Sep 2026· IEEE Transactions on Control Systems Technology· Vol 34, pp. 2708-2720· 0 citations· 47 references
Computer Science
TL;DR
This work embeds prior physiological knowledge about the glucose–insulin relation in the training procedure of RNNs, following the framework of knowledge-guided learning (KGL), and employs model-agnostic meta-learning (MAML) to deal with interpatient variability.
Abstract
The management of type 1 diabetes mellitus (T1DM) represents a major challenge, as it requires continuous regulation of blood glucose (BG) levels. Automated systems, such as the artificial pancreas (AP), address this need by relying on accurate patient-specific models. Linear models are widely adopted in this context due to their simplicity and suitability for control design. However, their linear structure struggles to capture the complex dynamics of the glucose–insulin system, leading to degraded performance. This issue is further accentuated by the significant interpatient variability in glucose–insulin dynamics. A valid alternative to linear models is represented by recurrent neural networks (RNNs), which present higher expressivity while maintaining a level of complexity suitable for control purposes. However, such networks might lead to overfitting whenever the training dataset is scarce. In this work, we tackle this problem by embedding prior physiological knowledge about the glucose–insulin relation in the training procedure of RNNs, following the framework of knowledge-guided learning (KGL). Furthermore, we employ model-agnostic meta-learning (MAML) to deal with interpatient variability. A systematic results analysis is conducted using the UVA/Padova simulator to show that the proposed methodologies increase identification performance while maintaining an affordable level of complexity.
Evaluating physiological consistency alongside predictive accuracy is essential for responsible clinical translation of DL-based BG forecasting, and PhyNet preserves accuracy while enhancing physiological fidelity, supporting safer integration into T1D technologies.
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A digital twin (DT)-based insulin dosage simulator with an individual’s metabolic system is proposed for personalized diabetes management and decision support for clinicians and shows improved glucose prediction accuracy, enhanced detection of hypoglycemia risk, and optimized insulin dosing strategies compared with tra...
Type-I Diabetes Mellitus (TIDM) is characterized by
autoimmune destruction of pancreatic β-cells, resulting in absolute insulin deficiency and
impaired glucose regulation. Maintaining normoglycemia is challenging due to the nonlinear and
time-varying nature of Glucose–Insulin (GI) dynamics, meal disturbances, and p...
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The heart plays a key role in the human body, where it helps to deliver oxygen and nutrients by circulating blood all over the body. Cardiovascular Disease (CVD) is the leading cause of increasing mortality rates globally, specifically among the elderly and adults. In recent years, different approaches have been utiliz...
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