摘要:AbstractInsulin sensitivity is an important physiological parameter for determining insulin requirements for patients with type 1 diabetes. In addition to being highly variable between patients, insulin sensitivity increases substantially during exercise and stays elevated for several hours during subsequent recovery. We propose an unscented Kalman filter for estimating insulin sensitivity from continuous glucose monitoring data that does not require the underlying model to capture exercise and relies on average values for patient-specific parameters. Using in silico full-day simulations including exercise and meals, we study how adjusting insulin doses for elevated insulin sensitivity could decrease the risk of hypoglycemia after exercise and improve time-in-range and related metrics.
关键词:Keywordsdiabetes managementclinical guidelinesdecision supportbiologicalmedical system modellingquantification of physiological parametersinsulin sensitivityexercise