Title
Reduced hypoglycemia risk in insulin bolus therapy using asymmetric cost functions
Date Issued
11 December 2009
Access level
metadata only access
Resource Type
conference paper
Author(s)
Kirchsteiger H.
Universidad Johannes Kepler de Linz
Publisher(s)
Universidad Johannes Kepler de Linz
Abstract
A healthy glucose regulatory metabolism keeps blood glucose concentration in a relatively small range by producing insulin to store excessive blood glucose in the liver and other mechanisms, in particular glucagon, to release glucose from the liver into the blood if necessary. Type 1 diabetic patients do not have sufficient endogenous insulin and have to compensate its lack by external administrations. This paper is concerned with the multiple daily insulin injections (MDII) case. Insufficient insulin administration leads to high blood glucose values which cause dangerous long term effects, while excessive insulin can lead to very low glucose concentrations and, as a consequence, coma. Therefore, the control problem solved by the patient can be described in terms of a constrained optimal problem with input and state constraints, this being probably the cause of the large interest in the use of model predictive control (MPC) for this problem. Unfortunately, to respect the output constraint problem, MPC needs models, and diabetes models tend to be very imprecise. Against this background, this paper proposes to use an asymmetric cost function to replace the output constraints. A simulation study is used to assess the potential advantage in terms of sensitivity to model error and thus the hypoglycaemia risk associated to the use of MPC in this therapy. ©2009 ACA.
Start page
751
End page
756
Language
English
OCDE Knowledge area
Endocrinología, Metabolismo (incluyendo diabetes, hormonas)
Scopus EID
2-s2.0-71449093249
Resource of which it is part
Proceedings of 2009 7th Asian Control Conference, ASCC 2009
ISBN of the container
9788995605691
Conference
2009 7th Asian Control Conference, ASCC 2009
Sources of information: Directorio de Producción Científica Scopus