A model of the endogenous glucose balance incorporating the characteristics of glucose transporters

被引:16
作者
Arleth, T
Andreassen, S
Federici, MO
Benedetti, MM
机构
[1] Univ Aalborg, Dept Med Informat, Inst 8, DK-9100 Aalborg, Denmark
[2] Univ Perugia, Dept Internal Med & Endocrine & Metab Sci, I-06100 Perugia, Italy
关键词
endogenous glucose balance; glucose transporters; insulin; DIAS system;
D O I
10.1016/S0169-2607(00)00069-9
中图分类号
TP39 [计算机的应用];
学科分类号
081203 ; 0835 ;
摘要
This paper describes the development and preliminary test of a model of the endogenous glucose balance that incorporates the characteristics of the glucose transporters GLUT1, GLUT3 and GLUT4. In the modeling process the model is parameterized with nine parameters that are subsequently estimated from data in the literature on the hepatic- and endogenous- balances at various combinations of blood glucose and insulin levels. The ability of the resulting endogenous balance to fit blood glucose measured from patients was tested on 20 patients. The fit obtained with this model compared favorably with the fit obtained with the endogenous balance currently incorporated in the DIAS system. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:219 / 234
页数:16
相关论文
共 47 条
[1]   LACTATE AND GLUCOSE EXCHANGE ACROSS THE FOREARM, LEGS, AND SPLANCHNIC BED DURING AND AFTER PROLONGED LEG EXERCISE [J].
AHLBORG, G ;
FELIG, P .
JOURNAL OF CLINICAL INVESTIGATION, 1982, 69 (01) :45-54
[2]   SUBSTRATE TURNOVER DURING PROLONGED EXERCISE IN MAN - SPLANCHNIC AND LEG METABOLISM OF GLUCOSE, FREE FATTY-ACIDS, AND AMINO-ACIDS [J].
AHLBORG, G ;
FELIG, P ;
HAGENFELDT, L ;
HENDLER, R ;
WAHREN, J .
JOURNAL OF CLINICAL INVESTIGATION, 1974, 53 (04) :1080-1090
[3]   A PROBABILISTIC APPROACH TO GLUCOSE PREDICTION AND INSULIN DOSE ADJUSTMENT - DESCRIPTION OF METABOLIC MODEL AND PILOT EVALUATION STUDY [J].
ANDREASSEN, S ;
BENN, JJ ;
HOVORKA, R ;
OLESEN, KG ;
CARSON, ER .
COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE, 1994, 41 (3-4) :153-165
[4]  
ANDREASSEN S, 1991, LECTURE NOTES MED IN, V44, P239
[5]  
ARMITAGE P, 1987, STATISTICAL METHODS, P141
[6]   HEPATIC INSULIN ACTION IN ADOLESCENTS WITH INSULIN-DEPENDENT DIABETES-MELLITUS - RELATIONSHIP WITH LONG-TERM GLYCEMIC CONTROL [J].
ARSLANIAN, S ;
HEIL, BV ;
KALHAN, SC .
METABOLISM-CLINICAL AND EXPERIMENTAL, 1993, 42 (03) :283-290
[7]   EFFECTS OF HYPERGLYCEMIA ON GLUCOSE-PRODUCTION AND UTILIZATION IN HUMANS - MEASUREMENT WITH [2H-3] GLUCOSE, [3H-3] GLUCOSE, AND [6C-14] GLUCOSE [J].
BELL, PM ;
FIRTH, RG ;
RIZZA, RA .
DIABETES, 1986, 35 (06) :642-648
[8]   INCREASED GLUCOSE CARBON RECYCLING IN SEVERELY INSULIN DEFICIENT TYPE-1 (INSULIN-DEPENDENT) DIABETIC SUBJECTS [J].
BENN, JJ ;
RAI, R ;
SONKSEN, PH .
DIABETOLOGIA, 1990, 33 (03) :158-162
[9]   ABSORPTION KINETICS OF SUBCUTANEOUSLY INJECTED INSULIN - EVIDENCE FOR DEGRADATION AT THE INJECTION SITE [J].
BERGER, M ;
HALBAN, PA ;
GIRARDIER, L ;
SEYDOUX, J ;
OFFORD, RE ;
RENOLD, AE .
DIABETOLOGIA, 1979, 17 (02) :97-99
[10]   COMPUTER-SIMULATION OF PLASMA-INSULIN AND GLUCOSE DYNAMICS AFTER SUBCUTANEOUS INSULIN INJECTION [J].
BERGER, M ;
RODBARD, D .
DIABETES CARE, 1989, 12 (10) :725-736