Subcutaneous Outpatient Management

A dosing controller comprising:

• data processing hardware;
• and
• memory hardware in communication with the data processing hardware, the memory hardware storing instructions for a subcutaneous outpatient program that when executed on the data processing hardware cause the data processing hardware to perform operations comprising:
• receiving sequential scheduled blood glucose time intervals throughout a day from a healthcare provider computing device in communication with the data processing hardware, each scheduled blood glucose time interval associated with a corresponding adjustable time boundary that does not overlap with other time boundaries associated with the other scheduled blood glucose time intervals;
• obtaining blood glucose data of the patient from a glucometer in communication with the computing device, the blood glucose data including blood glucose measurements of the patient, blood glucose times associated with the blood glucose measurements, and carbohydrate-to-insulin ratios associated with the blood glucose measurements;
• for each scheduled blood glucose time interval, aggregating the blood glucose measurements associated with the corresponding scheduled blood glucose time interval based on the blood glucose times to determine a corresponding representative aggregate blood glucose measurement associated with the corresponding scheduled blood glucose time interval;
• determining a next recommended carbohydrate-to-insulin ratio for the patient during a selected time interval based on the representative aggregate blood glucose measurement associated with the scheduled blood glucose time interval that occurs immediately after the selected time interval;
• obtaining a number of carbohydrates consumed by the patient during the selected time interval;
• determining a recommended meal bolus for the patient based on the next recommended carbohydrate-to-insulin ratio for the patient during the selected time interval and the number of carbohydrates consumed by the patient during the selected time interval;
• and
• transmitting the recommended meal bolus to an administration device in communication with the data processing hardware, the administration device comprising:
• a doser;
• and
• an administration computing device in communication with the doser, the administration computing device configured to automatically dial in a number of units of insulin for the recommended meal bolus and cause the doser to administer the number of units of insulin for the recommended meal bolus.