An Intelligent Model-Based Effective Approach for Glycemic Control in Type-1 Diabetes

Sensors (Basel). 2022 Oct 13;22(20):7773. doi: 10.3390/s22207773.

Abstract

Type-1 diabetes mellitus (T1DM) is a challenging disorder which essentially involves regulation of the glucose levels to avoid hyperglycemia as well as hypoglycemia. For this purpose, this research paper proposes and develops control algorithms using an intelligent predictive control model, which is based on a UVA/Padova metabolic simulator. The primary objective of the designed control laws is to provide an automatic blood glucose control in insulin-dependent patients so as to improve their life quality and to reduce the need of an extremely demanding self-management plan. Various linear and nonlinear control algorithms have been explored and implemented on the estimated model. Linear techniques include the Proportional Integral Derivative (PID) and Linear Quadratic Regulator (LQR), and nonlinear control strategy includes the Sliding Mode Control (SMC), which are implemented in this research work for continuous monitoring of glucose levels. Performance comparison based on simulation results demonstrated that SMC proved to be most efficient in terms of regulating glucose profile to a reference level of 70 mg/dL compared to the classical linear techniques. A brief comparison is presented between the linear techniques (PID and LQR), and nonlinear technique (SMC) for analysis purposes proving the efficacy of the design.

Keywords: closed-loop insulin infusion systems; continuous glucose monitoring (CGM); glycemic targets; type-1 diabetes mellitus (T1DM).

MeSH terms

  • Algorithms
  • Blood Glucose / analysis
  • Blood Glucose Self-Monitoring / methods
  • Diabetes Mellitus, Type 1*
  • Glucose
  • Glycemic Control
  • Humans
  • Insulin
  • Insulin Infusion Systems

Substances

  • Blood Glucose
  • Insulin
  • Glucose

Grants and funding

This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF), which is funded by the Ministry of Education (NRF-2021R111A3053429).