1型糖尿病患者血糖浓度的控制

Surekha Kamath
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引用次数: 4

摘要

随着“人造胰腺”越来越接近现实,基于实时血糖测量的自动胰岛素输送对糖尿病患者来说变得可行。本文采用一种新的方法来调节胰岛素强化治疗下的1型糖尿病患者的血糖水平。闭环控制方案采用鲁棒H¿¿控制器设计,维持正常血糖平均值为80 mg/dl。由于在真实患者身上测试控制算法的成本和复杂性,研究使用I型糖尿病患者模型进行。控制器的性能是根据其拒绝进食干扰的影响和克服患者之间葡萄糖-胰岛素动力学的可变性的能力来评估的。计算机模拟用于评估所提出的技术的有效性,并显示其在控制高血糖方面优于其他现有算法。
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Control of Blood Glucose Concentration in Type I Diabetic Patients
As the "artificial pancreas" becomes closer to reality, automated insulin delivery based on real-time glucose measurements becomes feasible for people with diabetes. This paper employs a new approach to regulate the blood glucose level of type I diabetic patient under an intensive insulin treatment. The closed-loop control scheme incorporates the design of robust H¿¿ controller to maintain the normoglycemic average of 80 mg/dl. Due to cost and complexity involved in testing the control algorithms to real patients, studies are done using a Type I diabetic patient model. Controller performance is assessed in terms of its ability to reject the effect of meal disturbance and to overcome the variability in the glucose-insulin dynamics from patient to patient. Computer simulations are used to evaluate the effectiveness of the proposed technique and to show its superiority in controlling hyperglycemia over other existing algorithms.
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