A fuzzy logic based approach for the adjustment of insulin dosage for type 1 diabetes patients
DOI:
https://doi.org/10.56511/JIPBS.2017.v4.i04.pp145-152Abstract
The primary goal of this study is to calibrate the total daily insulin dosage for type 1 diabetes patients undergoing insulin treatment regimens using a fuzzy logic based system. Three patient-related factors (PRFs), i.e. patient weight, body mass index (BMI), and average daily carbohydrate intake were identified and limned as crucial to this study. Data was collected for these three PRFs for a sample of 25 arbitrary type 1 diabetes patients and was used to develop rules for a fuzzy-based system using MATLAB. This system then generated an output insulin dose which was in turn compared to the prescribed insulin doses recommended by the patients’ personal physicians. The fuzzy-based dosing system was observed to bring about better regulation to the insulin treatment regimen for a particular patient in comparison to the traditional non-fuzzy based methods which calculate total daily insulin dose based on each PRF separately. The upshot of the study was that this system suggested better control on patient blood glucose levels for type 1 diabetes patients just as it did in type 2 diabetes patients in a previous study conducted by this group. In this study, the utilization of a fuzzy-based system allows for fewer instances of hyper and hypoglycemic events among type 1 diabetes patients as was the case for type 2 diabetes patients in our previous study
Keywords:
Insulin, Fuzzy, MATLAB, Type 1 Diabetes, Hypoglycemia, Hyperglycemia, Dose Adjustment, Drug DosingDownloads
References
Statistics About Diabetes. 2016; Available from: http://www.diabetes.org/diabetes-basics/statistics/ .
Steck, AK and Rewers, MJ: Genetics of type 1 diabetes. Clin Chem 2011; 57(2):176-85.
Atkinson, MA and Eisenbarth, GS: Type 1 diabetes: new perspectives on disease pathogenesis and treatment. Lancet 2001; 358(9277): 221-9.
Wenying, Y: Concern about the present status of diabetes & take positive action. Indian J Med Res 2010; 132:475-7.
Azad, K: Type 1 diabetes: The Bangladesh perspective. Indian J Endocrinol Metab 2015; 19(Suppl 1):S9-S11.
The top 10 causes of death. 2017; Available from: http://www.who.int/mediacentre/factsheets/fs310/en/ .
Chowdhury AM, Khan RI, Nirzhor SSR, Jabin J, Khan AI: A novel approach in adjustment of total daily insulin dosage for type 2 diabetes patients using a fuzzy logic based system. Journal of Innovations in Pharmaceutical and Biological Sciences 2017; 4(4):65-72.
Fabietti, PG, et al.: Clinical validation of a new control-oriented model of insulin and glucose dynamics in subjects with type 1 diabetes. Diabetes Technol Ther 2007; 9(4): 327-38.
Albisser, AM, Schiffrin A, Schulz M, Tiran J and Leibel BS: Insulin dosage adjustment using manual methods and computer algorithms: A comparative study. Med. Biol. Eng. Computing 1986; 24: 577-584
Mehanovic, S and Mujic, M: The automatic regulation of the basal dose on the insulin pump for the treatment of patients that have Diabetes type
Bosn J Basic Med Sci 2010; 10(2): 100-6.
Kugelberg, E: Device therapy: Automatic insulin-pump suspension reduces hypoglycaemia. Nat Rev Endocrinol 2013; 9(9): 502.
Piwernetz, K, Renner, R, and Hepp, KD: Glucose control in mobile type 1 (insulin-dependent) diabetic patients by means of a semi-automatic feedback controlled insulin infusion system. Diabetologia 1982; 23(3): 229-34.
Moghissi E, et al: ACE / ADA Inpatient Diabetes and Glycemic Control Consensus Statement: Garber A. American College of Endocrinology and American Diabetes Association Consensus statement on inpatient diabetes and glycemic control: a call to action. Diabetes Care 2006; 29(8):1955-62.
Clement S, Braithwaite SS, Magee MF et al: American Diabetes Association Diabetes in Hospitals Writing Committee. Management of diabetes and hyperglycemia in hospitals. Diabetes Care 2004; 27:553-91.
Rubin, DJ, Rybin, D, Doros, G, and McDonnell, ME: Weight-Based, Insulin Dose – Related Hypoglycemia in Hospitalized Patients with Diabetes. Diabetes Care 2011; 34(8): 1723 – 1728.
Elaine C and Phillip G: Use of U-500 insulin in the treatment of severe insulin resistance, Insulin 2008; 3(4): 211-218.
Goh, W, Pasquier, M and Quek, C: Adaptive control of infusion pump for type-i diabetes control using a self-tuning regulator. Proceeding of the 10th International Conference on Control, Automation, Robotics and Vision 2008; 13791384.
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Copyright (c) 2017 Rubayat Islam Khan, Saif Shahriar Rahman Nirzhor, Ahmed Masud Chowdhury, Tushar Ahmed Shishir, Arafat Islam Khan

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Journal of Innovations in Pharmaceutical and Biological Sciences is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Based on a work at