Journal

APL bioengineering
ISSN: 2473-2877
Titre abrégé: APL Bioeng
Pays: United States
ID NLM: 101726398

Informations de publication

Date de publication:
Jun 2023
Historique:
received: 06 02 2023
accepted: 20 04 2023
medline: 25 5 2023
pubmed: 25 5 2023
entrez: 25 5 2023
Statut: epublish

Résumé

Type 1 diabetes (T1D) is a chronic autoimmune disease featured by the loss of beta cell function and the need for lifetime insulin replacement. Over the recent decade, the use of automated insulin delivery systems (AID) has shifted the paradigm of treatment: the availability of continuous subcutaneous (SC) glucose sensors to guide SC insulin delivery through a control algorithm has allowed, for the first time, to reduce the daily burden of the disease as well as to abate the risk for hypoglycemia. AID use is still limited by individual acceptance, local availability, coverage, and expertise. A major drawback of SC insulin delivery is the need for meal announcement and the peripheral hyperinsulinemia that, over time, contributes to macrovascular complications. Inpatient trials using intraperitoneal (IP) insulin pumps have demonstrated that glycemic control can be improved without meal announcement due to the faster insulin delivery through the peritoneal space. This calls for novel control algorithms able to account for the specificities of IP insulin kinetics. Recently, our group described a two-compartment model of IP insulin kinetics demonstrating that the peritoneal space acts as a virtual compartment and IP insulin delivery is virtually intraportal (intrahepatic), thus closely mimicking the physiology of insulin secretion. The FDA-accepted T1D simulator for SC insulin delivery and sensing has been updated for IP insulin delivery and sensing. Herein, we design and validate-

Identifiants

pubmed: 37229215
doi: 10.1063/5.0145446
pii: 5.0145446
pmc: PMC10205143
doi:

Types de publication

Journal Article

Langues

eng

Pagination

026105

Informations de copyright

© 2023 Author(s).

Déclaration de conflit d'intérêts

The authors have no conflicts to disclose.

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Auteurs

Alberto Dalla Libera (A)

Department of Woman and Child's Health, University of Padova, 35128 Padova, Italy.

Chiara Toffanin (C)

Department of Electrical, Computer and Biomedical Engineering, University of Pavia, 27100 Pavia, Italy.

Martina Drecogna (M)

Department of Woman and Child's Health, University of Padova, 35128 Padova, Italy.

Gianluigi Pillonetto (G)

Department of Information Engineering, University of Padova, 35131 Padova, Italy.

Claudio Cobelli (C)

Department of Woman and Child's Health, University of Padova, 35128 Padova, Italy.

Classifications MeSH