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Med Inform (Lond) ; 22(1): 21-34, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9183778

RESUMO

Two mathematical models for the description of diabetic patient glucose behaviour are proposed. Unlike high order differential-equation based compartmental models, these models employ only the data typically available to a diabetic patient: the history of measured blood glucose concentrations and of insulin injections. The model structures are compared with a native benchmark (zero-order hold) model in a computer simulation. It is demonstrated that, given four daily blood glucose measurements and two daily insulin injections, a parametrized model of patient blood glucose response to insulin can provide relevant data in the estimation of a patient's future blood glucose response in terms of past blood glucose measurements and insulin injections. Parametrized model root means squared errors of glycaemic predictions for 18 simulated patients ranged from 7-22 mg dl-1, as compared with 19-42 mg dl-1 for the benchmark model.


Assuntos
Diabetes Mellitus/terapia , Glucose/metabolismo , Insulina/farmacologia , Modelos Biológicos , Terapia Assistida por Computador , Simulação por Computador , Humanos , Insulina/administração & dosagem , Análise dos Mínimos Quadrados , Modelos Lineares
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