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Ankush Chakrabarty, Stamatina Zavitsanou, Francis J Doyle

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    This study introduces an event-triggered artificial pancreas (AP) controller that reduces energy use by minimizing insulin dose calculations. This innovation enhances glucose regulation for type 1 diabetes management on wearable devices.

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    Area of Science:

    • Biomedical Engineering
    • Control Systems Engineering
    • Diabetes Technology

    Background:

    • Artificial pancreas (AP) systems require efficient control algorithms for low-energy, embedded devices to manage type 1 diabetes mellitus.
    • Reducing controller updates is key to lowering AP energy consumption and enabling practical deployment.

    Purpose of the Study:

    • To develop an energy-efficient, event-triggered model predictive controller (MPC) for artificial pancreas systems.
    • To reduce processor computations and controller updates without compromising glycemic regulation safety.

    Main Methods:

    • Designed an event-triggered MPC leveraging physiological insights for glucose management.
    • Deployed the controller on a wearable platform and tested its robustness using the UVA/Padova metabolic simulator.
    • Evaluated performance with and without meal announcements, assessing hypoglycemia, model mismatch, and meal misinformation.

    Main Results:

    • The event-based controller operated for 18 hours out of 41 with unannounced meals, maintaining target glucose levels.
    • With meal announcements, the controller operated only 25.88% of the time, achieving similar glycemic control to standard MPC.
    • Demonstrated robustness to various challenging conditions within the metabolic simulator.

    Conclusions:

    • A novel control architecture for AP systems was developed, enabling safe glycemic regulation with reduced computational demands.
    • The framework integrates with existing MPC variants and customizes the trade-off between regulation and efficacy.
    • Eliminates the need for pre-selecting controller sampling times, offering greater flexibility.