title: Glucose-insulin regulation model with subcutaneous insulin injection and evaluation using diabetic inpatients data.
abstract: Closed-loop insulin delivery systems often implement glucose measurement and insulin administration in the subcutis. However some existing models for glucose-insulin system ignored the dynamics of subcutaneous glucose and subcutaneously-injected insulin. This paper reports a two-compartment model that includes glucose and insulin dynamics in subcutis, and its evaluation using patient data. Clinical information such as glucose level, insulin dosage, insulin injection time and meals of anonymous diabetes inpatients was collected. Measured glucose level of the diabetic inpatients agrees with that of computer simulation. Due to the lack of glucose-insulin model with subcutaneously-injected insulin for type 2 diabetic patients, our model was compared with existing model for type 1 subjects. The new glucose-insulin model can mimic dynamics of glucose and insulin under the disturbance of insulin injections and meals. Model parameters were estimated using nonlinear least square method and their effect on pathology and physiology of diabetes were analyzed.
authors.affiliation: EA 04-06, Control and Mechatronics Lab 1, Department of Mechanical Engineering, 9 Engineering Drive 1, National University of Singapore, Singapore 117576, Singapore. g0800347@nus.edu.sg
authors.forename: Zimei
authors.initials: Z
authors.lastname: Wu
authors.forename: Chee Kong
authors.initials: CK
authors.lastname: Chui
authors.forename: Geok Soon
authors.initials: GS
authors.lastname: Hong
authors.forename: Eric
authors.initials: E
authors.lastname: Khoo
authors.forename: Stephen
authors.initials: S
authors.lastname: Chang
mesh_terms: D000042:Absorption; D000328:Adult; D000368:Aged; D000465:Algorithms; D001786:Blood Glucose / Q000032:analysis*; D015190:Blood Glucose Self-Monitoring / Q000295:instrumentation* / Q000379:methods; D003198:Computer Simulation; D003920:Diabetes Mellitus / Q000097:blood / Q000188:drug therapy; D016903:Drug Monitoring / Q000379:methods*; D006801:Humans; D007279:Injections, Subcutaneous; D007297:Inpatients; D007328:Insulin / Q000008:administration & dosage* / Q000493:pharmacokinetics*; D007332:Insulin Infusion Systems; D016018:Least-Squares Analysis; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D008954:Models, Biological; D009991:Oscillometry / Q000379:methods; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D007328:Insulin
keywords: Diabetes; Glucose–insulin model; Model evaluation; Subcutaneously-injected insulin