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Model-Based Medical Decision Support for Glucose Balance in ICU Patients: Optimization and Analysis

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Progress in Industrial Mathematics at ECMI 2012

Part of the book series: Mathematics in Industry ((TECMI,volume 19))

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Abstract

Model-based medical decision support in terms of computer simulations and predictions gains increasing importance in health care systems worldwide. This work deals with the control of the glucose balance in ICU patients using an insulin therapy. The basis of our investigations is the simulation model GlucoSafe by Pielmeier et al. that describes the temporal evolution of the blood glucose and insulin concentrations in the human body by help of a nonlinear dynamic system of first-order ordinary differential equations. We aim at the theoretical analysis and numerical treatment of the arising optimal control problem.

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References

  1. Pielmeier, U., Andreassen, S., Nielsen, B.S., Chase, J.G., Haure, P.: A simulation model of insulin saturation and glucose balance for glycaemic control in ICU patients. Comput. Methods Programs Biomed. 97, 211–222 (2010)

    Article  Google Scholar 

  2. Arleth, T., Andreassen, S., Federici, M.O., Benedetti, M.M.: A model of the endogenous glucose balance incorporating the characteristics of glucose transporters. Comput. Methods Programs Biomed. 62, 219–234 (2000)

    Article  Google Scholar 

  3. van Cauter, E., Mestrez, F., Sturis, J., Polonsky, K.S.: Estimation of insulin secretion rates from c-peptide levels: comparison of individual and standard kinetic parameters for c-peptide clearance. Diabetes 41, 368–377 (1992)

    Article  Google Scholar 

  4. Cibis, T.M.: Optimale Steuerung des Glukosehaushalts bei intensiv-gepflegten Patienten. Master’s thesis, Johannes Gutenberg-Universität Mainz (2010)

    Google Scholar 

  5. Tröltzsch, F.: Optimale Steuerung partieller Differentialgleichungen: Theorie, Verfahren und Anwendungen. Vieweg, Wiesbaden (2005)

    Book  Google Scholar 

  6. Hanke-Bourgeois, M.: Grundlagen der Numerischen Mathematik und des Wissenschaftlichen Rechnens. Vieweg, Wiesbaden (2006)

    Book  MATH  Google Scholar 

  7. Alt, W.: Nichtlineare Optimierung: Eine Einführung in Theorie, Verfahren und Anwendungen. Vieweg, Wiesbaden (2002)

    Book  Google Scholar 

  8. Emminger, H.: Physikum EXAKT: Das gesamte Prüfungswissen für die 1. P. Thieme, Stuttgart (2003)

    Google Scholar 

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Acknowledgements

The authors thank Ulrike Pielmeier for her explanations of the bio-medical process and GlucoSafe. Moreover, the research team by Steen Andreassen, Center for Model-based Medical Decision Support, Aalborg University, is acknowledged for providing a sample of patient and treatment data.

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Correspondence to Thomas Martin Cibis .

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Cibis, T.M., Marheineke, N. (2014). Model-Based Medical Decision Support for Glucose Balance in ICU Patients: Optimization and Analysis. In: Fontes, M., Günther, M., Marheineke, N. (eds) Progress in Industrial Mathematics at ECMI 2012. Mathematics in Industry(), vol 19. Springer, Cham. https://doi.org/10.1007/978-3-319-05365-3_32

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