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Proportional Insulin Infusion in Closed-Loop Control of Blood Glucose

A differential equation model is formulated that describes the dynamics of glucose concentration in blood circulation. The model accounts for the intake of food, expenditure of calories and the control of glucose levels by insulin and glucagon. These and other hormones affect the blood glucose level...

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Detalles Bibliográficos
Autores principales: Grasman, Johan, Callender, Hannah L., Mensink, Marco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5217952/
https://www.ncbi.nlm.nih.gov/pubmed/28060898
http://dx.doi.org/10.1371/journal.pone.0169135
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author Grasman, Johan
Callender, Hannah L.
Mensink, Marco
author_facet Grasman, Johan
Callender, Hannah L.
Mensink, Marco
author_sort Grasman, Johan
collection PubMed
description A differential equation model is formulated that describes the dynamics of glucose concentration in blood circulation. The model accounts for the intake of food, expenditure of calories and the control of glucose levels by insulin and glucagon. These and other hormones affect the blood glucose level in various ways. In this study only main effects are taken into consideration. Moreover, by making a quasi-steady state approximation the model is reduced to a single nonlinear differential equation of which parameters are fit to data from healthy subjects. Feedback provided by insulin plays a key role in the control of the blood glucose level. Reduced β-cell function and insulin resistance may hamper this process. With the present model it is shown how by closed-loop control these defects, in an organic way, can be compensated with continuous infusion of exogenous insulin.
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spelling pubmed-52179522017-01-19 Proportional Insulin Infusion in Closed-Loop Control of Blood Glucose Grasman, Johan Callender, Hannah L. Mensink, Marco PLoS One Research Article A differential equation model is formulated that describes the dynamics of glucose concentration in blood circulation. The model accounts for the intake of food, expenditure of calories and the control of glucose levels by insulin and glucagon. These and other hormones affect the blood glucose level in various ways. In this study only main effects are taken into consideration. Moreover, by making a quasi-steady state approximation the model is reduced to a single nonlinear differential equation of which parameters are fit to data from healthy subjects. Feedback provided by insulin plays a key role in the control of the blood glucose level. Reduced β-cell function and insulin resistance may hamper this process. With the present model it is shown how by closed-loop control these defects, in an organic way, can be compensated with continuous infusion of exogenous insulin. Public Library of Science 2017-01-06 /pmc/articles/PMC5217952/ /pubmed/28060898 http://dx.doi.org/10.1371/journal.pone.0169135 Text en © 2017 Grasman et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Grasman, Johan
Callender, Hannah L.
Mensink, Marco
Proportional Insulin Infusion in Closed-Loop Control of Blood Glucose
title Proportional Insulin Infusion in Closed-Loop Control of Blood Glucose
title_full Proportional Insulin Infusion in Closed-Loop Control of Blood Glucose
title_fullStr Proportional Insulin Infusion in Closed-Loop Control of Blood Glucose
title_full_unstemmed Proportional Insulin Infusion in Closed-Loop Control of Blood Glucose
title_short Proportional Insulin Infusion in Closed-Loop Control of Blood Glucose
title_sort proportional insulin infusion in closed-loop control of blood glucose
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5217952/
https://www.ncbi.nlm.nih.gov/pubmed/28060898
http://dx.doi.org/10.1371/journal.pone.0169135
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