A novel insulin delivery algorithm in rats with Type 1 diabetes: The fading memory proportional-derivative method

被引:26
作者
Gopakumaran, B [1 ]
Duman, HM [1 ]
Overholser, DP [1 ]
Federiuk, IF [1 ]
Quinn, MJ [1 ]
Wood, MD [1 ]
Ward, WK [1 ]
机构
[1] Legacy Clin Res & Technol Ctr, Portland, OR 97232 USA
关键词
artificial pancreas; fading memory; Type; 1; diabetes; performance index; closed-loop algorithm;
D O I
10.1111/j.1525-1594.2005.29096.x
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
An algorithm designed to automatically control insulin delivery was tested in rats with Type 1 diabetes. This nonlinear algorithm included a fading memory component of proportional and derivative errors in order to simulate normal insulin secretion. Error-weighting functions for the proportional and derivative terms were used with a performance index designed for error adaptation. In the first version of the algorithm, the proportional gain was adaptively varied. In the second version, a low rate of basal insulin delivery was adaptively varied. Six 6-h studies with each version were conducted using frequent blood sampling and intravenous insulin delivery. In Version 2 studies, blood glucose levels during the last two hours were well-controlled and significantly lower than in Version 1 (118 +/- 2.0 vs. 130 +/- 2.9 mg/dL). Neither version produced hypoglycemia. Future research using this algorithm needs to focus on automated glucose sensing in combination with insulin delivery.
引用
收藏
页码:599 / 607
页数:9
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