HK1158756B - Device for measuring blood sugar level and device for controlling measurement data - Google Patents

Abstract

Provided are a novel device for measuring blood sugar level and a device for controlling measurement data by which blood sugar levels of a plurality of patients can be quickly and surely measured and which can quickly respond to an emergency situation. A device for measuring blood sugar level characterized by comprising: a means for identifying a patient; a means for measuring blood sugar level; a timing means; an indication means; and a controlling means being provided with a normal measurement mode which cross-checks patient's identification data with a patients' data table and inhibits the measurement of blood sugar level in the case where no patient's identification data can be found and an emergent measurement mode which allows the measurement of blood sugar level even in the case where the patient's identification data cannot be obtained by the identification means.

Description

Blood sugar level measuring device and measurement data management device

Technical Field

The present invention relates to a technique preferably applied to a blood glucose level measuring apparatus and a measurement data management apparatus.

More particularly, the present invention relates to a blood glucose measuring apparatus and a measurement data management apparatus that can measure blood glucose levels and administer insulin safely and reliably for a plurality of patients in a hospital and can respond quickly even in an emergency.

Background

Diabetes mellitus is well known to result from abnormal insulin secretion in the pancreas. Therefore, it is necessary for diabetics to measure the blood glucose level before meals and to administer insulin based on the measured value.

Currently, in order to measure the blood glucose level easily for a patient or a family of patients at home, the applicant developed and sold a miniaturized blood glucose level measuring apparatus (hereinafter, referred to as "blood glucose meter"). Patent documents 1 and 2 disclose patent applications of the blood glucose meter of the applicant.

Patent document 1: japanese laid-open patent publication No. 10-19888

Patent document 2: japanese laid-open patent publication No. 10-318928

Disclosure of Invention

In hospitals where many patients live, it is necessary to take care of safety in order to prevent accidents such as taking out of the patient by mistake and giving insulin repeatedly, and it is necessary to have a function in consideration of efficiency of medical treatment, and for example, it is necessary to perform blood glucose measurement processing and insulin administration processing for a plurality of patients and to summarize them individually, and related studies are currently underway.

In order to prevent medical accidents, a blood glucose meter is used in hospitals, and personal identification information is confirmed to determine blood glucose levels of patients in order to confirm nurses and patients who measure blood glucose levels, and thus, studies have been made on the above situation.

However, a device that cannot perform measurement without input of user identification information such as a nurse or patient identification information cannot quickly respond to a patient's deterioration or a natural disaster such as an earthquake.

An object of the present invention is to solve the above-described problems, and to provide a novel blood glucose level measuring apparatus and a measurement data management apparatus that can quickly and reliably measure blood glucose levels of a plurality of patients and also quickly cope with an emergency situation.

In order to solve the above problems, a blood glucose level measuring apparatus and a measurement data management apparatus according to the present invention include the following items (1) to (5).

(1) A blood glucose measuring device, comprising:

an identification device that obtains patient identification information identifying a patient;

a blood glucose level measuring device for measuring a blood glucose level of the patient;

a timer for acquiring time information of the blood glucose level obtained by the blood glucose level measuring device;

a display device for displaying the patient identification information of the patient, the blood sugar level of the patient, and the time information for obtaining the blood sugar level;

a patient data table for storing the patient identification information;

a control device including a normal measurement mode in which the patient identification information obtained by the identification device is checked against the patient data table, the measurement of the blood glucose level by the blood glucose level measurement device is permitted if the patient identification information is found in the patient data table, the measurement of the blood glucose level is prohibited if the patient identification information is not found in the patient data table, and an emergency measurement mode in which the measurement of the blood glucose level is permitted if the patient identification information is not obtained by the identification device;

switching means for switching from the normal measurement mode to the emergency measurement mode; and

and a measurement data table for recording, after the blood glucose level is obtained, the blood glucose level and time information for obtaining the blood glucose level in association with the patient identification information in the normal measurement mode, and recording the blood glucose level and time information for obtaining the blood glucose level in association with mode information for displaying the emergency measurement mode in the emergency measurement mode, by the control device.

This makes it possible to perform normal measurement quickly and reliably and to respond immediately even in an emergency.

(2) The blood glucose measuring apparatus according to (1) is characterized by comprising a notification device that notifies whether the measurement mode is the emergency measurement mode or not the normal measurement mode when the measurement mode is the emergency measurement mode.

With this configuration, it is possible to prevent the mode from being mistaken at the time of measurement.

(3) The blood glucose measuring apparatus according to (1) or (2), comprising a communication device that transmits the patient identification information, the blood glucose level, the time information for obtaining the blood glucose level, and the pattern information as a series of pieces of transmission data for one of the blood glucose levels recorded in the measurement data table, and pieces of blank information that are not recorded, and transmits the transmission data on all of the blood glucose levels recorded in the measurement data table to an external device.

With this configuration, the measurement data management device can manage data for emergency measurement.

(4) The blood glucose measuring apparatus according to any one of (1) to (3), wherein the control device includes the following history mode:

in the normal measurement mode, the display device displays the blood glucose level associated with the selected patient identification information and time information for obtaining the blood glucose level,

in the emergency measurement mode, the display device displays the blood glucose level having the mode information and the time information of obtaining the blood glucose level, and when the identification device obtains the patient identification information, the display device records the blood glucose level and the time information of obtaining the blood glucose level in the measurement data table in association with the patient identification information.

With the above configuration, the measured blood glucose level range patient identification information can be associated with each other later after the emergency measurement, when the time is sufficient, or the like, and subsequent data management, guidance of the life of the patient, and the like can be facilitated.

(5) A measurement data management device for managing data of the blood glucose measurement device according to (3) or (4), comprising:

a host communication device communicating with the communication device;

a patient history table for recording the blood glucose level and time information for obtaining the blood glucose level in association with the patient identification information;

a patient measurement temporary file for recording the list of transmission data in which the patient identification information is blank information; and

and a host controller that extracts the patient identification information from the list of transmission data, checks the extracted patient identification information against the patient history table, records the blood glucose level and time information for obtaining the blood glucose level in the patient history table in association with the patient identification information when the patient identification information is found in the patient history table, and records the blood glucose level and the time information for obtaining the blood glucose level in a patient measurement temporary file when the patient identification information is not found in the patient history table.

With the above configuration, it is possible to easily perform data management of the blood glucose level measured by the blood glucose measuring apparatus.

According to the present invention, it is possible to provide a novel blood glucose level measuring apparatus and a measurement data management apparatus that can quickly and reliably measure blood glucose levels of a plurality of patients and also quickly cope with an emergency situation.

Drawings

FIG. 1 is a schematic view of the whole blood glucose level measuring system according to the embodiment.

FIG. 2 is an external view of the blood glucose meter.

FIG. 3 is an internal block diagram of a blood glucose meter.

FIG. 4 is a block diagram of a measurement data management device.

FIG. 5 shows an example of a general measurement mode of a blood glucose meter.

FIG. 6 shows an example of an emergency measurement mode of a blood glucose meter.

FIG. 7 is a flowchart showing an example of the patient ID in the emergency measurement mode of the blood glucose meter.

FIG. 8 is a diagram showing the internal configuration and relationship of each table.

FIG. 9 is a functional block diagram of a measurement data management device.

FIG. 10 is a flowchart showing a blood glucose meter processing procedure.

FIG. 11 is a flowchart showing a blood glucose meter processing procedure.

FIG. 12 is a flowchart showing an overview of a process of a normal measurement and an emergency measurement performed by a blood glucose meter in blood glucose measurement.

FIG. 13 is a flowchart showing a procedure for viewing a history in a normal measurement mode of a blood glucose meter.

FIG. 14 is a flowchart showing a procedure of a relationship between review of a history and a patient ID in an emergency measurement mode of a blood glucose meter.

Description of the symbols

101.. blood glucose value measuring system, 102.. glucometer, 104.. measured data management device, 105.. USB data line, 112.. patient data table, 114.. patient data, 115.. user basic data, 116.. chip group data, 117.. patient measured data, 118 measured data table, 202.. blood glucose value, 201.. LCD (display), 204.. power button, 205.. start button, 206.. emergency button, 207.. history button, 208.. barcode reader (identification), 212.. chip, 602.. CPU, 603.. ROM, 604.. RAM, 605.. bus, 606.. thermistor, resistor, 607.. calendar clock 608, 610.. operating portion, light emitting diode, 610.. light emitting driver, 610.. D converter, A phototransistor, 613.. a/D converter, 614.. nonvolatile memory, 615.. display, 616.. buzzer, 617.. infrared communication, 618.. power supply, 624.. USB interface, 902.. bus, 903.. CPU, 904.. ROM, 905.. RAM, 906.. nonvolatile memory, 907.. display, 908.. USB interface, 909.. input, 910.. infrared communication, 911.. infrared light emitting diode, 912.. photosensitive transistor, 1205.. patient information table, 1212.. patient history record table, 1803.. blood glucose meter operation, 1804.. user interface control, 1805.. meter input and output, 1806. patient temporary measurement file

Detailed Description

Embodiments of the present invention will be described below with reference to fig. 1 to 14.

Fig. 1 is a schematic diagram of a blood glucose level measuring system including a blood glucose measuring device and a measurement data management device according to an example of the present embodiment.

The blood glucose level measurement system 101 is composed of a blood glucose meter 102 (blood glucose measurement device) and a measurement data management device 104.

The blood glucose meter 102 is a mobile device driven by a lithium ion battery, and is approximately as large as an adult hand.

When a doctor, a nurse, or the like measures a blood glucose level of a patient, the blood glucose meter 102 is generally taken into a ward in a hospital, and a very small amount of blood is collected from an earlobe, a finger, an arm, or the like of the patient to measure the blood glucose level.

The blood glucose meter 102 can transmit and receive data to and from the measurement data management apparatus 104 after the blood glucose level is measured. A measurement data management apparatus 104, which is a personal computer, is connected to the blood glucose meter 102 via a USB data line 105.

A known OS is operated in the measurement data management device 104. Further, after the OS is operated, a program operation as a function of the measurement data management device 104 is realized in the personal computer.

The blood glucose meter 102 is a measurement device that samples blood by puncturing a finger of a subject to measure a blood glucose level, for example, and the blood glucose level measurement unit 202 measures a blood glucose level in the sampled patient blood. The measurement method of the blood glucose level may be any of a method of collecting blood and reacting the blood with a reagent to perform measurement, a method of performing measurement noninvasively with a body fluid, and the like. When collecting blood (body fluid), a special puncture tool is prepared to puncture a living body surface such as a fingertip, an upper arm, an abdomen, a thigh, and an earlobe.

The blood glucose meter 102 is connected via a USB data line 105, and communicates with the measurement data management apparatus 104. At this time, if the measurement data table 118 exists in the blood glucose meter 102, the measurement data stored in the measurement data table 118 is transmitted to the measurement data management apparatus 104.

Further, by transmitting a predetermined command from the measurement data management apparatus 104, the measurement data management apparatus 104 can download blood glucose meter setting data, not shown, from the blood glucose meter 102.

Furthermore, the measurement data management device 104 can upload the patient data 114, the user basic data 115, and the chip set data 116 to the blood glucose meter 102.

The communication between the blood glucose meter 102 and the outside is not limited to this, and a wired or wireless communication system may be used, or the measurement results and the like stored in the blood glucose meter storage unit may be output to a server or the like in a hospital or a health management support facility that manages blood glucose levels and the like via an information communication network such as the internet.

[ blood glucose meter 102]

Fig. 2 is an external view of the blood glucose meter 102.

For convenience of explanation, the surface on which the display unit (LCD) is provided as shown in fig. 2 is referred to as the main body surface, the left side of fig. 2 is referred to as the front direction, and the right side is referred to as the rear direction.

As shown in fig. 2, a blood glucose level measuring unit 202 is provided at the tip of the blood glucose meter 102, and the blood glucose level measuring unit 202 measures the blood glucose level using a test paper containing a dye that specifically colors glucose. The blood glucose measuring chip 212 (hereinafter referred to as "measuring chip") of the blood glucose measuring unit 202 is formed in a detachable shape.

The blood glucose meter 102 has an operation unit and a display unit. As a display unit, an LCD201 having a liquid crystal display screen is provided on the main body surface of the blood glucose meter 102, and as an operation unit, a power button 204 and a start button 205 are provided below the LCD201, and an emergency button 206 and a history button 207 are provided in the rear direction of the LCD 201.

Further, a barcode reader 208 is provided on the rear end side surface of the blood glucose meter 102 as an identification device for identifying patient information. As the identification device, not only a bar code reader but also a numeric keypad (Tenkey) or an IC chip reader may be used. A USB connection port is provided in a portion not shown. A battery cover for battery replacement and an infrared communication window are provided on the back surface of the blood glucose meter 102.

The operation unit may be any operation member as long as it is a member for operating the blood glucose meter, such as a button and a numeric keypad. The display unit is used for displaying the measured blood glucose level, information on the operator, and the like, and a liquid crystal display is preferably used.

The power switch 204 is a switch for turning on/off the power of the blood glucose meter 102.

The start button 205 is a button for checking patient identification information and selecting a normal mode for measuring the blood glucose level after the power switch 204 is turned on. When a barcode is used as the patient identification information, a barcode reader operation button for operating the barcode reader 208 is attached to read the barcode.

The emergency button 206 is a button for selecting an emergency mode for measuring the blood glucose level without confirming patient identification information after the power switch 204 is turned on.

The history button 207 is a button for displaying measurement data stored in the measurement data table of the blood glucose meter 102.

The bar code reader 208 is a bar code reading device composed of a known combination of a red laser diode and a photosensor. Instead of the photosensor, an information sensor such as a CCD or a CMOS may be used.

The basic blood glucose measurement of the blood glucose meter 102 is structured as in the prior art. The outline of this will be briefly described below.

The measurement chip 212 is attached to the blood glucose level measurement unit 202, and the measurement chip 212 sucks blood to be measured. The measurement chip 212 contains a test paper made of a porous membrane such as polyethersulfone. When the blood aspirated by the measurement chip 212 reaches the test paper, the blood reacts with a reagent contained in the test paper and develops color. The color reaction takes a time of several seconds to about ten seconds, but the reaction is affected by the ambient temperature.

After a predetermined reaction time has elapsed, the test paper is irradiated with light by the light emitting element, and the light reflected from the test paper is sensed by the photosensitive element. Then, the analog light intensity signal obtained by the photosensor is converted into a numerical value, and the numerical value is converted into a blood glucose level and displayed on the LCD 201.

The structure of the blood glucose meter 102 is not limited to the optical measurement system using the color-developing reagent, and may be a structure that can be used for blood glucose measurement in the related art, such as an electrochemical sensor system.

The blood glucose meter 102 is connected to a personal computer via a USB data cable 105. Further, the infrared communication may be performed through an infrared communication window provided on the rear surface.

[ hardware ]

Fig. 3 is a block diagram of the interior of the blood glucose meter 102.

The blood glucose meter 102 is a system constituted by a microcomputer, and is constituted by a CPU602, a ROM603, and a RAM604, and a bus 605 connected thereto. In addition to the above configuration, a portion mainly providing a data input function and a portion providing a data output function are connected to the bus 605.

The data entry functions of the blood glucose meter 102 include: a blood glucose level measuring unit 202 for obtaining blood glucose level measurement data important for the blood glucose meter 102, a thermistor 606 for obtaining temperature data, a barcode reader 208, a calendar clock 607, and an operation unit 608.

The blood glucose level measuring unit 202 is constituted by a light emitting unit constituted by a light emitting diode 609, a driver 610 therefor, and a D/a converter 611 connected to the driver 610, and a light receiving unit constituted by a phototransistor 612 and an a/D converter 613. Since it is necessary to irradiate the test paper in the measurement chip 212 with light of an appropriate intensity, the light emitting diode 609 is controlled to emit light based on intensity data stored in advance in a nonvolatile memory 614 described below. That is, the light emission intensity data is read from the nonvolatile memory 614, converted into an analog voltage signal by the D/a converter 611, and then power-amplified by the driver 610 to drive the light emitting diode 609 to emit light. In addition, the intensity signal voltage of light received by the phototransistor 612 is converted into numerical data by an a/D converter 613. Then, the converted numerical data is recorded in a predetermined area of the RAM604 and the nonvolatile memory 614.

The blood glucose meter 102 has a thermistor 606, and the temperature of the environment in which the blood glucose meter 102 is present can be measured from the change in resistance of the thermistor 606. Similarly to the phototransistor 612, the resistance value of the thermistor 606 is converted into a numerical value by the a/D converter 613, and numerical data is recorded in a predetermined area of the RAM604 and the nonvolatile memory 614. Since it is not necessary to measure the light intensity and the air temperature at the same time, the phototransistor 612 and the thermistor 606 can share the a/D converter 613.

The calendar clock 607 is a well-known IC providing a time data output function, and is collectively mounted on a plurality of microcomputers, personal computers, and the like.

In the blood glucose meter 102 according to the embodiment of the present invention, time information of the time at which the blood glucose level is measured must be obtained, and therefore the time information is important information. That is, there is an extremely deep relationship between the collected data and the time information. Time information of the time at which the blood glucose level is measured needs to be recorded in the patient table 112 together with the blood glucose level. Thus, the calendar clock 607 is particularly explicitly shown in the figure.

The data output function of the blood glucose meter 102 includes a display unit 615 including the LCD201, a buzzer 616, an infrared communication unit 617, and a USB interface 624.

The display unit 615 displays various screens by a program run by the CPU602 and stored in the ROM 603.

Buzzer 616 is mainly used to inform the operator that barcode reader 208 has normally read the barcode, that measurement at the time of blood glucose level measurement is completed, that infrared communication is completed, or that an error message is generated. According to the setting, the sound is sounded every time the operation unit 608 is operated.

The infrared communication unit 617 incorporates an infrared light emitting diode 619 and a phototransistor 620. They constitute an infrared serial communication interface according to the well-known IrDA (infrared data association) specification. The CPU602 is controlled to activate the infrared communication function of the infrared communication unit 617, thereby transmitting and receiving various data files stored in the nonvolatile memory 614.

The elements constituting the microcomputer in the blood glucose meter 102 include a nonvolatile memory 614 made of an EEPROM, which provides a data storage function in addition to a data input/output function. The nonvolatile memory 614 stores user basic data 115, chip set data 116, patient data table 112, measurement data table 118, blood glucose meter setting data, and the like. The data is updated when the data is communicated with the measurement data management apparatus 104 through the USB data line 105 or the infrared communication window. In addition, a flash memory or the like may be used instead of the EEPROM. In order to identify a patient by the identification device, the patient data table 112 stores a patient ID in association with information that enables identification of the patient, such as the name, sex, and date of birth of the patient. The measurement data table stores the measured blood glucose level and the time taken to obtain the blood glucose level in association with information useful in medical practice, such as a patient ID.

[ measurement data management device 104]

Fig. 4 is a block diagram of the measurement data management device 104.

The entity of the measurement data management device 104 is also a known personal computer, and in the present embodiment, hardware having a special function is not provided to implement various warning functions described below, a function of managing measurement data, and the like.

The bus 902 is present inside the measurement data management apparatus 104 as a personal computer. The CPU903, ROM904, RAM905, nonvolatile memory 906 such as a hard disk drive, display 907 such as an LCD, and USB interface 908 are connected to the bus 902. An input unit 909 such as a keyboard and a mouse is connected to the USB interface 908. Further, an infrared communication section 910 is included. The infrared communication window of the blood glucose meter 102 and the infrared communication unit 910 of the measurement data management apparatus 104 are respectively provided with an infrared light emitting diode 619 or 911 and a phototransistor 620 or 912. They constitute an infrared serial communication interface according to the well-known IrDA (infrared data association) specification.

[ blood sugar measurement operation of the blood sugar meter 102]

Next, a blood glucose measurement operation procedure in the normal measurement mode by the blood glucose meter 102 will be described. When the power switch is turned on and the normal measurement mode is selected by pressing the start button 205, the LCD201 displays the "normal mode" as shown in fig. 5.

(1) A patient ID (patient identification information) constituted by a bar code attached to a patient name card or the like is read using a bar code reader 208.

First, the read patient ID is used as a search key for the patient data table 112.

The patient data 114 transmitted from the measurement data management apparatus 104 in advance is converted into the patient data table 112 inside the blood glucose meter 102 and stored in the nonvolatile memory 614. The patient data table 112 is retrieved with the patient ID. If there is a matching record in the search, the patient ID is recorded in a blank record in the measurement data table 118.

(2) Then, the user ID formed of a bar code attached to a nurse name card or the like is read using the bar code reader 208.

It is verified whether the read user ID is included in the user basic data 115. The user basic data 115 is searched using the user ID as a search key, and if the user ID exists, the user basic data is recorded in a "user ID" area of the record in the measurement data table 118 in which the patient ID is recorded in advance.

(3) Next, a chip set number formed of a barcode printed on a frame or the like of the measurement chip 212 is read by the barcode reader 208.

It is verified whether the read chipset number is included in the chipset data 116 (see fig. 1). The chip group data 116 is searched using the chip group number as a search key, and if the chip group number exists, the chip group number is recorded in a "chip group number" area of a record specified in advance in the measurement data table 118.

(4) In (3), immediately after the chip set number is recorded in the "chip set number" area of the measurement data table 118, the temperature of the outside air is measured by the thermistor 606. Then, if the temperature of the outside air is determined to be within the predetermined range, it is recorded in the "temperature at measurement" area of the record specified in advance in the measurement data table 118.

(5) The measurement chip 212 is attached to the blood glucose level measurement unit of the blood glucose meter 102, and the blood glucose level is measured. The time data of the measured time is obtained by the calendar clock 607.

The measured blood glucose level is recorded in a "blood glucose level" area, which is a recording area specified in advance in the measurement data table 118. The time data is recorded in a previously specified recorded "measurement time" area of the measurement data table 118.

In addition, a flag indicating "fact" that "blood glucose level is measured" is recorded in the "measurement, display, and administration flag" region.

Then, the measured blood glucose level, patient ID, patient name, and measurement time are displayed on LCD201 (display unit 615).

(6) The measured blood glucose level is used to search the scale of the patient, and the type of the drug such as insulin prescribed to the patient and the dose thereof are displayed on the LCD 201. The slide rule is stored in each patient ID within the patient data table 112.

(7) The nurse gives insulin or the like in accordance with the prescription displayed on the LCD201, and then inputs the fact by pressing the start button 205. Then, a flag indicating "fact" of "prescription" is recorded in the "measurement, display, and assignment flag" area of the measurement data table 118.

By the measurement operation shown above, the following facts can be recorded in the measurement data table 118:

which patient

The time at which the measurement is scheduled is,

which one measures

The chip that is numbered with which chipset is used,

under the environment of which ambient gas temperature,

whether or not to measure the blood glucose level,

how much blood glucose level is (if blood glucose level is measured),

when (if blood glucose level is measured) this time is,

whether insulin is prescribed or not.

The blood glucose level measurement operation and the insulin prescription operation are performed within a predetermined time range after a meal of the patient. In addition, it may be performed within a predetermined time range before meals. The measurement operation and the prescription operation are performed collectively in a predetermined time range for a plurality of patients.

Such an operation unit for measuring blood glucose levels and/or insulin prescriptions for a plurality of patients concentrated in a predetermined time range is called "round", and is operated, for example, by "1 round 30 minutes after breakfast".

In order to avoid errors in the blood glucose level measurement operation and the insulin or other prescription operation, the blood glucose meter 102 transmits only data necessary for 1 cycle through the measurement data management device 104. The data are patient data 114, user base data 115, and chipset data 116.

After the circulation is completed, the blood glucose meter 102 and the measurement data management apparatus 104 must be connected via the USB data line 105 or the infrared communication window, and the measurement data table 118 must be transmitted from the blood glucose meter 102 to the measurement data management apparatus 104. The measurement data management device 104 receives the data table and records the data table in the internal patient history table 1212.

[ blood sugar measurement operation in Emergency measurement mode ]

Next, a blood glucose measurement operation flow in the emergency measurement mode by the blood glucose meter 102 will be described. In the emergency measurement mode, it is not necessary to check the patient ID, and it is also unnecessary to check the user ID and the chip set number and to check the insulin prescription fact. In this embodiment, a blood glucose measurement operation flow when checking a user ID and a chip set number and recording a fact of giving insulin will be described. When the confirmation power switch is turned on and the emergency button 206 is pressed, the emergency measurement mode is selected, and as shown in fig. 6, "emergency mode" is displayed on the LCD 201.

(1) When the emergency button 206 is pressed, a blank record of the measurement data table 118 is designated without a patient ID.

(2) Next, the user ID formed of a barcode attached to a nurse name card or the like is read using the barcode reader 208.

It is verified whether the read user ID is included in the user basic data 115. The user basic data 115 is searched using the user ID as a search key, and if the user ID exists, the user ID is recorded in the "user ID" area of the record in the measurement data table 118 in which the patient ID is recorded in advance.

(3) Next, a chip set number formed of a barcode printed on a frame or the like of the measurement chip 212 is read by the barcode reader 208.

It is verified whether the read chipset number is included in the chipset data 116 (see fig. 1). The chip group data 116 is searched using the chip group number as a search key, and if the chip group number exists, the chip group number is recorded in a "chip group number" area of a record specified in advance in the measurement data table 118.

(4) In (3), immediately after the chip set number is recorded in the "chip set number" area of the measurement data table 118, the temperature of the outside air is measured by the thermistor 606. Then, if the temperature of the outside air is determined to be within the predetermined range, it is recorded in a previously specified record "temperature at measurement" area of the measurement data table 118.

(5) The measurement chip 212 is attached to the blood glucose level measurement unit of the blood glucose meter 102, and the blood glucose level is measured. The time data of the measured time is obtained by the calendar clock 607.

The measured blood glucose level is recorded in a previously specified "blood glucose level" recording area of the measurement data table 118. The time data is recorded in a previously specified recording "measurement time" area of the measurement data table 118.

Further, a flag indicating "fact" that "blood glucose level was measured" is recorded in the "measurement, display, and administration flag" region.

Then, the measured blood glucose level, the measurement time, and the "emergency mode" are displayed on LCD201 (display unit 615).

(6) After the nurse gives the insulin or the like, the start button 205 is pressed to record a flag indicating "fact" that "prescription" is being performed for the insulin in the "measurement, display, and delivery flag" area of the measurement data table 118.

By the measurement operation shown above, the following facts can be recorded in the measurement data table 118:

which patient

The chip that is numbered with which chipset is used,

under the environment of which ambient gas temperature,

whether or not to measure the blood glucose level,

how much blood glucose level is (if blood glucose level is measured),

when (if blood glucose level is measured) this time is,

whether insulin is prescribed or not.

As described above, the measurement operation in the emergency measurement mode is explained, but the "blood glucose level" and the "measurement time" may be recorded without the "user ID", the "chip set number", the "fact of insulin prescription", and the like. Here, the "user ID", "chipset number", "fact of insulin prescription", and the like may be set such that additional recording is performed after the fact, as in the case of additional recording of the patient ID described below.

[ display of History records ]

Next, an operation of displaying the data history recorded in the blood glucose meter 102 will be described.

In the normal measurement mode, the mode is switched to the history display mode by pressing the history button 207.

(1) When the history button 207 is pressed, the history of the blood glucose level measured in the normal measurement mode is switched to the display screen, and a patient ID is input to specify which patient history is to be displayed. The patient ID is input by reading the patient ID formed of a barcode attached to a name card or the like of the patient using the barcode reader 208. Alternatively, the patient ID and the patient name list recorded in the patient data table may be selectively displayed on the LCD 201. Alternatively, a keyboard may be displayed on LCD201, and the patient ID and the patient name may be input through the keyboard displayed on LCD 201.

(2) When the patient ID is input, the blood glucose level of the latest data and the time information for obtaining the blood glucose level among the data associated with the patient ID recorded in the measurement data table 118 or the patient data table 112 are displayed on the LCD 201. Further, other information such as a patient ID, a patient name, and a user name may be additionally displayed. Further, an average value of blood glucose levels associated with the patient ID recorded in the measurement data table, a plurality of blood glucose levels obtained by tracing back in a time series, and the like may be displayed.

(3) Next, by pressing the history button 207, data sequentially delivered in time series associated with the patient ID can be displayed.

(4) On the other hand, when the start button 205 is pressed, a history of a new patient may be displayed.

(5) The operation is terminated by turning off the power by pressing the power button 204.

[ display of data history record and additional record of patient ID measured in Emergency measurement mode ]

Next, the display of the data history recorded in the blood glucose meter 102 and measured in the emergency measurement mode and the operation of inputting the patient ID after the fact will be described. In the emergency measurement mode, the transition is made by pressing the history button 207. (FIG. 7)

(1) When the history button 207 is pressed, the blood glucose level history measured in the emergency measurement mode is shifted to the display screen, and the blood glucose level of the latest data among the data in which the emergency measurement flag recorded in the measurement data table 118 is "ON" and the patient ID data is empty, and the time information for obtaining the blood glucose level are displayed ON the LCD 201. Further, other information such as the user's name may be additionally displayed.

(2) Next, by pressing the history button 207, of the data recorded in the measurement data table 118, in which the emergency measurement flag is "ON" and the patient ID data is empty, the data sequentially updated in time series is displayed ON the screen.

(3) On the other hand, when the emergency button 206 is pressed, the patient ID is required to be input in order to associate the displayed data with the patient ID after the fact. The patient ID is input by reading the patient ID formed of a barcode attached to a name card or the like of the patient using the barcode reader 208. Alternatively, a keyboard may be displayed on LCD201, and the patient ID and the patient name may be input through the keyboard displayed on LCD 201.

(4) After the patient ID is input, the input patient ID is written into the measurement data table 118 as data to be displayed via a confirmation screen of the input data or the like.

(5) By pressing the power button 204, the power is turned off, and the above operation is ended.

Fig. 8 is a diagram showing the internal configuration and relationship of each table. Fig. 8 is a graph based on a table relationship between transmission and reception between the measurement data management apparatus 104 and the blood glucose meter 102 shown in fig. 1.

All regions other than the "insulin therapy session" region of the patient data 114 transmitted from the measurement data management device 104 are directly recorded in the patient data table 112. The patient data table 112 is disposed in a non-volatile memory 614 within the blood glucose meter 102.

The "insulin therapy session" region of the patient data 114 is recorded in the "measurement, display, and assignment flag" region and the "presence or absence of measurement flag" region of the patient data table 112 by predetermined conversion processing.

The chipset data 116 and the user basic data 115 transmitted from the measurement data management device 104 are directly stored in the nonvolatile memory 614 inside the blood glucose meter 102. The information (the chip set number and the user ID) read by the barcode reader 208 during the measurement operation is recorded in the measurement data table 118 together with the patient ID.

[ patient data 114]

Thus, each region of the patient data 114 will be described.

At least any of the following is recorded within the "insulin therapy session" region of the patient data 114:

0: only the blood sugar level is measured

1: blood glucose measurement + insulin administration Using slide rule

2: blood glucose measurement + administration of insulin without the use of a slide rule (hereinafter referred to as "fixed injection")

5: insulin administration was performed only using a slide rule (blood sugar level was not measured)

6: only fixed injections of insulin were given (no blood glucose measurements were made).

The slide rule refers to prescription data. It is a table listing the amounts of drugs such as insulin administered for the range of blood glucose levels measured.

The term "fixed injection" means that a certain amount of a drug such as insulin is administered regardless of the result of measurement of blood glucose level.

The slide rule is stored in a "slide rule information" area of the patient data 114.

The value of the "insulin therapy partition" region of the patient data 114 is flag information for the blood glucose meter 102 indicating the operation that each patient should perform. For example,

if "0", the blood glucose level is measured only for the patient.

If "1", the blood glucose level of the patient is measured and insulin is administered using a slide rule.

The same applies to "2", "5" and "6" below.

The "patient ID" field is a number for identifying a patient and is recorded in a barcode attached to a patient's clothing or the like. The "patient pseudonym" field is a pseudonym consisting of the katakana of the patient's name. This is displayed on the LCD201 of the blood glucose meter 102 together with the patient ID, and is used for the purpose of enabling the measurer who operates the blood glucose meter 102 to accurately identify the patient in front of him or her.

The "blood glucose measurement scheduled time" region is scheduled time for performing a cycle, and may be used as a search key for specifying data on the measurement data management apparatus 104 side.

The "patient measurement history data" region is a region for storing a plurality of pieces of recent blood glucose level measurement history information of the patient. When the value of the "insulin therapy region" is "5", the blood glucose level measured most recently is stored in advance, and insulin is administered according to a scale based on the value.

The above is a description of each region of the patient data 114.

[ patient data Table 112]

Hereinafter, each region of the patient data table 112 will be described.

The "measurement, display, and administration flag" region is a region in which three flags, i.e., "blood glucose level measurement flag", "insulin administration amount display flag", and "insulin administration confirmation flag" are stored.

In the "presence or absence of a measurement marker" region,

when the "insulin therapy session" region of the patient data 114 is "0", "1", or "2", it is recorded as "1", indicating theoretical "true",

when the insulin therapy divisional area of the patient data 114 is "5" or "6", it is recorded as "0", indicating "false" theoretically.

The "measurement, display, and administration flag" region changes when (1) immediately after completion of the blood glucose level measurement operation, (2) when the amount of insulin to be administered is displayed, and (3) insulin administration is performed.

The contents of the "measurement, display, and assignment flag" region and the "presence or absence of a measurement flag" region are reflected in the "blood glucose measurement flag" region of the patient measurement data 117.

The "patient ID" region, "patient pseudonym" region, "scheduled blood glucose measurement time" region, "slide rule information" region, and "patient measurement history data" region may be copied from the patient data 114.

[ measurement data region 118]

The "patient ID" field records the patient ID read using the barcode reader 208. In the case of the emergency measurement mode, a vacant region is formed.

In the "user ID" region, the user ID read by the barcode reader 208 is checked based on the user basic data 115 and recorded.

In the "chip group number" region, the chip group number read by the barcode reader 208 is checked by the chip group data 116 and recorded.

The values in each of the "measurement time" region, the "blood glucose level" region, and the "measurement temperature" region are recorded during the blood glucose level measurement operation of the blood glucose meter 102.

In the "emergency measurement flag", the blood glucose level data measured in the emergency measurement mode is recorded as "1" as the flag ON, and the blood glucose level data measured in the normal measurement mode is recorded as "0" as the flag OFF.

As described above, the blood glucose meter 102 records the blood glucose level, the time at which the blood glucose level was obtained, and the patient ID in the measurement data table 118 in the normal measurement mode, and does not record the patient ID in the emergency measurement mode. In order to distinguish between data measured in the normal measurement mode and data measured in the emergency measurement mode, a flag indicating whether the normal measurement mode is OFF and the emergency measurement mode is ON is recorded. Records of blood glucose levels and times of obtaining blood glucose levels in the normal measurement mode and the emergency measurement mode coexist.

[ patient measurement data 117]

The contents of the "measurement, display, and assignment flag" area and the "measurement presence/absence flag" area of the patient data table are subjected to predetermined conversion processing, and are output as data of the "blood glucose measurement flag" area.

The measurement data table 118 data is directly output to the measurement data management device 104.

[ data migration from blood sugar level measuring apparatus to measurement data management apparatus ]

The blood glucose measuring device 102 and the measurement data management device 104 perform data communication via the USB data line 105 or the infrared communication window. The measurement data management device 104 records the content of the received patient measurement data 117 in the patient history table 1212 (fig. 9).

At this time, the patient measurement data 117 is recorded in the patient measurement temporary file 1806, and if the patient ID is empty, the content recorded in the patient history table 1212 composed of each file of each patient is checked against the content previously recorded in the patient information table 1205 with the patient ID in one measurement data column of the patient measurement data file as a search key. When the patient ID is empty, the measurement data column is left in the temporary file.

As a result of the above-described checking operation, if there is no mismatch between the instruction content and the progress result for all patients whose patient IDs are empty, the measurement data management device 104 displays "OK" on the display portion 907.

On the other hand, the blood glucose meter 102 can ensure that blood glucose level measurement or insulin administration is normally performed using only the latest data by the operation of erasing the data in the patient data table 112 after transferring the patient measurement data 117 to the measurement data management apparatus 104.

The blood glucose meter 102 stores only data of a patient who is a subject of 1 cycle and measurement data in an emergency measurement mode for emergency treatment occurring between cycles.

If the blood glucose level measurement and insulin administration are forgotten in some of the patients, the measurement data management device 104 verifies the received patient measurement data and identifies the patient who has not performed the blood glucose level measurement and insulin administration. Then, for these particular patients, data only for the necessary treatments that should be performed are again measured. Namely, "recycling" is performed.

The design of the blood glucose meter 102, so-called "performing a single-dose cycle", is based on the idea that errors in blood glucose level measurement and insulin administration are absolutely unlikely to occur.

Further, even when an emergency measurement is performed, since the emergency measurement data is not put in the blood glucose measuring device for a long time, it is not easy to associate the data in the emergency measurement mode with the patient to be measured.

Fig. 10 and 11 are flowcharts showing the processing procedure of the blood glucose meter 102.

The process of pressing the power switch 204 and the like is started (S1601). When the normal measurement mode is selected, the start button 205 of the blood glucose meter 102 is first pressed (S1602). When the power switch 204 is turned off, the process ends (S1603).

When the start button 205 is pressed (S1602), the blood glucose meter 102 performs a patient ID scanning process of reading the patient ID using the barcode reader 208 (S1604).

When the patient ID is read by the patient ID scanning process (S1604), the input/output control unit 1402 locates the record of the patient ID in the patient table 112 and observes the blood glucose level measurement flag and the insulin administration amount display flag (S1605). Here, if the blood glucose level measurement flag is true and the insulin administration amount display flag is false (N in S1605), the blood glucose meter 102 performs the blood glucose level expression (3) (S1606). If this is not the case, that is, if the blood glucose level measurement flag is false or the insulin administration amount display flag is true (Y in S1605), the blood glucose meter 102 performs the blood glucose level measurement process (S1607).

When the blood glucose level is measured by the blood glucose level measurement process (S1607), the input/output control unit 1402 confirms the insulin administration/amount display flag (S1608). If the insulin administration amount display flag is false (Y in S1608), the blood glucose meter 102 performs a blood glucose level display (1) process (S1611). If this is not the case, that is, if the insulin administration amount display flag is true (N in S1608), the blood glucose meter 102 performs the blood glucose level display (2) (S1609).

The description is continued with reference to fig. 11.

When the blood glucose meter 102 finishes the blood glucose level display (1) process (S1611), the operation by the user is changed to the following state.

When the blood glucose level measurement is performed again (N in S1712 and N in S1713), the patient blood glucose level measurement flag is in a false state (S1715), and the process returns to the patient ID scanning process (S1604).

When the patient whose blood glucose level is currently measured shifts to the next blood glucose level measurement without insulin administration (N in S1712 and Y in S1713), the blood glucose level measurement flag for the patient is set to true (S1714), and the process returns to the patient ID scanning process (S1604).

When a patient whose blood glucose level is currently being measured is prescribed insulin (Y in S1712), the blood glucose level measurement flag for that patient is set to true (S1716), and then insulin administration amount display processing is performed (S1717).

When the blood glucose level display (3) process (S1606) is finished, the blood glucose meter 102 displays the blood glucose level of the patient. Thereafter, the blood glucose meter 102 performs insulin administration amount display processing (S1717).

In the insulin administration amount display process (S1717), the blood glucose meter 102 displays the insulin administration amount for the patient based on the contents of the patient table 112. After the display processing, the input/output control unit 1402 sets the insulin administration amount display flag to true (S1718), and performs insulin administration confirmation processing (S1719).

In the insulin administration confirmation process (S1719), the blood glucose meter 102 waits for an input to ask the user whether or not to administer insulin.

As a result of the user operating the operation unit 608, if the user inputs that insulin administration has been performed (Y in S1720), the input/output control unit 1402 sets the insulin administration and confirmation flag to true (S1721), and displays "administered" (S1722). Then, when a selection item (Y in S1723) other than "return" (N in S1723) is selected (Y in S1723) in order to enable re-input, return is made to the start (Y in S1727) or the patient ID scanning process is started (N in S1727) in accordance with the selection result (S1727).

As a result of the user operating the operation unit 608, if the user inputs that insulin administration is not performed (N in S1720), the input/output control unit 1402 sets the insulin administration and confirmation flag to false (S1724), and displays "not administered yet" (S1725). Then, when a selection item (Y in S1726) other than "return" (N in S1726) is selected in order to enable re-input, the user returns to the start (Y in S1727) or starts (N in S1727) from the patient ID scanning process in accordance with the selection result (S1727) when the confirmation input is accepted (S1726).

Fig. 9 is a functional block diagram of the measurement data management device 104.

The measurement data management apparatus 104 may have various functions in addition to those disclosed in the present embodiment, but the present embodiment is described only for the functions related to the matching between the patient information table 1205 and the patient history table 1212.

The blood glucose meter operation unit 1803 performs the following operations: an operation of the measurement data management apparatus 104 to collect the patient measurement data 117 and the like from the blood glucose meter 102, and an operation of the measurement data management apparatus 104 to transmit the patient data 114 and the like to the blood glucose meter 102.

The input unit 909 is a keyboard, a mouse, or the like. The display portion 907 is an LCD display or the like. The input section 909 and the display section 907 are connected to the user interface control section 1804.

The user interface control unit 1804 displays a predetermined operation screen on the display unit 907. The input unit 909 receives an operation by the user, and changes the operation screen displayed on the display unit 907 or performs input and output of necessary data by the table input/output unit 1805.

The table input/output unit 1805 is an interface for inputting and outputting data stored in the nonvolatile memory 906 of the measurement data management apparatus 104, such as the patient history table 1212, the patient information table 1205, the patient measurement temporary file 1806, and the like, and data stored in the user interface control unit 1804 and the blood glucose meter operation unit 1803. In particular, a database manager called Middleware (Middleware).

The measurement data management device 104 needs to hold a large amount of data. In particular, the measurement data table 118 is downloaded from the blood glucose meter 102 and stored in the nonvolatile memory 906 every time the cycle is completed, and therefore the data amount gradually increases. In order to realize a rapid data input/output function for the large amount of data, it is preferable that middleware be present.

In addition, even in the construction process, the production efficiency can be improved when the middleware exists.

In fig. 9, only the patient history table 1212 and the patient information table 1205 are shown, but actually, many more tables exist. In fig. 8, a table that is not necessary for the description of the present embodiment is omitted.

A patient history table 1212 is created for each patient. Therefore, each patient ID is included in the table name of the patient history table 1212. This is a result of considering data storage efficiency. The table may be a single table of areas in which patient IDs are set.

The operation of the blood glucose meter 102 of the present invention is summarized as follows. FIG. 12 is a simplified operational flow diagram of the blood glucose meter 102. When the power button 204 of the blood glucose meter 102 is pressed (S1201), the state waits for the start button 205 or the emergency button 206 to be pressed (S1202). In this state, a menu screen may be formed on the LCD201 to display a prompt to select the start button and the emergency button. In addition, if there is no case, the mode can be switched to the normal measurement mode, and the emergency button 206 can also serve as an interrupt key to the CPU 602.

When the power button 204 is pressed and the power of the blood glucose meter 102 is turned ON (S1201), the start button 205 is pressed (S1202), and the urgent measurement flag is turned off (S1204), the process of the blood glucose measurement system in the normal case is performed, and the patient whose blood glucose level is to be measured is identified. As described above, the patient ID given to the patient is input by, for example, the barcode reader (S1205), and is checked against the information for identifying the patient stored in the storage unit (S1206). When the input patient ID is present in the patient list, the blood glucose level of the patient is measured by the blood glucose level measuring unit (S1207). When the input patient ID does not exist in the patient list, a warning is displayed on the display unit to wait for the input of a new patient ID.

When the blood glucose level is measured, the measurement result is displayed on the display unit (S1208), and the blood glucose level and the time at which the blood glucose level is obtained are stored in the storage unit in association with information such as the patient ID and the emergency measurement flag (S1209). Further, when the start button is pressed, the blood glucose measurement system may be processed for the next patient, and the blood glucose measurement may be repeated.

Next, the operation in the emergency measurement mode is described. When the power button 204 is pressed to turn ON the power of the blood glucose meter 102 (S1201), the operation for starting the emergency measurement is performed by pressing the emergency measurement button in S1202, thereby starting the operation in the emergency measurement mode. In the emergency measurement mode, after the emergency measurement flag is turned ON (S1210), the blood glucose level is measured by the blood glucose level measurement unit immediately without identifying the patient as is done in the normal case (S1207). When the blood glucose level is measured, the measurement result is displayed on the display unit (S1208), and the blood glucose level, the time for obtaining the blood glucose level, the emergency measurement flag, and the like are stored in the storage unit (S1209). Here, when the start button is pressed, the normal processing of the blood glucose measurement system may be performed. In S1202, when the power button 204 is pressed, the power is turned OFF (S1203).

Next, the operation of viewing the history in the normal measurement mode will be described with reference to fig. 13. When the power button 204 is pressed to turn ON the power of the blood glucose meter 102 (S1201) and the start button 205 is pressed, the emergency measurement flag is turned OFF (S1204), and the process of the blood glucose measurement system in the normal state is performed. When the history button 207 is pressed (S1302) in the normal measurement mode (S1301), the patient is identified and the history is displayed. As described above, the patient ID given to the patient is input by, for example, a barcode reader (S1304), and is checked against the information for identifying the patient recorded in the patient data table 112 (S1305). If the input patient ID is present in the patient list, the measurement data table 118 is referred to, and the latest data of the time at which the blood glucose level of the input patient ID is obtained is displayed on the LCD201 (S1306). When the input patient ID does not exist in the patient list, a warning is displayed on the display unit to wait for the input of a new patient ID. When the history button 207 is pressed in S1307, the next new data of the same patient is similarly displayed (S1308). In S1307, when the start button 205 is pressed, a state is assumed in which a new patient ID is waiting to be input. When the power button 204 is pressed in S1307, the power is turned OFF (S1309).

Next, the review of the measurement result in the emergency measurement mode and the processing related to information such as the patient ID will be described with reference to fig. 14. When the power button 204 is pressed to turn ON the power of the blood glucose meter 102 (S1201), the emergency measurement mode is started by operating the emergency measurement button to start the emergency measurement, that is, by pressing the emergency measurement button in S1202. When the history button 207 is pressed (S1402) in the emergency measurement mode (S1401), the measurement data table 118 is searched, and the latest data of the time at which the blood glucose level is obtained is displayed on the LCD201 among the data without the patient ID (S1403). In S1405, when the history button 207 is pressed, the next new data without the patient ID is similarly displayed (S1406). When the emergency button 206 is pressed in S1405, the patient is identified with respect to the displayed blood glucose level. As described above, for example, the patient ID assigned to the patient is input by the barcode reader (S1407), and the patient ID and the emergency measurement flag are written off in the measurement data table 118 for the displayed blood glucose level data (S1408). In S1405, when the power button 204 is pressed, the power is turned OFF (S1409).

In the present embodiment, a blood glucose level measuring system including a blood glucose level measuring apparatus and a measurement data management apparatus is disclosed. A blood glucose measuring device is characterized by comprising: an identification device that obtains patient identification information identifying a patient; a blood glucose level measuring device for measuring a blood glucose level of the patient; a timer for acquiring time information of the blood glucose level obtained by the blood glucose level measuring device; a display device for displaying the patient identification information of the patient, the blood sugar level of the patient, and the time information for obtaining the blood sugar level; a patient data table for storing the patient identification information; a control device including a normal measurement mode in which the patient identification information obtained by the identification device is checked against the patient data table, the measurement of the blood glucose level by the blood glucose level measurement device is permitted if the patient identification information is found in the patient data table, the measurement of the blood glucose level is prohibited if the patient identification information is not found in the patient data table, and an emergency measurement mode in which the measurement of the blood glucose level is permitted if the patient identification information is not obtained by the identification device; switching means for switching from the normal measurement mode to the emergency measurement mode; and a measurement data table in which, after the blood glucose level is obtained, the blood glucose level and time information for obtaining the blood glucose level are recorded in association with the patient identification information in the normal measurement mode, and the blood glucose level and time information for obtaining the blood glucose level are recorded in association with mode information for displaying the emergency measurement mode in the emergency measurement mode, by the control device.

This makes it possible to perform a quick and reliable normal measurement and to immediately respond to an emergency.

The embodiments of the present invention have been described above, but it is to be understood that the present invention is not limited to the above embodiments, and other modifications and application examples are also included without departing from the gist of the present invention described in the claims.

Claims (4)

1. A blood glucose measuring device, comprising:

an identification device that obtains patient identification information identifying a patient;

a blood glucose level measuring device for measuring a blood glucose level of the patient;

a timer for acquiring time information of the blood glucose level obtained by the blood glucose level measuring device;

a display device that displays patient identification information of the patient, a blood glucose level of the patient, and time information for obtaining the blood glucose level;

a patient data table storing the patient identification information;

a control device including a normal measurement mode in which the patient identification information obtained by the identification device is checked against the patient data table, measurement of a blood glucose level by the blood glucose level measurement device is permitted if the patient identification information is found in the patient data table, measurement of a blood glucose level is prohibited if the patient identification information is not found in the patient data table, and an emergency measurement mode in which the blood glucose measurement is permitted if the patient identification information is not obtained by the identification device;

switching means for switching from the normal measurement mode to the emergency measurement mode, the switching means being an emergency button; and

a measurement data table for recording, after the blood glucose level is obtained, the blood glucose level and time information for obtaining the blood glucose level in association with the patient identification information in the normal measurement mode and the blood glucose level and time information for obtaining the blood glucose level in association with mode information for displaying the emergency measurement mode in the emergency measurement mode by the control device,

the control device includes the following history mode:

in the normal measurement mode, the display device displays the blood glucose level associated with the selected patient identification information and time information for obtaining the blood glucose level,

in the emergency measurement mode, the display device displays the blood glucose level having the mode information and time information for obtaining the blood glucose level,

the history mode is:

in the emergency measurement mode, when the identification device acquires the patient identification information, the control device records the blood glucose level and the time information for acquiring the blood glucose level in the measurement data table in association with the patient identification information.

2. The blood glucose measuring apparatus according to claim 1, comprising a notification means that notifies whether it is an emergency measurement mode or not a normal measurement mode in the case of the emergency measurement mode.

3. The blood glucose measuring apparatus according to claim 1 or 2, comprising a communication device that transmits the patient identification information, the blood glucose level, the time information for obtaining the blood glucose level, and the pattern information as a series of pieces of transmission data and pieces of blank information that are not recorded, for one of the blood glucose levels recorded in the measurement data table, and transmits the transmission data on all of the blood glucose levels recorded in the measurement data table to an external device.

4. A measurement data management device for managing data of the blood glucose measurement device according to claim 3, comprising:

a host communication device in communication with the communication device;

a patient history table that records the blood glucose level measured in the normal measurement mode and time information for obtaining the blood glucose level in association with the patient identification information;

a patient measurement temporary file that records the list of transmission data in which the patient identification information measured in the emergency measurement mode is blank information; and

and a host controller that extracts the patient identification information from the list of transmission data, checks the extracted patient identification information against the patient history table, records the blood glucose level and time information for obtaining the blood glucose level in the patient history table in association with the patient identification information when the patient identification information is found in the patient history table, and records the blood glucose level and the time information for obtaining the blood glucose level in a patient measurement temporary file when the patient identification information is not found in the patient history table.