Embedded implementation of modular closed-loop control of diabetes and in silico validation

Modular closed-loop control has been demonstrated to be a very promising way to treat diabetes disease: PC-based systems running this type of algorithm have been successfully tested in clinical trials [1]. In order to allow the introduction of this kind of approach for the control of diabetes in the so called “Artificial Pancreas” wearable devices, an embedded implementation of the algorithm must respect specific and strict constraints in terms of computational power and memory footprint. In this paper we introduce the architecture of an embedded solution for closed-loop control of diabetes. In addition, we provide details about the implementation, memory requirements and needed computational power. We also validate the embedded algorithm via in silico pre-clinical trials demonstrating the feasibility of using modular closed-loop control of diabetes in a wearable system.

[1]  B. Bequette A critical assessment of algorithms and challenges in the development of a closed-loop artificial pancreas. , 2005, Diabetes technology & therapeutics.

[2]  L. Magni,et al.  Closed-Loop Artificial Pancreas Using Subcutaneous Glucose Sensing and Insulin Delivery and a Model Predictive Control Algorithm: Preliminary Studies in Padova and Montpellier , 2009, Journal of diabetes science and technology.

[3]  A. H. Kadish,et al.  AUTOMATION CONTROL OF BLOOD SUGAR. I. A SERVOMECHANISM FOR GLUCOSE MONITORING AND CONTROL. , 1964, The American journal of medical electronics.

[4]  Eyal Dassau,et al.  Pilot Studies of Wearable Outpatient Artificial Pancreas in Type 1 Diabetes , 2012, Diabetes Care.

[5]  Stephanie Guerlain,et al.  DiAs User Interface: A Patient-Centric Interface for Mobile Artificial Pancreas Systems , 2013, Journal of diabetes science and technology.

[6]  Eyal Dassau,et al.  Modular Artificial β-Cell System: A Prototype for Clinical Research , 2008 .

[7]  L. Magni,et al.  Evaluating the Efficacy of Closed-Loop Glucose Regulation via Control-Variability Grid Analysis , 2008, Journal of diabetes science and technology.

[8]  Kadish Ah,et al.  Automation control of blood sugar a servomechanism for glucose monitoring and control. , 1964 .

[9]  Giuseppe De Nicolao,et al.  MPC based Artificial Pancreas: Strategies for individualization and meal compensation , 2012, Annu. Rev. Control..

[10]  L. Magni,et al.  Multinational Study of Subcutaneous Model-Predictive Closed-Loop Control in Type 1 Diabetes Mellitus: Summary of the Results , 2010, Journal of diabetes science and technology.

[11]  J. Stockman,et al.  Manual closed-loop insulin delivery in children and adolescents with type 1 diabetes: a phase 2 randomised crossover trial , 2011 .

[12]  D. B. Keenan,et al.  The Use of an Automated, Portable Glucose Control System for Overnight Glucose Control in Adolescents and Young Adults With Type 1 Diabetes , 2012, Diabetes Care.

[13]  Howard C. Zisser,et al.  Fully Integrated Artificial Pancreas in Type 1 Diabetes , 2012, Diabetes.

[14]  Giovanni Sparacino,et al.  Diabetes: Models, Signals, and Control , 2009 .

[15]  Martin Straume,et al.  Risk Analysis of Blood Glucose Data: A Quantitative Approach to Optimizing the Control of Insulin Dependent Diabetes , 2000 .

[16]  Stephen D Patek,et al.  Hypoglycemia Prevention via Pump Attenuation and Red-Yellow-Green “Traffic” Lights Using Continuous Glucose Monitoring and Insulin Pump Data , 2010, Journal of diabetes science and technology.

[17]  Howard C. Zisser,et al.  Feasibility of Outpatient Fully Integrated Closed-Loop Control , 2013, Diabetes Care.

[18]  Marc D. Breton,et al.  Modular Closed-Loop Control of Diabetes , 2012, IEEE Transactions on Biomedical Engineering.

[19]  Clemens Ah,et al.  Feedback control dynamics for glucose controlled insulin infusion system. , 1979 .

[20]  Janet M. Allen,et al.  Day and Night Closed-Loop Control in Adults With Type 1 Diabetes , 2013, Diabetes Care.