Modeling the effect of glucagon on endogenous glucose production in type 1 diabetes: On the role of glucagon receptor dynamics

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Clara Furió-Novejarque
  • Ricardo Sanz
  • Tobias K.S. Ritschel
  • Asbjørn Thode Reenberg
  • Ajenthen G. Ranjan
  • Nørgaard, Kirsten
  • José Luis Díez
  • John Bagterp Jørgensen
  • Jorge Bondia
This paper validates a glucoregulatory model including glucagon receptors dynamics in the description of endogenous glucose production (EGP). A set of models from literature are selected for a head-to-head comparison in order to evaluate the role of glucagon receptors. Each EGP model is incorporated into an existing glucoregulatory model and validated using a set of clinical data, where both insulin and glucagon are administered. The parameters of each EGP model are identified in the same optimization problem, minimizing the root mean square error (RMSE) between the simulation and the clinical data. The results show that the RMSE for the proposed receptors-based EGP model was lower when compared to each of the considered models (Receptors approach: mg/dl vs. mg/dl (), mg/dl () and mg/dl ()). This raises the possibility of considering glucagon receptors dynamics in type 1 diabetes simulators.
OriginalsprogEngelsk
Artikelnummer106605
TidsskriftComputers in Biology and Medicine
Vol/bind154
Antal sider10
ISSN0010-4825
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
This work was supported by grant PID2019-107722RB-C21 funded by MCIN/AEI/10.13039/501100011033 ; C.F.N. received grant FPU17/ 03404 funded by MCIN/AEI/10.1303 9/501100011033 and “ERDF A way of making Europe” ; grant CIPROM/2021/12 funded by Conselleria de Innovacion, Universidades, Ciencia y Sociedad Digital from Generalitat Valenciana ; A.G.R. received a postdoctoral fellowship from the Danish Diabetes Academy ( PD002-19 ) supported by the Novo Nordisk Foundation and received a research grant from the Danish Diabetes Association ; K. N. affiliation to Steno Diabetes Center Copenhagen is public funded by The Capital Region .

Publisher Copyright:
© 2023

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