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bdb_branch.js
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bdb_branch.js
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function middleware(iob, currenttemp, glucose, profile, autosens, meal, reservoir, clock, pumphistory, preferences, basalProfile) {
// Dynamic ratios and TDD calculation
const BG = glucose[0].glucose;
var chrisFormula = preferences.enableChris;
var useDynamicCR = preferences.enableDynamicCR;
const minLimitChris = profile.autosens_min;
const maxLimitChris = profile.autosens_max;
const adjustmentFactor = preferences.adjustmentFactor;
const currentMinTarget = profile.min_bg;
var exerciseSetting = false;
var pumpData = 0;
var log = "";
var logTDD = "";
var logBasal = "";
var logBolus = "";
var logTempBasal = "";
var dataLog = "";
var logOutPut = "";
var current = 0;
var TDD = 0;
var insulin = 0;
var tempInsulin = 0;
var bolusInsulin = 0;
var scheduledBasalInsulin = 0;
var quota = 0;
function round(value, precision) {
var multiplier = Math.pow(10, precision || 0);
return Math.round(value * multiplier) / multiplier;
}
function addTimeToDate(objDate, _hours) {
var ms = objDate.getTime();
var add_ms = _hours * 36e5;
var newDateObj = new Date(ms + add_ms);
return newDateObj;
}
function subtractTimeFromDate(date, hours_) {
var ms_ = date.getTime();
var add_ms_ = hours_ * 36e5;
var new_date = new Date(ms_ - add_ms_);
return new_date;
}
function accountForIncrements(insulin) {
// If you have not set this to 0.05 in FAX settings (Omnipod), this will be set to 0.1 (Medtronic) in code.
var minimalDose = profile.bolus_increment;
if (minimalDose != 0.05) {
minimalDose = 0.1;
}
var incrementsRaw = insulin / minimalDose;
if (incrementsRaw >= 1) {
var incrementsRounded = Math.floor(incrementsRaw);
return round(incrementsRounded * minimalDose, 5);
} else { return 0; }
}
function makeBaseString(base_timeStamp) {
function addZero(i) {
if (i < 10) {i = "0" + i}
return i;
}
let hour = addZero(base_timeStamp.getHours());
let minutes = addZero(base_timeStamp.getMinutes());
let seconds = "00";
let string = hour + ":" + minutes + ":" + seconds;
return string;
}
function timeDifferenceOfString(string1, string2) {
//Base time strings are in "00:00:00" format
var time1 = new Date("1/1/1999 " + string1);
var time2 = new Date("1/1/1999 " + string2);
var ms1 = time1.getTime();
var ms2 = time2.getTime();
var difference = (ms1 - ms2) / 36e5;
return difference;
}
function calcScheduledBasalInsulin(lastRealTempTime, addedLastTempTime) {
var totalInsulin = 0;
var old = addedLastTempTime;
var totalDuration = (lastRealTempTime - addedLastTempTime) / 36e5;
var basDuration = 0;
var totalDurationCheck = totalDuration;
var durationCurrentSchedule = 0;
do {
if (totalDuration > 0) {
var baseTime_ = makeBaseString(old);
//Default basalrate in case none is found...
var basalScheduledRate_ = basalProfile[0].start;
for (let m = 0; m < basalProfile.length; m++) {
var timeToTest = basalProfile[m].start;
if (baseTime_ == timeToTest) {
if (m + 1 < basalProfile.length) {
let end = basalProfile[m+1].start;
let start = basalProfile[m].start;
durationCurrentSchedule = timeDifferenceOfString(end, start);
if (totalDuration >= durationCurrentSchedule) {
basDuration = durationCurrentSchedule;
} else if (totalDuration < durationCurrentSchedule) {
basDuration = totalDuration;
}
}
else if (m + 1 == basalProfile.length) {
let end = basalProfile[0].start;
let start = basalProfile[m].start;
// First schedule is 00:00:00. Changed places of start and end here.
durationCurrentSchedule = 24 - (timeDifferenceOfString(start, end));
if (totalDuration >= durationCurrentSchedule) {
basDuration = durationCurrentSchedule;
} else if (totalDuration < durationCurrentSchedule) {
basDuration = totalDuration;
}
}
basalScheduledRate_ = basalProfile[m].rate;
totalInsulin += accountForIncrements(basalScheduledRate_ * basDuration);
totalDuration -= basDuration;
console.log("Dynamic ratios log: scheduled insulin added: " + accountForIncrements(basalScheduledRate_ * basDuration) + " U. Bas duration: " + basDuration.toPrecision(3) + " h. Base Rate: " + basalScheduledRate_ + " U/h" + ". Time :" + baseTime_);
// Move clock to new date
old = addTimeToDate(old, basDuration);
}
else if (baseTime_ > timeToTest) {
if (m + 1 < basalProfile.length) {
var timeToTest2 = basalProfile[m+1].start
if (baseTime_ < timeToTest2) {
// durationCurrentSchedule = timeDifferenceOfString(end, start);
durationCurrentSchedule = timeDifferenceOfString(timeToTest2, baseTime_);
if (totalDuration >= durationCurrentSchedule) {
basDuration = durationCurrentSchedule;
} else if (totalDuration < durationCurrentSchedule) {
basDuration = totalDuration;
}
basalScheduledRate_ = basalProfile[m].rate;
totalInsulin += accountForIncrements(basalScheduledRate_ * basDuration);
totalDuration -= basDuration;
console.log("Dynamic ratios log: scheduled insulin added: " + accountForIncrements(basalScheduledRate_ * basDuration) + " U. Bas duration: " + basDuration.toPrecision(3) + " h. Base Rate: " + basalScheduledRate_ + " U/h" + ". Time :" + baseTime_);
// Move clock to new date
old = addTimeToDate(old, basDuration);
}
}
else if (m == basalProfile.length - 1) {
// let start = basalProfile[m].start;
let start = baseTime_;
// First schedule is 00:00:00. Changed places of start and end here.
durationCurrentSchedule = timeDifferenceOfString("23:59:59", start);
if (totalDuration >= durationCurrentSchedule) {
basDuration = durationCurrentSchedule;
} else if (totalDuration < durationCurrentSchedule) {
basDuration = totalDuration;
}
basalScheduledRate_ = basalProfile[m].rate;
totalInsulin += accountForIncrements(basalScheduledRate_ * basDuration);
totalDuration -= basDuration;
console.log("Dynamic ratios log: scheduled insulin added: " + accountForIncrements(basalScheduledRate_ * basDuration) + " U. Bas duration: " + basDuration.toPrecision(3) + " h. Base Rate: " + basalScheduledRate_ + " U/h" + ". Time :" + baseTime_);
// Move clock to new date
old = addTimeToDate(old, basDuration);
}
}
}
}
//totalDurationCheck to avoid infinite loop
} while (totalDuration > 0 && totalDuration < totalDurationCheck);
// amount of insulin according to pump basal rate schedules
return totalInsulin;
}
//------------- End of added functions ----------------------------------------------------
if (profile.high_temptarget_raises_sensitivity == true || profile.exercise_mode == true) {
exerciseSetting = true;
}
// Turns off Auto-ISF when using Dynamic ISF.
if (profile.use_autoisf == true && chrisFormula == true) {
profile.use_autoisf = false;
}
// Turn off Chris' formula (and AutoISF) when using a temp target >= 118 (6.5 mol/l) and if an exercise setting is enabled.
if (currentMinTarget >= 118 && exerciseSetting == true) {
profile.use_autoisf = false;
chrisFormula = false;
log = "Dynamic ISF temporarily off due to a high temp target/exercising. Current min target: " + currentMinTarget;
}
// Check that there is enough pump history data (>23.5 hours) for TDD calculation, else estimate a TDD using using missing hours with scheduled basal rates.
if (chrisFormula == true) {
let ph_length = pumphistory.length;
var endDate = new Date(pumphistory[ph_length-1].timestamp);
var startDate = new Date(pumphistory[0].timestamp);
// If latest pump event is a temp basal
if (pumphistory[0]._type == "TempBasalDuration") {
startDate = new Date();
}
pumpData = (startDate - endDate) / 36e5;
if (pumpData < 23.5) {
var missingHours = 24 - pumpData;
// Makes new end date for a total time duration of exakt 24 hour.
var endDate_ = subtractTimeFromDate(endDate, missingHours);
// endDate - endDate_ = missingHours
scheduledBasalInsulin = calcScheduledBasalInsulin(endDate, endDate_);
dataLog = "24 hours of data is required for an accurate TDD calculation. Currently only " + pumpData.toPrecision(3) + " hours of pump history data are available. Using your pump scheduled basals to fill in the missing hours. Scheduled basals added: " + scheduledBasalInsulin.toPrecision(5) + " U. ";
} else { dataLog = ""; }
}
// Calculate TDD --------------------------------------
//Bolus:
for (let i = 0; i < pumphistory.length; i++) {
if (pumphistory[i]._type == "Bolus") {
bolusInsulin += pumphistory[i].amount;
}
}
// Temp basals:
for (let j = 1; j < pumphistory.length; j++) {
if (pumphistory[j]._type == "TempBasal" && pumphistory[j].rate > 0) {
current = j;
quota = pumphistory[j].rate;
var duration = pumphistory[j-1]['duration (min)'] / 60;
var origDur = duration;
var pastTime = new Date(pumphistory[j-1].timestamp);
// If temp basal hasn't yet ended, use now as end date for calculation
do {
j--;
if (j <= 0) {
morePresentTime = new Date();
break;
} else if (pumphistory[j]._type == "TempBasal" || pumphistory[j]._type == "PumpSuspend") {
morePresentTime = new Date(pumphistory[j].timestamp);
break;
}
}
while (j >= 0);
var diff = (morePresentTime - pastTime) / 36e5;
if (diff < origDur) {
duration = diff;
}
insulin = quota * duration;
tempInsulin += accountForIncrements(insulin);
j = current;
}
}
// Check and count for when basals are delivered with a scheduled basal rate or an Autotuned basal rate.
// 1. Check for 0 temp basals with 0 min duration. This is for when ending a manual temp basal and (perhaps) continuing in open loop for a while.
// 2. Check for temp basals that completes. This is for when disconnected from link/iphone, or when in open loop.
// 3. Account for a punp suspension. This is for when pod screams or when MDT or pod is manually suspended.
// 4. Account for a pump resume (in case pump/cgm is disconnected before next loop).
// To do: are there more circumstances when scheduled basal rates are used?
//
for (let k = 0; k < pumphistory.length; k++) {
// Check for 0 temp basals with 0 min duration.
insulin = 0;
if (pumphistory[k]['duration (min)'] == 0 || pumphistory[k]._type == "PumpResume") {
let time1 = new Date(pumphistory[k].timestamp);
let time2 = time1;
let l = k;
do {
--l;
if (pumphistory[l]._type == "TempBasal" && l >= 0) {
time2 = new Date(pumphistory[l].timestamp);
break;
}
} while (l > 0);
// duration of current scheduled basal in h
let basDuration = (time2 - time1) / 36e5;
if (basDuration > 0) {
scheduledBasalInsulin += calcScheduledBasalInsulin(time2, time1);
}
}
}
// Check for temp basals that completes
for (let n = pumphistory.length -1; n > 0; n--) {
if (pumphistory[n]._type == "TempBasalDuration") {
// duration in hours
let oldBasalDuration = pumphistory[n]['duration (min)'] / 60;
// time of old temp basal
let oldTime = new Date(pumphistory[n].timestamp);
var newTime = oldTime;
let o = n;
do {
--o;
if (o >= 0) {
if (pumphistory[o]._type == "TempBasal" || pumphistory[o]._type == "PumpSuspend") {
// time of next (new) temp basal or a pump suspension
newTime = new Date(pumphistory[o].timestamp);
break;
}
}
} while (o > 0);
// When latest temp basal is index 0 in pump history
if (n == 0 && pumphistory[0]._type == "TempBasalDuration") {
newTime = new Date();
oldBasalDuration = pumphistory[n]['duration (min)'] / 60;
}
let tempBasalTimeDifference = (newTime - oldTime) / 36e5;
let timeOfbasal = tempBasalTimeDifference - oldBasalDuration;
// if duration of scheduled basal is more than 0
if (timeOfbasal > 0) {
// Timestamp after completed temp basal
let timeOfScheduledBasal = addTimeToDate(oldTime, oldBasalDuration);
scheduledBasalInsulin += calcScheduledBasalInsulin(newTime, timeOfScheduledBasal);
}
}
}
// ----------------------------------------------------
TDD = bolusInsulin + tempInsulin + scheduledBasalInsulin;
logBolus = ". Bolus insulin: " + bolusInsulin.toPrecision(5) + " U";
logTempBasal = ". Temporary basal insulin: " + tempInsulin.toPrecision(5) + " U";
logBasal = ". Insulin with scheduled basal rate: " + scheduledBasalInsulin.toPrecision(5) + " U";
logTDD = ". TDD past 24h is: " + TDD.toPrecision(5) + " U";
var startLog = "Dynamic ratios log: ";
var afLog = "AF: " + adjustmentFactor + ". ";
var bgLog = "BG: " + BG + " mg/dl (" + (BG * 0.0555).toPrecision(2) + " mmol/l). ";
var formula = "";
// Insulin curve
const curve = preferences.curve;
const ipt = preferences.insulinPeakTime;
const ucpk = preferences.useCustomPeakTime;
var insulinFactor = 55;
switch (curve) {
case "rapid-acting":
insulinFactor = 55;
break;
case "ultra-rapid":
if (ipt < 75 && ucpk == true) {
insulinFactor = 120 - ipt;
} else { insulinFactor = 70; }
break;
}
// Modified Chris Wilson's' formula with added adjustmentFactor for tuning and to use instead of autosens.ratio:
// var newRatio = profile.sens * adjustmentFactor * TDD * BG / 277700;
//
// New logarithmic formula : var newRatio = profile.sens * adjustmentFactor * TDD * ln(( BG/insulinFactor) + 1 )) / 1800
//
if (preferences.useNewFormula == true) {
var newRatio = profile.sens * adjustmentFactor * TDD * Math.log(BG/insulinFactor+1) / 1800;
formula = "Logarithmic formula. InsulinFactor: " + insulinFactor + ". ";
}
else {
var newRatio = profile.sens * adjustmentFactor * TDD * BG / 277700;
formula = "Original formula. ";
}
var cr = profile.carb_ratio;
if (chrisFormula == true && TDD > 0) {
// Respect autosens.max and autosens.min limits
if (newRatio > maxLimitChris) {
log = "Dynamic ISF hit limit by autosens_max setting: " + maxLimitChris + " (" + newRatio.toPrecision(3) + "), ";
newRatio = maxLimitChris;
} else if (newRatio < minLimitChris) {
log = "Dynamic ISF hit limit by autosens_min setting: " + minLimitChris + " (" + newRatio.toPrecision(3) + "). ";
newRatio = minLimitChris;
}
// Dynamic CR (Test)
if (useDynamicCR == true) {
cr = round(cr/newRatio, 2);
profile.carb_ratio = cr;
var logCR = " Dynamic CR: " + cr + " g/U";
} else { var logCR = " CR: " + cr + " g/U"; }
var isf = profile.sens / newRatio;
log += "Dynamic autosens.ratio set to " + newRatio.toPrecision(3) + " with ISF: " + isf.toPrecision(3) + " mg/dl/U (" + (isf * 0.0555).toPrecision(3) + " mmol/l/U) and" + logCR;
// Set the new ratio
autosens.ratio = newRatio;
logOutPut = startLog + dataLog + bgLog + afLog + formula + log + logTDD + logBolus + logTempBasal + logBasal;
} else if (chrisFormula == false && useDynamicCR == true) {
logOutPut = startLog + bgLog + afLog + formula + "Dynamic ISF is off." + logCR;
} else {
logOutPut = startLog + "Dynamic ISF is off. Dynamic CR is off." ;
}
return logOutPut;
}