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GLP-1 Receptor Agonists Models for Type 1 Diabetes: A Narrative Review
Clara Furió-Novejarque1, José-Luis Díez1,2, Jorge Bondia1,2
1Instituto Universitario de Automática e Informática Industrial, Universitat Politècnica de València, València, Spain.
Background:
Glucagon-like peptide 1 (GLP-1) is a hormone that promotes insulin secretion, delays gastric emptying, and inhibits glucagon secretion. The GLP-1 receptor agonists have been developed as adjunctive therapies for type 2 diabetes to improve glucose control. Recently, there has been an interest in introducing GLP-1 receptor agonists as adjunctive therapies in type 1 diabetes alongside automatic insulin delivery systems. The preclinical validation of these systems often relies on mathematical simulators that replicate the glucose dynamics of a person with diabetes. This review aims to explore mathematical models available in the literature to describe GLP-1 effects to be used in a type 1 diabetes simulator.
Methods:
Three databases were examined in the search for GLP-1 mathematical models. More than 1500 works were found after searching for specific keywords that were narrowed down to 39 works for full-text assessment.
Results:
A total of 23 works were selected describing GLP-1 pharmacokinetics and pharmacodynamics. However, none of the found models was designed for type 1 diabetes. An analysis is included of the available models' features that could be translated into a GLP-1 receptor agonist model for type 1 diabetes.
Conclusion:
There is a gap in research in GLP-1 receptor agonists mathematical models for type 1 diabetes, which could be incorporated into type 1 diabetes simulators, providing a safe and inexpensive tool to carry out preclinical validations using these therapies.
Insights
Mathematical models for glucagon-like peptide 1 (GLP-1) receptor agonists are needed for type 1 diabetes simulators. This review explores existing GLP-1 models to identify features for type 1 diabetes applications, highlighting a research gap.
Area of Science:
- Biomedical Engineering
- Endocrinology
- Computational Biology
Background:
- Glucagon-like peptide 1 (GLP-1) is a key hormone regulating glucose metabolism.
- GLP-1 receptor agonists are established adjunctive therapies for type 2 diabetes.
- Emerging interest exists in using GLP-1 receptor agonists with automated insulin delivery for type 1 diabetes.
Purpose of the Study:
- To review and analyze existing mathematical models of GLP-1 effects.
- To identify model features applicable to type 1 diabetes simulation.
- To address the need for GLP-1 models in type 1 diabetes research.
Main Methods:
- Systematic literature search across three databases.
- Initial screening of over 1500 works based on keywords.
- Full-text assessment of 39 selected works.
Main Results:
- 23 works were identified detailing GLP-1 pharmacokinetics and pharmacodynamics.
- No existing models were specifically designed for type 1 diabetes.
- Analysis of transferable features from current models was performed.
Conclusions:
- A significant gap exists in mathematical models for GLP-1 receptor agonists in type 1 diabetes.
- Developing such models is crucial for creating type 1 diabetes simulators.
- These simulators offer a safe and cost-effective platform for preclinical validation of GLP-1 therapies.
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