Optimal control of medical treatment: Adaptive control of blood glucose level in diabetic coma
โ Scribed by Michitoshi Inoue; Fumihiko Kajiya; Hiroshi Inada; Akira Kitabatake; Masatsugu Hori; Sugao Fukui; Hiroshi Abe; Seiichi Takasugi; Toshiyuki Furukawa
- Publisher
- Elsevier Science
- Year
- 1976
- Tongue
- English
- Weight
- 642 KB
- Volume
- 9
- Category
- Article
- ISSN
- 0010-4809
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โฆ Synopsis
The primary purpose of clinical decision-making is to determine the most adequate treatment for individual pathological conditions, and the process of diagnosis and treatment constitutes a feedback loop. The present study was undertaken to apply "optimal control theory" to this process of clinical decision-making. The basic requirements for the application of optimal control theory in the clinical setting is presented and a clinical application, "adaptive control program," is proposed for the control of blood glucose level in diabetic coma using a simulation model of blood glucose kinetics.
๐ SIMILAR VOLUMES
Monitoring of metabolic control in patients with non-insulin-dependent (Type 2) diabetes (NIDDM) is usually based upon blood glucose assay in the morning (after an overnight fast) and in the postprandial state (breakfast or lunch). However, this schedule does not seek low blood glucose values, espec