Postprandial response improvement via safety layer in closed-loop blood glucose controllers
Título | Postprandial response improvement via safety layer in closed-loop blood glucose controllers |
Tipo de Publicación | Journal Article |
Año de Publicación | 2015 |
Autores | León-Vargas F, Garelli F, De Battista H, Vehí J |
Journal | Biomedical Signal Processing and Control |
Volumen | 16 |
Páginas | 80-87 |
Resumen | Traditional type 1 diabetes therapies are prone to show poor glucose regulation especially in the postprandial period owing to both physiological and technological limitations. Although a closed-loop controller for glucose regulation has to be tuned to minimize the postprandial excursion and avoid late hypoglycemia, the intrinsic limitations of the problem lead to a trade-off between postprandial peak and late hypoglycemia risk. This paper reveals through an intensive in-silico study with multiple controller tuning combinations that a novel safety layer for glucose controllers, the so-called SAFE loop (Revert et al., 2013), not only reduces the hypoglycemia events but also allows reducing the postprandial glucose excursion, thus breaking the implicit trade-off present in single controllers. The SAFE outer loop monitors the estimated amount of insulin on board, and modifies the control action if it is close to a unique constraint which can be adjusted with clinical criteria. A very challenging test scenario is here implemented including the rate of blood glucose appearance from intakes of mixed meals, diurnal and day-to-day time-varying metabolic changes, inherent drawbacks in sensor and actuator, and other realistic conditions. The results show a significant reduction of hypoglycemia events when SAFE is added, regardless the closed-loop glucose controller, together with a potential postprandial response improvement. |
URL | http://www.scopus.com/inward/record.url?eid=2-s2.0-84910030806&partnerID=40&md5=23aa19a2b59e400d05ae30435b8b33e2 |
DOI | 10.1016/j.bspc.2014.10.003 |