Title
Identification of diurnal patterns in insulin action from measured CGM data for patients with T1DM
Abstract
We propose a method to identify diurnal changes in insulin action in patients suffering from type 1 diabetes mellitus (T1DM) based on data recorded by continuous glucose monitoring systems (CGMS). In order to do so the data is fitted using a continuous time transfer function including time dependent terms. The identified values for the insulin needs per gram of carbohydrate were compared with the patient-specific carbohydrate-to-insulin-ratios used for the calculation of the bolus insulin needs. A good agreement between the identified parameters and values determined by diabetologists were found. Furthermore, the diurnal variations in insulin action (as inferred from the changes in the patient-specific carbohydrate-to-insulin-ratios) could be reproduced. The identified models, including the diurnal changes in insulin action and the information on the intra-patient variability, have the potential to be used in future studies for managing the blood glucose level of patients, e.g. in a smart bolus calculator.
Year
DOI
Venue
2015
10.1109/ECC.2015.7330516
2015 European Control Conference (ECC)
Keywords
Field
DocType
Biomedical Systems,Blood Glucose Control,Type 1 Diabetes,System Identification
Diabetes mellitus,Continuous glucose monitoring,Internal medicine,Insulin,Type 1 diabetes,Bolus (digestion),Medicine,Endocrinology,Carbohydrate
Conference
Citations 
PageRank 
References 
0
0.34
6
Authors
4
Name
Order
Citations
PageRank
florian reiterer100.34
Harald Kirchsteiger2335.62
Guido Freckmann311.39
Luigi del Re413131.55