期刊
IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING
卷 69, 期 3, 页码 1273-1280出版社
IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC
DOI: 10.1109/TBME.2021.3125839
关键词
Glucose; Insulin; Blood; IP networks; Adaptation models; Computational modeling; Sensitivity; Artificial pancreas (AP); power-law kinetics; model validation; parameter identification
资金
- ERCIM 'Alain Bensoussan' Fellowship Programme at the Norwegian University of Science and Technology (NTNU)
- Norwegian Research Council [248872/O70]
- Central Norway Regional Health Authority
- Johan Selmer Kvanes Endowment for Research and Combating of Diabetes
This study presents a simple model for estimating blood glucose concentration in Type 1 Diabetes Mellitus patients. The model includes power-law kinetics for intraperitoneal insulin absorption and a separate glucagon sensitivity state. By assessing parameter identifiability and performing model reduction, a simplified model with only 10 parameters is obtained, accurately representing glucose dynamics during intraperitoneal insulin and glucagon injections. The proposed model facilitates closed-loop control based on intraperitoneal bi-hormonal model in animal trials.
Objective: The design of an Artificial Pancreas (AP) to regulate blood glucose levels requires reliable control methods. Model Predictive Control has emerged as a promising approach for glycemia control. However, model-based control methods require computationally simple and identifiable mathematical models that represent glucose dynamics accurately, which is challenging due to the complexity of glucose homeostasis. Methods: In this work, a simple model is deduced to estimate blood glucose concentration in subjects with Type 1 Diabetes Mellitus (T1DM). Novel features in the model are power-law kinetics for intraperitoneal insulin absorption and a separate glucagon sensitivity state. Profile likelihood and a method based on singular value decomposition of the sensitivity matrix are carried out to assess parameter identifiability and guide a model reduction for improving the identification of parameters. Results: A reduced model with 10 parameters is obtained and calibrated, showing good fit to experimental data from pigs where insulin and glucagon boluses were delivered in the intraperitoneal cavity. Conclusion: A simple model with power-law kinetics can accurately represent glucose dynamics submitted to intraperitoneal insulin and glucagon injections. The reduced model was found to exhibit local practical as well as structural identifiability. Importance: The proposed model facilitates intraperitoneal bi-hormonal model-based closed-loop control in animal trials.
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