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Analysis of Insulin Sensitivity Estimates from Linear Models of Glucose Disappearance

journal contribution
posted on 2023-06-08, 05:36 authored by M Fernandez, D P Atherton
A comparative analysis of the minimal model of glucose disappearance and two proposed linear model structures is presented. The linear models include an alternative description of the control actions of glucose and insulin on glucose disappearance. The comparison is based on the effect of these models on estimates of the time variation of insulin action X and of insulin sensitivity index S-I. Parameter estimates for the linear models are obtained by linear regression methods from the dynamic response of a normal subject following an IVGTT. These data are obtained by simulation from the nonlinear model developed by Cobelli and Mari in 1983. These linear models are subsequently fitted by the prediction error method to plasma glucose measurements of a normal patient and estimates of the sensitivity index S, and the time variation of insulin action chi are derived from these optimised models. The results obtained show that improvement on insulin action dynamics chi can be derived from one of the linear models when compared to insulin action X from the cold minimal model. In particular, insulin action chi from this linear model results in a similar magnitude and timing to insulin action X from the HMM from which accurate estimates of S-I can be obtained in NIDDM patients. This result suggests that the linear model, in contrast to the cold minimal model, might be suitable for sensitivity studies in NIDDM patients for which insulin action is already low. (c) 2004 Elsevier Inc. All rights reserved.

History

Publication status

  • Published

Journal

Applied Mathematics and Computation

ISSN

0096-3003

Issue

1

Volume

167

Page range

528-538

Pages

10.0

Department affiliated with

  • Engineering and Design Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2012-02-06

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