first hyperbola 23 and the second hyperbola 24.

  In addition, in FIG. 1, for each region, the case where the character strings “without insulin resistance”, “somewhat insulin resistance”, “with insulin resistance” indicating the insulin resistance included in the region has been described, The words displayed for each area are not limited to these. For example, “normal” may be displayed in the first area, “attention required” may be displayed in the second area, and “abnormal” may be displayed in the third area. Moreover, you may make it not display the wording which characterizes such an area | region for every area | region.

  FIG. 4 shows a case where the coordinate plane is divided into three regions by two hyperbola, that is, the first and second hyperbola 21 and 22, but this need not be the case. For example, the coordinate plane may be divided into two regions by one hyperbola, and the coordinate plane may be divided into four regions by three hyperbola (for example, HOMA-R is 1.0). It may be divided into four regions by a hyperbola, a 1.6 hyperbola, and a 2.5 hyperbola). That is, the HOMA-R electronic graph 20 shows the relationship between fasting blood insulin and fasting blood glucose when HOMA-R is a first to Nth value (N is an integer equal to or greater than 1), respectively. The first to Nth hyperbola may be displayed. In that case, the (N + 1) regions divided by the first to Nth hyperbola may or may not be colored with different colors for each region.

  Further, it is known that the method of calculating HOMA-R by the above-described formula becomes inaccurate when fasting blood glucose exceeds 140 (mg / dl) or 180 (mg / dl). Therefore, the HOMA-R electronic graph 20 may not display a region where the fasting blood glucose is greater than 140 (mg / dl) or 180 (mg / dl).

  In the present embodiment, the image generation unit 13 may generate first and second enlarged graphic image data instead of fasting blood glucose image data and fasting blood insulin image data. The first enlarged graphic image data is image data of a first enlarged graphic 37 that is a graphic obtained by enlarging the position of the intersection of the first axis 21 and the first vertical line graphic 32 (see FIG. 7). The second enlarged graphic image data is image data of a second enlarged graphic 38 that is a graphic obtained by enlarging the position of the intersection of the second axis 22 and the second vertical line graphic 33. By displaying the first and second enlarged graphics 37 and 38, the fasting blood glucose value corresponding to the position of the point graphic 31 and the fasting blood insulin value can be known more precisely. It becomes like this. It should be noted that the magnification at which the first and second enlarged figures 37 and 38 are enlarged may be determined in advance. For example, it may be set to 2 times, 5 times, 10 times, or the like.

  The first and second enlarged graphic image data are image data of the first and second enlarged graphics 37 and 38, respectively, and the first and second enlarged graphics 37 and 38 are finally displayed. For example, the image data may be an image itself such as raster data, or may be data that becomes an image by being rasterized like vector data. Further, the first and second enlarged graphic image data may be generated on the HOMA-R electronic graph 20 indicated by the graph image data, or may be generated separately from the HOMA-R electronic graph 20. Further, the first and second enlarged graphic image data may be temporarily stored in a recording medium (not shown) or may be temporarily stored in the image data storage unit 11.

  In this case, the image data output unit 14 also outputs the first and second enlarged graphic image data in addition to the graph image data and the like.

  The operation of the HOMA-R electronic graph output apparatus 1 in this case is also shown by the flowchart in FIG. However, details of the processing in step S105 are as shown in the flowchart of FIG. In the flowchart of FIG. 6, the processes other than step S301 are the same as those in the flowchart of FIG.

  (Step S301) The image generation unit 13 generates first and second enlarged graphic image data using values such as fasting blood glucose received by the reception unit 12. For example, when the fasting blood glucose value received by the receiving unit 12 is X and the fasting blood insulin value is Y, the image generating unit 13 centers the position of X on the first axis 21. First enlarged graphic image data enlarged by a predetermined enlargement ratio may be generated. In addition, the image generation unit 13 may generate second enlarged graphic image data enlarged by a predetermined enlargement rate with the Y position on the second axis 22 as the center. Note that the image generation unit 13 preferably displays the first and second vertical line graphics 32 and 33 also in the first and second enlarged graphics 37 and 38. In addition, the image generation unit 13 reads out image data of a figure such as a frame stored in advance on a recording medium (not shown), and inserts an enlarged image into the image data, thereby the first and second enlarged figures. 37 and 38 may be generated. The shape of the frame may be, for example, a circle as shown in FIG. 7, or may be a rectangle or other shapes. In addition, it is preferable that the intersection of the first axis 21 and the first vertical line graphic 32 or the intersection of the second axis 22 and the second vertical line graphic 33 be located at the center of the frame. .

  Next, a specific example of the operation when the image generation unit 13 generates the first and second enlarged graphic image data will be described. The processing until the HOMA-R electron graph 20 shown in FIG. 4 is output is the same as described above, and the description thereof is omitted. Thereafter, it is assumed that the user clicks one point on the coordinate plane of the HOMA-R electronic graph 20 by operating the mouse. Then, as described above, values such as fasting blood glucose are received by the receiving unit 12, and point graphic image data and the like are generated (steps S201 to S203). Further, the image generation unit 13 generates first and second enlarged graphic image data using the received values such as fasting blood glucose (step S301). Then, the image data output unit 14 outputs the image data to the display, and the display shown in FIG. 7 is made (step S106). In FIG. 7, for convenience of explanation, the shading corresponding to the coloring displayed in FIG. 4 is deleted, but the shading for each region, that is, coloring may be made.

  The user can easily know the values of fasting blood glucose and the like corresponding to the point graphic 31 by looking at the first and second enlarged graphics 37 and 38 of FIG. Further, when the user moves the point graphic 31, the first and second enlarged graphics 37 and 38 are also moved, and the scales enlarged in the first and second enlarged graphics 37 and 38 are seen. As a result, the position of the point graphic 31 can be finely adjusted. When the user moves the point graphic 31, the image data of the first and second enlarged graphics 37 and 38 corresponding to the point graphic 31 in the middle of movement may be sequentially output or moved. Only the image data of the first and second enlarged graphics 37 and 38 corresponding to the point graphic 31 after the end may be output. When the point graphic 31 is moved, the first and second enlarged graphics 37 and 38 are also moved at the same speed as the movement of the point graphic. On the other hand, the scales and the like enlarged and displayed by the first and second enlarged figures 37 and 38 change at a speed corresponding to the enlargement ratio. The higher the enlargement ratio, the greater the change in the scale.

  Here, a case has been described in which the image generation unit 13 does not generate fasting blood glucose image data and fasting blood insulin image data when generating the first and second enlarged graphic image data. It does not have to be. The image generation unit 13 generates fasting blood glucose image data and fasting blood insulin image data together with the first and second enlarged graphic image data, and the image data output unit 14 outputs these data as well. Also good. By doing so, the user can fine-tune the fasting blood glucose value and the fasting blood insulin value using the first and second enlarged figures 37 and 38 (in general, It is considered easier to make fine adjustments on the number line than to make fine adjustments while observing the numerical values). Furthermore, these exact values are determined based on the fasting blood glucose value 34 and fasting blood insulin. (It is generally considered that reading the displayed value is easier than reading the exact value on the number line).

  In the present embodiment, the image generation unit 13 may generate point enlarged graphic image data together with point graphic image data and other image data. The point enlarged graphic image data is image data of a point enlarged graphic 39 which is a graphic obtained by enlarging the position of the point graphic 31 (see FIG. 9). The position of the point graphic 31 is a range in the vicinity of the point graphic including the point graphic 31. In the point enlarged graphic 39, as shown in FIG. 9, the fasting blood glucose may have a graduation line for each predetermined value and the fasting blood insulin may have a graduation line for each predetermined value, or It does not have to be displayed. In FIG. 9, the vertical scale line is a scale line for each fasting blood glucose of 1 (mg / dl). The horizontal scale line is a scale line for each 0.1 (μU / ml) fasting blood insulin. In the point enlarged graphic 39, as shown in FIG. 9, it is preferable that the point graphic 31 and the first and second vertical line graphics 32 and 33 are displayed. Note that the magnification at which the point enlargement graphic 39 is enlarged may be determined in advance. For example, it may be set to 2 times, 5 times, 10 times, or the like.

  The point-enlarged graphic image data is image data of the point-enlarged graphic 39, and if it is image data that can finally display the point-enlarged graphic 39, for example, it is an image itself such as raster data. Alternatively, it may be data that becomes an image by being rasterized like vector data. The point enlarged graphic image data may be generated on the HOMA-R electronic graph 20 indicated by the graph image data, or may be generated separately from the HOMA-R electronic graph 20. The point enlarged graphic image data may be temporarily stored in a recording medium (not shown), or may be temporarily stored in the image data storage unit 11.

  In this case, the image data output unit 14 also outputs point enlarged graphic image data in addition to the graph image data and the like. At the time of this output, the image data output unit 14 preferably outputs so that the point enlarged graphic 39 is displayed on the foreground. In FIG. 9, the figure on the back side of the point enlarged graphic 39 is not visible, but the image data output unit 14 displays the point enlarged figure so that the figure on the back side of the point enlarged figure 39 can be seen. Image data may be output.

  The operation of the HOMA-R electronic graph output apparatus 1 in this case is also shown by the flowchart in FIG. However, details of the processing in step S105 are as shown in the flowchart of FIG. In the flowchart of FIG. 8, the processes other than step S401 are the same as those in the flowchart of FIG.

  (Step S401) The image generation unit 13 generates point enlarged graphic image data. For example, when the fasting blood glucose value received by the receiving unit 12 is X and the fasting blood insulin value is Y, the image generating unit 13 sets the position of (X, Y) on the coordinate plane. Point enlarged graphic image data may be generated by enlarging a predetermined range as the center by a predetermined enlargement ratio. The image generation unit 13 reads point image data such as a frame stored in a recording medium (not shown) in advance, and generates point enlarged graphic image data by inserting an enlarged image into the image data. May be. In addition, the image generation unit 13 displays a scale line for each predetermined value, a value on the fasting blood glucose axis, a value on the fasting blood insulin axis, the first and second vertical values in the point enlargement graphic 39. The line figures 32 and 33 and the point figure 31 may be displayed.

  Next, a specific example of the operation when the image generation unit 13 generates point enlarged graphic image data will be described. The processing until the HOMA-R electron graph 20 shown in FIG. 4 is output is the same as described above, and the description thereof is omitted. Thereafter, it is assumed that the user clicks one point on the coordinate plane of the HOMA-R electronic graph 20 by operating the mouse. Then, as described above, values such as fasting blood glucose are received by the receiving unit 12, and point graphic image data and the like are generated (steps S201 to S204). The image generation unit 13 generates point enlarged graphic image data (step S401). Then, the image data output unit 14 outputs the image data to the display, and the display shown in FIG. 9 is made (step S106). In FIG. 9, for convenience of explanation, the shading corresponding to the coloring displayed in FIG. 4 is deleted, but the shading for each region, that is, coloring may be made.

  The user can easily know values such as fasting blood glucose corresponding to the point graphic 31 by looking at the point enlarged graphic 39 of FIG. Further, when the user moves the point graphic 31, the point enlarged graphic 39 is also moved. By observing the scale line enlarged in the point enlarged graphic 39, the position adjustment of the point graphic 31 is performed. Will be able to do. The point enlarged graphic 39 may not be displayed after the position adjustment of the point graphic 31 is completed. For example, after the position adjustment of the point graphic 31 is completed, the user inputs that fact (for example, it is possible to double-click a part of the point enlarged graphic 39), thereby the image data output unit 14 May output graph image data other than the point enlarged graphic image data. By doing so, the back-side hyperbola and the like hidden by the point enlargement graphic 39 are displayed, and a display as shown in FIG. 5 is obtained. In addition, when displaying the 1st and 2nd enlarged figures 37 and 38, you may make it display this point enlarged figure 39, or it may not be so. Further, the point enlarged graphic 39 may move with the movement of the point graphic 31 or may not move until the point graphic 31 deviates from the coordinate plane of the point enlarged graphic 39. In the latter case, the first and second vertical lines 32 and 33 described in the point enlarged graphic 39 and the first and second vertical lines described on the coordinate plane of the HOMA-R electron graph 20 are used. The figures 32 and 33 may deviate from each other. In the latter case, when the point graphic 31 deviates from the coordinate plane of the point enlarged graphic 39, for example, the last position on the coordinate plane of the point graphic 31 in the point enlarged graphic 39 is set as the center. The point enlarged graphic 39 to be displayed may be displayed again.

  In this embodiment, instead of the HOMA-R electron graph 20 shown in FIG. 4, a first auxiliary hyperbola 41 and a second auxiliary hyperbola 41 as shown in the HOMA-R electron graph 20 shown in FIG. 10. A hyperbola 42 may also be displayed. The first and second auxiliary hyperbola 41 and 42 indicate the relationship between fasting blood insulin and fasting blood glucose for each HOMA-R value, and the fasting blood insulin and fasting blood glucose , Used to read the approximate value of HOMA-R. In FIG. 10, the hyperbola of the thinnest line is the first auxiliary hyperbola 41, which is a thicker hyperbola than the first auxiliary hyperbola 41, and is not the first and second hyperbola 23, 24. The auxiliary hyperbola 42 of FIG. In FIG. 10, the first auxiliary hyperbola 41 shows the relationship between fasting blood insulin and fasting blood glucose with a HOMA-R of 0.1, and the second auxiliary hyperbola 42 has a HOMA-R of 1. It shows the relationship between fasting blood insulin and fasting blood glucose every .0. As for the second auxiliary hyperbola 42, a value enclosed by a square is displayed at the right end of each second auxiliary hyperbola 42 in order to indicate the corresponding HOMA-R value. The subject knows the approximate value of his / her HOMA-R from the fasting blood insulin and the fasting blood glucose without using a calculator or the like by using the first and second auxiliary hyperbolas 41 and 42. be able to.

  Here, in FIG. 10, the first auxiliary hyperbola 41 is a thin line and the second auxiliary hyperbola 42 is a thick line, so that the two can be distinguished, but the other can be distinguished by other methods. It is good. For example, one may be a solid line, the other may be a dashed line, one may be a one-dot chain line, the other may be a two-dot chain line, the colors of both may be different, and the brightness and brightness of both may be different There is no limitation on the method for distinguishing the two. Further, in FIG. 10, the corresponding HOMA-R value is displayed only for the second auxiliary hyperbola 42, but the corresponding HOMA-R value is also displayed for the first auxiliary hyperbola 41. Alternatively, both may not display the corresponding HOMA-R value. Further, FIG. 10 shows a case where two types of auxiliary hyperbola, that is, the first and second auxiliary hyperbola 41 and 42 are displayed, but in the HOMA-R electron graph 20, without distinguishing between them, One type of auxiliary hyperbola may be displayed, or three or more types of auxiliary hyperbola may be displayed. Further, it is preferable that the first and second hyperbolic curves 23 and 24 and the first and second auxiliary hyperbolic curves 41 and 42 are distinguishable. Therefore, the types of the first and second hyperbolic curves 23 and 24 and the first and second auxiliary hyperbolic curves 41 and 42 (for example, thickness, color, solid line or broken line) are different. Alternatively, the first and third hyperbolas 23 and 24 are distinguished from the first and second auxiliary hyperbolas 41 and 42 by coloring the first to third regions with different colors. It may be possible.

  Further, in the HOMA-R electronic graph 20 according to the present embodiment, as shown in FIG. 10, the first scale line 43 for each fasting blood glucose and a fasting blood insulin for each predetermined value. The second scale line 44 may be further displayed. In FIG. 10, the first scale line 43 is a scale line for fasting blood glucose of every 5 (mg / dl). The second scale line 44 is a scale line for each fasting blood insulin of 1.0 (μU / ml). By using these first and second scale lines 43 and 44, the subject can easily confirm in which region the HOMA-R is present from the fasting blood insulin and the fasting blood glucose level. It becomes like this.

  FIG. 10 shows a case where the first and second scale lines 43 and 44 are broken lines, but both may be solid lines, chain lines, or other types of lines. Also good. Further, the distance between the first and second scale lines 43 and 44 is not limited to the case of FIG. Moreover, although FIG. 10 shows the case where both the first and second scale lines 43 and 44 are displayed, only one of them may be displayed.

  The subject uses the first and second auxiliary hyperbolas 41 and 42 displayed in FIG. 10 and the first and second scale lines 43 and 44 to obtain fasting blood insulin and fasting blood glucose. It is possible to know in which region the HOMA-R exists and its approximate value. For example, when the fasting blood insulin is 4.0 (μU / ml) and the fasting blood glucose is 90 (mg / dl), the test subject has the first and second scale lines 43 and 44. By using the first and second auxiliary hyperbola 41, 42, HOMA-R can be present in the first region, ie, the region without insulin resistance, and HOMA-R≈0.9. You can know that it is.

  In addition, when the temporal change of fasting blood insulin and fasting blood glucose of a subject can be displayed on the HOMA-R electronic graph 20, by using the first and second auxiliary hyperbola 41, 42, It can also be determined whether the HOMA-R has improved or has deteriorated. For example, even if the position of a point graphic 31 of a subject changes with time, if it moves only on any auxiliary hyperbola, HOMA-R does not change, and insulin It can be seen that the resistance has not improved. On the other hand, when the position of the point graphic 31 of a subject is gradually moving from the auxiliary hyperbola with the larger HOMA-R to the auxiliary hyperbola with the smaller HOMA-R, the point graphic 31 gradually improves in the direction without insulin resistance. I understand that In addition, in order to display the position of the past point graphic 31, the reception unit 12 displays the past fasting blood glucose value and fasting blood insulin value (these values are stored in a database or the like). The image generation unit 13 also generates point graphic image data that is image data of the point graphic 31 corresponding to the past fasting blood glucose value and the like, and the image data output unit 14 Such image data may also be output. In addition, a point graphic 31 and a point graphic 31 that is temporally next to the point graphic 31 may be connected by an arrow so that the temporal change of the point graphic 31 can be easily understood.

  When a plurality of point graphics 31 corresponding to fasting blood insulin and fasting blood glucose of a plurality of subjects can be displayed on the HOMA-R electronic graph 20, the first and second auxiliary hyperbolas 41 and 42 are displayed. Can be used to compare HOMA-R between subjects and to know that “subject B has stronger insulin resistance than subject A”. For example, if the point graphic 31 of the subject A and the point graphic 31 of the subject B are located on the same auxiliary hyperbola, it can be easily understood that both HOMA-Rs are the same. On the other hand, if the point graphic 31 of the subject A is positioned on the auxiliary hyperbola having a smaller HOMA-R than the point graphic 31 of the subject B, the HOMA-R of the subject A is HOMA-R of the subject B. You can see that it is smaller. In order to display the point graphic 31 corresponding to a plurality of subjects, the accepting unit 12 accepts fasting blood glucose values and fasting blood insulin values corresponding to the plurality of subjects, and the image generating unit 13 Point graphic image data that is image data of a plurality of point graphics 31 corresponding to the plurality of fasting blood glucose values and fasting blood insulin values is also generated, and the image data output unit 14 converts the image data into the image data. May also be output.

  When the image data output unit 14 prints out graph image data or the like, by using the first and second auxiliary hyperbola 41 and 42 displayed on the printed out HOMA-R electronic graph 20. It becomes possible to know the approximate value of HOMA-R. As a result, even if the HOMA-R electronic graph output device 1 is not provided, the value of HOMA-R can be known by using the printed HOMA-R electronic graph 20.

  In FIG. 10, for convenience of explanation, the shading for each region as shown in FIG. 4 and the display of the wording characterizing the region are not performed, but they may be performed. For example, the regions may be clearly distinguished by coloring the first to third regions with different colors. FIG. 10 shows the case where both the first and second auxiliary hyperbolic curves 41 and 42 and the first and second scale lines 43 and 44 are displayed, but only one of them is displayed. You may make it display.

  The HOMA-R electronic graph output device 1 may be a stand-alone device, a server / client system server, or a client. When the HOMA-R electronic graph output device 1 is a server, the image data output unit 14 transmits each image data to the client. When the HOMA-R electronic graph output device 1 is a client, the image data storage unit 11 stores the graph image data transmitted from the server.

  In the above embodiment, the image generation unit 13 receives the HOMA-R image data, fasting blood insulin image data, fasting blood glucose image data, first and second vertical line graphic image data, and point graphic image data. A case where the image generation unit 13 generates HOMA-R image data, first and second enlarged graphic image data, first and second vertical line graphic image data, and point graphic image data. But it doesn't have to be. For example, the image generation unit 13 may not generate the HOMA-R image data, may not generate the first and second enlarged graphic image data, the fasting blood insulin image data, and the fasting The blood glucose image data may not be generated, and the first and second vertical line graphic image data may not be generated. In these cases, the image data output unit 14 does not output image data that the image generation unit 13 did not generate. Further, the image generation unit 13 may not generate a point graphic. When the image generation unit 13 does not generate a point graphic, the HOMA-R electronic graph output apparatus 1 may not include the reception unit 12 and the image generation unit 13 and is simply stored in the image data storage unit 11. The graph image data may be read and output. Even in such a case, by viewing the output graph image data, the user uses the fasting blood insulin and the fasting blood glucose to determine HOMA-R, which is one of the insulin resistance indexes. Information on insulin resistance, such as whether it is in the normal range, can be easily obtained.

  In the above embodiment, each process or each function may be realized by centralized processing by a single device or a single system, or may be distributedly processed by a plurality of devices or a plurality of systems. It may be realized by doing.

  In the above embodiment, information related to processing executed by each component, for example, information received, acquired, selected, generated, transmitted, or received by each component In addition, information such as threshold values, mathematical formulas, addresses, etc. used by each component in processing is retained temporarily or over a long period of time on a recording medium (not shown) even when not explicitly stated in the above description. It may be. Further, the storage of information in the recording medium (not shown) may be performed by each component or a storage unit (not shown). Further, reading of information from the recording medium (not shown) may be performed by each component or a reading unit (not shown).

  In the above embodiment, when information used by each component, for example, information such as a threshold value, an address, and various setting values used by each component may be changed by the user Even if it is not specified in the above description, the user may be able to change the information as appropriate, or it may not be. If the information can be changed by the user, the change is realized by, for example, a not-shown receiving unit that receives a change instruction from the user and a changing unit (not shown) that changes the information in accordance with the change instruction. May be. The change instruction received by the receiving unit (not shown) may be received from an input device, information received via a communication line, or information read from a predetermined recording medium, for example. .

  Moreover, in the said embodiment, when two or more components included in the HOMA-R electronic graph output apparatus 1 have a communication device, an input device, etc., two or more components are physically single devices. You may have, or you may have a separate device.

  In the above embodiment, each component may be configured by dedicated hardware, or a component that can be realized by software may be realized by executing a program. For example, each component can be realized by a program execution unit such as a CPU reading and executing a software program recorded on a recording medium such as a hard disk or a semiconductor memory.

  Further, the present invention is not limited to the above-described embodiment, and various modifications are possible, and it goes without saying that these are also included in the scope of the present invention.

  From the above, according to the HOMA-R electronic graph output device according to the present invention, using fasting blood insulin and fasting blood glucose, for example, whether HOMA-R as an insulin resistance index is in a normal range. It is useful for determining whether HOMA-R is appropriate.

The block diagram which shows the structure of the HOMA-R electronic graph output device by Embodiment 1 of this invention. The flowchart which shows operation | movement of the HOMA-R electronic graph output device by the embodiment The flowchart which shows operation | movement of the HOMA-R electronic graph output device by the embodiment The figure which shows an example of the displayed HOMA-R electron graph in the embodiment The figure which shows an example of the displayed HOMA-R electron graph in the embodiment The flowchart which shows operation | movement of the HOMA-R electronic graph output device by the embodiment The figure which shows an example of the displayed HOMA-R electron graph in the embodiment The flowchart which shows operation | movement of the HOMA-R electronic graph output device by the embodiment The figure which shows an example of the displayed HOMA-R electron graph in the embodiment The figure which shows an example of the displayed HOMA-R electron graph in the embodiment

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 HOMA-R electronic graph output apparatus 11 Image data memory | storage part 12 Reception part 13 Image generation part 14 Image data output part 20 HOMA-R electronic graph 21 1st axis | shaft 22 2nd axis | shaft 23 1st hyperbola 24 2nd Hyperbola 31 Point figure 32 First vertical line figure 33 Second vertical line figure 34 Fasting blood glucose value 35 Fasting blood insulin value 36 HOMA-R value 37 First enlarged figure 38 Second enlarged figure 39 point enlarged figure 41 first auxiliary hyperbola 42 second auxiliary hyperbola 43 first graduation line 44 second graduation line

Claims (13)

A first axis indicating fasting blood glucose, a second axis orthogonal to the first axis and indicating fasting blood insulin, and HOMA-R as an insulin resistance index (where “HOMA-R = Fasting blood glucose (mg / dl) × Fasting blood insulin (μU / ml) / 405 ”) from the first to the Nth (N is an integer of 1 or more). An image data storage unit for storing graph image data, which is image data of a HOMA-R electronic graph representing first to Nth hyperbola, each representing a relationship between blood insulin and fasting blood glucose;
A HOMA-R electronic graph output device comprising: an image data output unit that reads graph image data from the image data storage unit and outputs the graph image data. A reception unit for receiving a fasting blood glucose level and a fasting blood insulin level;
Point graphic that is image data of a point graphic corresponding to the fasting blood glucose value received by the receiving unit and the fasting blood insulin value, which is a graphic indicating the position on the coordinate plane of the HOMA-R electronic graph. An image generation unit that generates image data;
The HOMA-R electronic graph output device according to claim 1, wherein the image data output unit also outputs the point graphic image data. The accepting unit accepts an instruction relating to the position of the point graphic on the coordinate plane of the HOMA-R electronic graph, whereby a fasting blood glucose value corresponding to the position of the point graphic and a fasting blood insulin value The HOMA-R electronic graph output device according to claim 2, wherein: The image generation unit includes first vertical line graphic image data that is image data of a first vertical line graphic that is a graphic of a first vertical line drawn perpendicularly to the first axis from the point graphic; Generating second vertical line graphic image data that is image data of a second vertical line graphic that is a graphic of a second vertical line drawn perpendicularly to the second axis from the point graphic;
4. The HOMA-R electronic graph output device according to claim 2, wherein the image data output unit also outputs the first vertical line graphic image data and the second vertical line graphic image data. 5. The image generation unit is image data of a fasting blood glucose value received by the reception unit, and is image data displayed at a position of an intersection between the first axis and the first vertical line figure. Blood glucose image data and fasting blood insulin value image data received by the reception unit, and image data displayed at the intersection of the second axis and the second vertical line figure To generate some fasting blood insulin image data,
The HOMA-R electronic graph output device according to claim 4, wherein the image data output unit also outputs the fasting blood glucose image data and the fasting blood insulin image data. The image generation unit includes: first enlarged graphic image data that is image data of a first enlarged graphic that is a graphic obtained by enlarging the position of the intersection of the first axis and the first vertical line graphic; Generating second enlarged graphic image data that is image data of a second enlarged graphic that is a graphic obtained by enlarging the position of the intersection of the second axis and the second vertical line graphic;
6. The HOMA-R electronic graph output device according to claim 4, wherein the image data output unit also outputs the first enlarged graphic image data and the second enlarged graphic image data. The image generation unit also generates HOMA-R image data, which is HOMA-R value image data corresponding to the fasting blood glucose value received by the reception unit and the fasting blood insulin value,
The HOMA-R electronic graph output device according to claim 2, wherein the image data output unit also outputs the HOMA-R image data. The image generation unit also generates point enlarged graphic image data that is image data of a point enlarged graphic that is a graphic in which the position of the point graphic is enlarged,
The HOMA-R electronic graph output device according to any one of claims 2 to 7, wherein the image data output unit also outputs the point enlarged graphic image data. The HOMA-R electronic graph output device according to claim 1, wherein the output from the image data output unit is a display. The HOMA-R electronic graph output device according to claim 1, wherein the output by the image data output unit is transmission. 11. The HOMA-R electron graph output device according to claim 1, wherein the N + 1 regions divided by the first to N-th hyperbolas are colored in different colors for each region. N is 2,
The HOMA-R electron graph output according to any one of claims 1 to 11, wherein the first value of the HOMA-R is 1.6 and the second value of the HOMA-R is 2.5. apparatus. The said HOMA-R electronic graph further represents the some auxiliary | assistant hyperbola which shows the relationship between the fasting blood insulin and fasting blood glucose for every HOMA-R for predetermined value. HOMA-R electronic graph output device.

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