1. A method of treating type 2 diabetes comprising:
anchoring a flexible sleeve within a non-obese diabetic patient, the sleeve being open at both ends; and
extending the flexible sleeve into the duodenum, thereby having a therapeutic effect on diabetes.
2. The method of claim 1, wherein the flexible sleeve is anchored in the stomach.
3. The method of claim 1, wherein the flexible sleeve is anchored distal to the pylorus.
4. The method of claim 1, wherein the flexible sleeve is floppy.
5. The method of claim 1, wherein the sleeve is of a length that chyme exiting the stomach funneled through the proximal end of the sleeve exits the sleeve through the distal end below the ligament of Treitz.
6. The method of claim 1, wherein the sleeve is coated with silicone.
7. The method of claim 1, wherein the sleeve is coated with polyurethane.
8. The method of claim 1, wherein the sleeve is formed of polyethylene.
9. The method of claim 1, wherein the distal end of the sleeve is directionally textured.
10. The method of claim 1, wherein barbs extend from the exterior surface of the sleeve for anchoring the proximal portion of the sleeve, the barbs being coupled to a collapsible sleeve anchor.
11. The method of claim 10, wherein the barbs are configured for anchoring the proximal portion of the sleeve to the stomach.
12. The method of claim 10, wherein the barbs are configured for anchoring the proximal portion of the sleeve distal to the pylorus.
13. The method of claim 10, wherein the barbs are bi-directional.
14. The method of claim 13, wherein the barbs anchor the flexible sleeve to the pyloric muscle in the stomach.
15. The method of treatment of claim 10, wherein a first plurality of barbs are oriented in a proximal direction and a second plurality of barbs are oriented in a distal direction.
16. The method of claim 10, wherein the barbs are configured to anchor the flexible sleeve to muscle.
17. The method of claim 1, wherein the sleeve causes enzymes secreted in the duodenum to pass through the duodenum outside the sleeve.
18. The method of claim 1, comprising inserting the flexible sleeve endoscopically with a catheter.
19. The method of claim 1, wherein the flexible sleeve is configured to be removed endoscopically with a removal device.
20. The method of treatment of claim 1, wherein the sleeve has a coefficient of friction of less than 0.2.
21. The method of claim 1, wherein the method results in complete reversal of Type-2 Diabetes.
The claims below are in addition to those above.
All refrences to claim(s) which appear below refer to the numbering after this setence.
1. An apparatus for controlling peak demand of a system of energy consuming devices, the apparatus comprising:
a first control node, coupled to a second control node via a demand coordination network, said first control node comprising:
a node processor, coupled to a first energy consuming device, configured to operate the first energy consuming device within an acceptable operating margin to maintain a first local environment by cycling on and off;
a global schedule module, coupled to said node processor, configured to coordinate run times for said first energy consuming device and a second energy consuming device, wherein the coordination is based on a replica copy of a global run time schedule disposed within said first and second control nodes, an adjusted first descriptor set characterizing said first local environment, and an adjusted second descriptor set characterizing a second local environment;
a local model module, coupled to said node processor and said global schedule module, configured to develop a third descriptor set characterizing a third local environment associated with said first energy consuming device; and
a global model module, coupled to said node processor, said local model module, and said global schedule module, configured to develop said adjusted first and second descriptor sets, wherein said adjusted first and second descriptor sets are based upon said third descriptor set, a fourth descriptor set characterizing a fourth local environment associated with said second energy consuming device, and global sensor data received over said demand coordination network.
2. The apparatus as recited in claim 1, wherein said global schedule module coordinates said run times to reduce the peak demand of an energy resource.
3. The apparatus as recited in claim 1, wherein said global schedule module coordinates said run times by advancing a first start time.
4. The apparatus as recited in claim 3, wherein said global schedule module coordinates said run times by deferring a second start time.
5. The apparatus as recited in claim 4, wherein said global schedule module coordinates said run times by increasing a duty cycle.
6. An apparatus for controlling peak demand of a system of energy consuming devices, the apparatus comprising:
a first control node, coupled to a second control node via a demand coordination network, said first control node comprising:
a node processor, coupled to a first energy consuming device, configured to operate the first energy consuming device within an acceptable operating margin to maintain a first local environment;
a global schedule module, coupled to said node processor, configured to coordinate run times for said first energy consuming device and a second energy consuming device, wherein the coordination is based on a replica copy of a global run time schedule disposed within said first and second control nodes, an adjusted first descriptor set characterizing said first local environment, and an adjusted second descriptor set characterizing a second local environment;
a local schedule module, coupled to said node processor and said global schedule module, configured to direct said first energy consuming device to cycle on and off at appropriate times as a function of a device actuation schedule provided by said global schedule module;
a local model module, coupled to said node processor and said global schedule module, configured to develop a third descriptor set characterizing a third local environment associated with said first energy consuming device; and
a global model module, coupled to said node processor, said local model module, and said global schedule module, configured to develop said adjusted first and second descriptor sets, wherein said adjusted first and second descriptor sets are based upon said third descriptor set, a fourth descriptor set characterizing a fourth local environment associated with said second energy consuming device, and global sensor data received over said demand coordination network.
7. The apparatus as recited in claim 6, wherein said global schedule module coordinates said run times to reduce the peak demand of an energy resource.
8. The apparatus as recited in claim 6, wherein said global schedule module coordinates said run times by advancing a first start time.
9. The apparatus as recited in claim 8, wherein said global schedule module coordinates said run times by deferring a second start time.
10. The apparatus as recited in claim 9, wherein said global schedule module coordinates said run times by increasing a duty cycle.
11. A method for controlling peak demand of a system of energy consuming devices, the method comprising:
coupling a first control node and a second control node together via a demand coordination network;
via the first control node, operating a first energy consuming device within an acceptable operating margin to maintain a first local environment by cycling on and off;
coordinating run times for the first energy consuming device and a second energy consuming device, wherein the coordination is based on a replica copy of a global run time schedule disposed within the first and second control nodes respectively coupled to the first and second energy consuming devices, an adjusted first descriptor set characterizing the first local environment, and an adjusted second descriptor set characterizing a second local environment;
first developing a third descriptor set characterizing a third local environment associated with the first energy consuming device; and
second developing the adjusted first and second descriptor sets, wherein said second developing is based upon the third descriptor set, a fourth descriptor set characterizing a fourth local environment associated with the second energy consuming device, and global sensor data received over the demand coordination network.
12. The method as recited in claim 11, wherein said coordinating is performed to reduce the peak demand of an energy resource.
13. The method as recited in claim 11, wherein said coordinating comprises:
advancing a first start time.
14. The method as recited in claim 13, wherein said coordinating further comprises:
deferring a second start time.
15. The method as recited in claim 14, wherein said coordinating further comprises:
increasing a duty cycle.