人工胰腺系统葡萄糖控制的闭环控制策略

Jamil Galadanci, R. Shafik, J. Mathew, A. Acharyya, D. Pradhan
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引用次数: 6

摘要

维持良好的血糖控制对1型糖尿病患者来说是一个持续的挑战。目前的胰岛素治疗方法被认为会使患者出现高血糖和低血糖发作。随着计算机科学技术的进步,人们提出了一种人工胰腺,它是一种计算机化的装置,可以通过替代健康胰腺的胰岛素供应功能来自动控制患者的血糖水平。该装置开发面临的主要挑战是全闭环控制系统。本文提出了一种具有自适应闭环控制策略的人工胰腺系统,该系统可以计算适当的胰岛素输注速率,从而使患者的血糖浓度保持在正常血糖范围内。这种适应性是通过严格的模式识别技术实现的,该技术通过葡萄糖监测仪在给定的采样步骤获得患者特异性葡萄糖读数。利用各种生理干扰和膳食摄入下的仿真结果评估了控制策略的性能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Closed-Loop Control Strategy for Glucose Control in Artificial Pancreas Systems
Maintaining good glycemic control is a continuous challenge for type-1 diabetic patients. The current means of insulin therapy are seen to subject patients to hyper- and hypoglycemic episodes. With the advancement of computer science and technology, an artificial pancreas, a computerized device that will automatically control patient's blood glucose level by providing the substitute for the insulin supply functionality of a healthy pancreas was proposed. The main challenge faced by the development of this device is a fully closed-loop control system. In this paper we proposed an artificial pancreas system with an adaptive closed-loop control strategy that computes the appropriate insulin infusion rate and thereby keeping the patient's blood glucose concentration within normoglycemic range. The adaptability is achieved through a rigorous pattern recognition technique with patient-specific glucose readings obtained through glucose monitor at a given sampling step. The performance of the control strategy is assessed using the simulation results carried out under various physiological disturbances and meal intake.
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