A Bayesian network for modelling blood glucose concentration and exercise in type 1 diabetes

作者: Sean M Ewings , Sujit K Sahu , John J Valletta , Christopher D Byrne , Andrew J Chipperfield

DOI: 10.1177/0962280214520732

关键词:

摘要: This article presents a new statistical approach to analysing the effects of everyday physical activity on blood glucose concentration in people with type 1 diabetes. A physiologically based model dynamics is developed cope frequently sampled data food, insulin and habitual activity; then converted Bayesian network account for measurement error variability physiological processes. simulation study conducted determine feasibility using Markov chain Monte Carlo methods simultaneous estimation all parameters prediction concentration. Although there are problems parameter identification minority cases, most can be estimated without bias. Predictive performance unaffected by misspecification insensitive misleading prior distributions. highlights important practical theoretical issues not previously addressed quest an artificial pancreas as treatment The proposed represent paradigm analysis deterministic mathematical models

参考文章(25)
Diabetes Control and Complications Trial, None, Intensive diabetes treatment and cardiovascular disease in patients with type 1 diabetes. The New England Journal of Medicine. ,vol. 353, pp. 2643- 2653 ,(2005) , 10.1056/NEJMOA052187
Daniela Elleri, David B Dunger, Roman Hovorka, Closed-loop insulin delivery for treatment of type 1 diabetes BMC Medicine. ,vol. 9, pp. 120- 120 ,(2011) , 10.1186/1741-7015-9-120
S. S. Soedamah-Muthu, J. H. Fuller, H. E. Mulnier, V. S. Raleigh, R. A. Lawrenson, H. M. Colhoun, All-cause mortality rates in patients with type 1 diabetes mellitus compared with a non-diabetic population from the UK general practice research database, 1992-1999. Diabetologia. ,vol. 49, pp. 660- 666 ,(2006) , 10.1007/S00125-005-0120-4
Marc D. Breton, Physical Activity—The Major Unaccounted Impediment to Closed Loop Control: Journal of diabetes science and technology. ,vol. 2, pp. 169- 174 ,(2008) , 10.1177/193229680800200127
Tom Arleth, Steen Andreassen, Marco O. Federici, Massimo M. Benedetti, A model of the endogenous glucose balance incorporating the characteristics of glucose transporters Computer Methods and Programs in Biomedicine. ,vol. 62, pp. 219- 234 ,(2000) , 10.1016/S0169-2607(00)00069-9
Tilmann Gneiting, Adrian E Raftery, Strictly Proper Scoring Rules, Prediction, and Estimation Journal of the American Statistical Association. ,vol. 102, pp. 359- 378 ,(2004) , 10.1198/016214506000001437
Kitt Falk Petersen, Thomas B. Price, Raynald Bergeron, Regulation of net hepatic glycogenolysis and gluconeogenesis during exercise: impact of type 1 diabetes. The Journal of Clinical Endocrinology and Metabolism. ,vol. 89, pp. 4656- 4664 ,(2004) , 10.1210/JC.2004-0408
Gianni Marchetti, Massimiliano Barolo, Lois Jovanovič, Howard Zisser, Dale E. Seborg, A feedforward–feedback glucose control strategy for type 1 diabetes mellitus Journal of Process Control. ,vol. 18, pp. 149- 162 ,(2008) , 10.1016/J.JPROCONT.2007.07.008
David A. Gough, Kenneth Kreutz-Delgado, Troy M. Bremer, Frequency Characterization of Blood Glucose Dynamics Annals of Biomedical Engineering. ,vol. 31, pp. 91- 97 ,(2003) , 10.1114/1.1535411