Modeling of 24-hour glucose and insulin profiles of patients with type 2 diabetes

J Clin Pharmacol. 2011 Feb;51(2):153-64. doi: 10.1177/0091270010362536. Epub 2010 Mar 10.

Abstract

A model able to simultaneously characterize and simulate 24-hour glucose and insulin profiles following multiple meal tests was developed, extending an integrated glucose-insulin model for oral glucose tolerance tests that was previously published. The analysis was based on glucose and insulin measurements from 59 placebo-treated patients with type 2 diabetes. Circadian variations in glucose homeostasis were assessed on relevant parameters based on literature review. They were best described by a nighttime dip in insulin secretion between approximately 9 p.m. and 5 a.m. using a modulator function. The integrated glucose-insulin model has thus been shown to be applicable to real-life situations determined by multiple meals over the course of a day. This provides the basis for the analysis and simulation of long-term glucose and insulin data. The model may also prove useful for understanding antidiabetic drug actions and requirements in the context of circadian changes in glucose-insulin regulation.

Publication types

  • Controlled Clinical Trial
  • Multicenter Study

MeSH terms

  • Blood Glucose / metabolism*
  • Circadian Rhythm
  • Diabetes Mellitus, Type 2 / physiopathology*
  • Female
  • Glucose Tolerance Test
  • Homeostasis
  • Humans
  • Insulin / blood*
  • Male
  • Middle Aged
  • Models, Biological*
  • Nonlinear Dynamics

Substances

  • Blood Glucose
  • Insulin