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Velocity-weighting to prevent controller-induced hypoglycemia in MPC of an artificial pancreas to treat T1DM

机译:速度加权可防止控制器诱导的人工胰腺MPC中低血糖患者治疗T1DM

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The design of a Model Predictive Control (MPC) strategy for the closed-loop operation of an Artificial Pancreas (AP) to treat type 1 diabetes mellitus is considered. The contribution of this paper is to propose a velocity-weighting mechanism, within an MPC problem's cost function, that facilitates penalizing predicted hyperglycemic blood-glucose excursions based on the predicted blood-glucose levels' rates of change. The method provides the control designer some freedom for independently shaping the AP's uphill versus downhill responses to hyperglycemic excursions; of particular emphasis in this paper is the downhill response. The proposal aims to tackle the dangerous issue of controller-induced hypoglycemia following large hyperglycemic excursions, e.g., after meals, that results in part due to the large delays of subcutaneous glucose sensing and subcutaneous insulin infusion - the case considered here. The efficacy of the proposed approach is demonstrated using the University of Virginia/Padova metabolic simulator with both unannounced and announced meal scenarios.
机译:考虑了模型预测控制(MPC)策略的设计,该策略用于人工胰腺(AP)的闭环手术以治疗1型糖尿病。本文的贡献是在MPC问题的成本函数内提出一种速度加权机制,该机制有助于根据预测的血糖水平的变化率对预测的高血糖血糖波动进行惩罚。该方法为控制设计者提供了自由度,使他们可以独立地调整AP对高血糖偏移的上坡与下坡响应。本文特别强调的是下坡反应。该提案旨在解决大餐后高血糖旅行(例如餐后)引起的由控制者诱发的低血糖的危险问题,这在一定程度上是由于皮下葡萄糖感应和皮下胰岛素输注的大量延迟而导致的-这种情况在这里考虑。弗吉尼亚大学/帕多瓦大学的代谢模拟器在未宣布和已宣布膳食的情况下证明了该方法的有效性。

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