title: Mathematical modeling of the glucose-insulin system: a review.
abstract: Mathematical modeling of the glucose-insulin feedback system is necessary to the understanding of the homeostatic control, to analyze experimental data, to identify and quantify relevant biophysical parameters, to design clinical trials and to evaluate diabetes prevention or disease modification therapies. Much work has been made over the last 30years, and the time now seems ripe to provide a comprehensive review. The one here proposed is focused on the most important clinical/experimental tests performed to understand the mechanism of glucose homeostasis. The review proceeds from models of pancreatic insulin production, with a coarser/finer level of detail ranging over cellular and subcellular scales, to short-term organ/tissue models accounting for the intra-venous and the oral glucose tolerance tests as well as for the euglycemic hyperinsulinemic clamp, to total-body, long-term diabetes models aiming to represent disease progression in terms of β-cell population dynamics over a long period of years.
authors.affiliation: BioMatLab, IASI "A. Ruberti", National Council of Researches, UCSC Largo A. Gemelli 8, 00168 Rome, Italy.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Palumbo
authors.forename: Susanne
authors.initials: S
authors.lastname: Ditlevsen
authors.forename: Alessandro
authors.initials: A
authors.lastname: Bertuzzi
authors.forename: Andrea
authors.initials: A
authors.lastname: De Gaetano
mesh_terms: D000818:Animals; D001786:Blood Glucose / Q000378:metabolism*; D003920:Diabetes Mellitus / Q000097:blood / Q000503:physiopathology*; D006801:Humans; D007328:Insulin / Q000097:blood / Q000378:metabolism*; D000078790:Insulin Secretion; D008962:Models, Theoretical
chemical_list: D001786:Blood Glucose; D007328:Insulin
keywords: Diabetes; Euglycemic Hyperinsulinemic Clamp; IVGTT and OGTT; Insulin secretion and oscillations; Long-term diabetes; Minimal Model