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Algorithms for a Single Hormone Closed-Loop Artificial Pancreas: Challenges Pertinent to Chemical Process Operations and Control.

B Wayne BequetteFaye CameronNihat BaysalDaniel P HowsmonBruce A BuckinghamDavid M MaahsCarol J Levy
Published in: Processes (Basel, Switzerland) (2016)
The development of a closed-loop artificial pancreas to regulate the blood glucose concentration of individuals with type 1 diabetes has been a focused area of research for over 50 years, with rapid progress during the past decade. The daily control challenges faced by someone with type 1 diabetes include asymmetric objectives and risks, and one-sided manipulated input action with frequent relatively fast disturbances. The major automation steps toward a closed-loop artificial pancreas include (i) monitoring and overnight alarms for hypoglycemia (low blood glucose); (ii) overnight low glucose suspend (LGS) systems to prevent hypoglycemia; and (iii) fully closed-loop systems that adjust insulin (and perhaps glucagon) to maintain desired blood glucose levels day and night. We focus on the steps that we used to develop and test a probabilistic, risk-based, model predictive control strategy for a fully closed-loop artificial pancreas. We complete the paper by discussing ramifications of lessons learned for chemical process systems applications.
Keyphrases
  • blood glucose
  • glycemic control
  • type diabetes
  • blood pressure
  • weight loss
  • machine learning
  • insulin resistance
  • metabolic syndrome
  • depressive symptoms
  • sensitive detection
  • breast cancer risk