access icon free Parameter estimation of a meal glucose–insulin model for TIDM patients from therapy historical data

The effect of meal on blood glucose concentration is a key issue in diabetes mellitus because its estimation could be very useful in therapy decisions. In the case of type 1 diabetes mellitus (T1DM), the therapy based on automatic insulin delivery requires a closed-loop control system to maintain euglycaemia even in the postprandial state. Thus, the mathematical modelling of glucose metabolism is relevant to predict the metabolic state of a patient. Moreover, the eating habits are characteristic of each person, so it is of interest that the mathematical models of meal intake allow to personalise the glycaemic state of the patient using therapy historical data, that is, daily measurements of glucose and records of carbohydrate intake and insulin supply. Thus, here, a model of glucose metabolism that includes the effects of meal is analysed in order to establish criteria for data-based personalisation. The analysis includes the sensitivity and identifiability of the parameters, and the parameter estimation problem was resolved via two algorithms: particle swarm optimisation and evonorm. The results show that the mathematical model can be a useful tool to estimate the glycaemic status of a patient and personalise it according to her/his historical data.

Inspec keywords: blood; patient diagnosis; patient monitoring; closed loop systems; sugar; biochemistry; diseases; particle swarm optimisation; parameter estimation; patient treatment; medical control systems; medical computing

Other keywords: T1DM; parameter estimation problem; glucose metabolism; mathematical modelling; carbohydrate intake; TIDM patients; meal glucose–insulin model; therapy historical data; postprandial state; mathematical model; closed-loop control system; automatic insulin delivery; metabolic state; blood glucose concentration; type 1 diabetes mellitus; insulin supply; meal intake; glucose records; therapy decisions; glycaemic state; data-based personalisation

Subjects: Patient care and treatment; Biomedical measurement and imaging; Biology and medical computing; Patient care and treatment; Biological and medical control systems; Patient diagnostic methods and instrumentation; Optimisation techniques

http://iet.metastore.ingenta.com/content/journals/10.1049/iet-syb.2018.5038
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