Automated Glucose Control: A Review

Automated Glucose Control: A Review

Owais Bhat, Dawood A. Khan, Rameez Yousuf
Copyright: © 2021 |Pages: 18
DOI: 10.4018/IJEHMC.20211101.oa12
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Abstract

Automated blood glucose control for diabetes mellitus is a highly desired pursuit of researchers around the globe. Advancement in sensing and control capabilities has paced the development of closed-loop control systems for insulin dependent diabetes. Traditional treatment methods and recent approaches using automated control systems are reviewed in this article. Invasive and non-invasive glucose sensing methods along with insulin therapy are presented in detail. Control algorithms are studied and evaluated based on their ability to keep blood glucose levels in euglycemic range by regulating the amounts of insulin bolus. The article highlight the advantages of using automated control system over the traditional control strategies for insulin dependent diabetes.
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Methods Of Glucose Monitoring And Control

In the next section, we will discuss about the methods of obtaining glycemic information.

Glucose Monitoring Technologies

Although we do not have any cure for diabetes until now, but we have improved significantly in management and control of the disease through improved glucose monitoring and appropriate medications. Continuous glucose monitoring (CGM) is done through the sensors and they can be categorized into two groups. Invasive and non/minimally invasive blood glucose sensors. Most of the invasive methods widely used today are based on Clark’s concept. He was an American biochemist Leland C. Clark who invented the first oxygen based electrode, called “Clark electrode”. Clark used glucose and glucose oxidase, to remove oxygen by reducing it to H2O2.

Glucose + O2 = H2O2 + gluconolactone H2O2 = O2 + 2H+ + 2e

Glucose oxidase serves as a catalyst to convert glucose to gluconolactone. A current is generated from the reduction-oxidation reactions which is measured through electrochemistry (Oliver et al., 2009; Phillips and James, 2004). Finally the measured voltage is translated into glucose scale by a process called calibration.

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