Skip to main content

Data-Driven and Minimal-Type Compartmental Insulin-Glucose Models: Theory and Applications

  • Chapter
  • First Online:

Part of the book series: Lecture Notes in Bioengineering ((LNBE))

Abstract

This chapter initially presents the results of a computational study that compares simulated compartmental and Volterra models of the dynamic effects of insulin on blood glucose concentration in humans. In this context, we employ the general class of Volterra-type models that are estimated from input-output data, and the widely used “minimal model” as well as an augmented form of it, which incorporates the effect of insulin secretion by the pancreas. We demonstrate both the equivalence between the two approaches analytically and the feasibility of obtaining accurate Volterra models from insulin-glucose data generated from the compartmental models. We also present results from applying the proposed approach to quantifying the dynamic interactions between spontaneous insulin and glucose fluctuations in a fasting dog. The results corroborate the proposition that it may be feasible to obtain data-driven models in a more general and realistic operating context, without resorting to the restrictive prior assumptions and simplifications regarding model structure and/or experimental protocols (e.g. glucose tolerance tests) that are necessary for the compartmental models proposed previously. These prior assumptions may lead to results that are improperly constrained or biased by preconceived (and possibly erroneous) notions—a risk that is avoided when we let the data guide the inductive selection of the appropriate model.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Ackerman E, Gatewood LC, Rosevear JW, Molnar GD (1965) Model studies of blood-glucose regulation. Bull Math Biophys 27(Suppl):21–37

    Article  Google Scholar 

  2. Andreassen S, Benn JJ, Hovorka R, Olesen KG, Carson ER (1994) A probabilistic approach to glucose prediction and insulin dose adjustment: description of metabolic model and pilot evaluation study. Comput Methods Programs Biomed 41:153–165

    Article  Google Scholar 

  3. Bergman RN, Ider YZ, Bowden CR, Cobelli C (1979) Quantitative estimation of insulin sensitivity. Am J Physiol 236:E667–E677

    Google Scholar 

  4. Bergman RN, Phillips SM, Cobelli C (1981) Physiologic evaluation of factors controlling glucose tolerance in man: measurement of insulin sensitivity and beta-cell glucose sensitivity from the response to intravenous glucose. J Clin Invest 68:1456–1467

    Article  Google Scholar 

  5. Bergman RN, Lovejoy JC (1997) The minimal model approach and determinants of glucose tolerance, vol 7. Louisiana State University Press, Baton Rouge

    Google Scholar 

  6. Bode BW, Sabbah HT, Gross TM, Fredrickson LP, Davidson PC (2002) Diabetes management in the new millennium using insulin pump therapy. Diab Metab Res Rev 18(Suppl. 1):S14–S20

    Article  Google Scholar 

  7. Bolie VW (1961) Coefficients of normal blood glucose regulation. J Appl Physiol 16:783–788

    Google Scholar 

  8. Callegari T, Caumo A, Cobelli C (2003) Bayesian two-compartment and classic single-compartment minimal models: comparison on insulin modified IVGTT and effect of experiment reduction. IEEE Trans Biomed Eng 50:1301–1309

    Article  Google Scholar 

  9. Carson ER, Cobelli C, Finkelstein L (1983) The mathematical modeling of endocrine-metabolic systems. Model formulation, identification and validation. Wiley, New York

    Google Scholar 

  10. Caumo A, Vicini P, Cobelli C (1996) Is the minimal model too minimal? Diabetologia 39:997–1000

    Article  Google Scholar 

  11. Caumo A, Vicini P, Zachwieja JJ, Avogaro A, Yarasheski K, Bier DM, Cobelli C (1999) Undermodeling affects minimal model indexes: insights from a two-compartment model. Am J Physiol 276:E1171–E1193

    Google Scholar 

  12. Chua KS, Tan IK (1978) Plasma glucose measurement with the Yellow Springs Glucose Analyzer. Clin Chem 24(1):150–152

    Google Scholar 

  13. Cobelli C, Mari A (1983) Validation of mathematical models of complex endocrine-metabolic systems. A case study on a model of glucose regulation. Med Biol Eng Comput 21:390–399

    Article  Google Scholar 

  14. Man CD, Rizza RA, Cobelli C (2007) Meal simulation model of the glucose-insulin system. IEEE Trans Biomed Eng 54(10):1740–1749

    Article  Google Scholar 

  15. The Diabetes Control and Complications Trial Research (1993) The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. New England J Med 329:977–986

    Google Scholar 

  16. Finegood DT, Tzur D (1996) Reduced glucose effectiveness associated with reduced insulin release: an artifact of the minimal-model method. Am J Physiol Endocrinol Metab 271(3):E485–E495

    Google Scholar 

  17. Fisher ME (1991) A semiclosed-loop algorithm for the control of blood glucose levels in diabetics. IEEE Trans Biomed Eng 38:57–61

    Article  Google Scholar 

  18. Florian JA, Parker RS (2005) Empirical modeling for glucose control in diabetes and critical care. Eur J Control 11:605–616

    Article  Google Scholar 

  19. Freckmann G, Kalatz B, Pfeiffer B, Hoss U, Haug C (2001) Recent advances in continuous glucose monitoring. Exp Clin Endocrinol Diab 109(Suppl 2):S347–S357

    Article  Google Scholar 

  20. Furler SM, Kraegen EW, Smallwood RH, Chisolm DJ (1985) Blood glucose control by intermittent loop closure in the basal model: computer simulation studies with a diabetic model. Diab Care 8:553–561

    Article  Google Scholar 

  21. Ginsberg J (2007) The current environment of CGM technologies. J. Diab Sci Technol 1:111–127

    Google Scholar 

  22. Godsland IF, Agbaje OF, Hovorka R (2006) Evaluation of nonlinear regression approaches to estimation of insulin sensitivity by the minimal model with reference to Bayesian hierarchical analysis. Am J Physiol Endocrinol Metab 291:E167–E174

    Article  Google Scholar 

  23. Krudys KM, Kahn SE, Vicini P (2006) Population approaches to estimate minimal model indexes of insulin sensitivity and glucose effectiveness using full and reduced sampling schedules. Am J Physiol Endocrinol Metab 291:E716–E723

    Article  Google Scholar 

  24. Lefebvre PJ, Paolisso G, Sheen AJ, Henquin JC (1987) Pulsatility of insulin and glucagon release: physiological significance and pharmacological implications. Diabetologia 30:443–452

    Article  Google Scholar 

  25. Lynch SM, Bequette BW (2002) Model predictive control of blood glucose in Type 1 diabetics using subcutaneous glucose measurements. In: Proceedings of American control conference, Anchorage, AK, pp 4039–4043

    Google Scholar 

  26. Markakis MG, Mitsis GD, Marmarelis VZ (2008) Computational study of an augmented minimal model for glycaemia control. In: Proceedings of the 30th annual IEEE-EMBS conference, Vancouver, BC, Canada, pp 5445–5448

    Google Scholar 

  27. Markakis, M.G., Mitsis, G.D., Papavassilopoulos, G.P., Marmarelis, V.Z.: Model Predictive Control of Blood Glucose in Type 1 Diabetics: the Principal Dynamic Modes Approach. Proc. 30th Annual IEEE-EMBS Conf., Vancouver, BC, Canada, 5466-5469 2008

    Google Scholar 

  28. Marmarelis VZ (1991) Wiener analysis of nonlinear feedback in sensory systems. Ann Biomed Eng 19:345–382

    Google Scholar 

  29. Marmarelis VZ (1997) Modeling methodology for nonlinear physiological systems. Ann Biomed Eng 25:239–251

    Article  Google Scholar 

  30. Marmarelis VZ (2004) Nonlinear dynamic modeling of physiological systems. IEEE-Wiley, Piscataway

    Book  Google Scholar 

  31. Mitsis GD, Marmarelis VZ (2002) Modeling of nonlinear physiological systems with fast and slow dynamics. I. Methodology. Ann Biomed Eng 30:272–281

    Article  Google Scholar 

  32. Mitsis GD (2002) Nonlinear physiological system modeling with Laguerre-Volterra networks: methods and applications. Ph.D. thesis, Department of Biomedical Engineering, University of Southern California

    Google Scholar 

  33. Muniyappa R, Lee S, Chen H, Quon MJ (2008) Current approaches for assessing insulin sensitivity and resistance in vivo: advantages, limitations, and appropriate usage. Am J Physiol Endocrinol Metab 294(1):E15–E26

    Article  Google Scholar 

  34. Ni TC, Ader M, Bergman RN (1997) Reassessment of glucose effectiveness and insulin sensitivity from minimal model analysis: a theoretical evaluation of the single-compartment glucose distribution assumption. Diabetes 46:1813–1821

    Article  Google Scholar 

  35. Parker RS, Doyle FJ, 3rd Peppas NA (1999) A model-based algorithm for blood glucose control in type I diabetic patients. IEEE Trans Biomed Eng 46:148–157

    Google Scholar 

  36. Porksen N (2002) The in vivo regulation of pulsatile insulin secretion. Diabetologia 45:3–20

    Article  Google Scholar 

  37. Roy A, Parker RS (2006) Dynamic modeling of free fatty acid, glucose, and insulin: an extended “minimal model”. Diab Technol Ther 8:617–626

    Article  Google Scholar 

  38. Sorensen J (1985) A physiologic model of glucose metabolism in man and its use to design and assess insulin therapies for diabetes. Ph.D. thesis, Department of Chemical Engineering, Massachussetts Institute of Technology, Cambridge, MA

    Google Scholar 

  39. Steil GM, Rebrin K, Janowski R, Darwin C, Saad MF (2003) Modeling beta-cell insulin secretion-implications for closed-loop glucose homeostasis. Diab Technol Ther 5:953–964

    Article  Google Scholar 

  40. Sturis J, Van Cauter EV, Blackman JD, Polonsky KS (1991) Entrainment of pulsatile insulin secretion by oscillatory glucose infusion. J Clin Invest 87:439–445

    Article  Google Scholar 

  41. Toffolo G, Bergman RN, Finegood DT, Bowden CR, Cobelli C (1980) Quantitative estimation of beta cell sensitivity to glucose in the intact organism: a minimal model of insulin kinetics in the dog. Diabetes 29:979–990

    Article  Google Scholar 

  42. Toffolo G, Campioni M, Basu R, Rizza RA, Cobelli C (2006) A minimal model of insulin secretion and kinetics to assess hepatic insulin extraction. Am J Physiol Endocrinol Metab 290:E169–E176

    Article  Google Scholar 

  43. Tresp V, Briegel T, Moody J (1999) Neural-network models for the blood glucose metabolism of a diabetic. IEEE Trans Neur Netw 10:1204–1213

    Article  Google Scholar 

  44. Van Cauter EV, Shapiro ET, Tillil H, Polonsky KS (1992) Circadian modulation of glucose and insulin responses to meals-relationship to cortisol rhythm. Am J Physiol 262:R467–R475

    Google Scholar 

  45. Van Herpe T, Pluymers B, Espinoza M, Van den Berghe G, De Moor B (2006) A minimal model for glycemia control in critically ill patients. In: Proceedings of the 28th IEEE EMBS annual international conference, New York, NY

    Google Scholar 

Download references

Acknowledgements

This work has been funded by the University of Cyprus internal research grant ”Nonlinear, data-driven modeling and model-based control of blood glucose”. The authors would like to thank Prof. Richard N. Bergman and Dr. Katrin Huecking for providing the experimental data. This work was supported in part by the NIH/NIBIB Center Grant No. P41-EB001978 to the Biomedical Simulations Resource at the University of Southern California.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Georgios D. Mitsis .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Mitsis, G.D., Marmarelis, V.Z. (2014). Data-Driven and Minimal-Type Compartmental Insulin-Glucose Models: Theory and Applications. In: Marmarelis, V., Mitsis, G. (eds) Data-driven Modeling for Diabetes. Lecture Notes in Bioengineering. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54464-4_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-54464-4_1

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54463-7

  • Online ISBN: 978-3-642-54464-4

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics