Transactions on Machine Intelligence

Transactions on Machine Intelligence

An overview of FPGA-based digital insulin-glucose implementations Regulator for type 2 diabetic patients

Document Type : Original Article

Authors
Department of Electronics, Lorestan University, Khorramabad, Iran
Abstract
This study details the development of a digital insulin-glucose regulation system for type 2 diabetes management, utilizing a Field Programmable Gate Array (FPGA) board. The system is designed to monitor and control insulin levels in patients by measuring their blood glucose levels only. Unlike other solutions that rely on general-purpose programmable hardware, this regulator is built entirely on a hardware-based architecture without the need for software, as elaborated in this document. A prototype was created to test its effectiveness in two scenarios: (i) an open loop mode where the regulator operates independently, and (ii) a closed loop mode where it functions as an artificial pancreas and is linked to a group of one hundred virtual patients. These patients were created using a detailed theoretical model approved by the U.S. Food and Drug Administration for pre-clinical trials of glucose regulation methods. The virtual patients exhibit similar patterns in glucose fluctuations with varying peak and trough levels post-meal. The outcomes of these tests are analyzed and compared with results derived from theoretical model simulations conducted in SIMULINK. The comparison shows relative errors within ±1%, indicating the high precision of this digital insulin-glucose regulation system. The hardware implementation processes each virtual patient's glucose data in approximately 1.1 μs and consumes about 36 mW of power. These promising results encourage further research into digital systems for glucose regulation that could be incorporated into very-large-scale integration (VLSI) as System-on-Chips or Lab-on-Chips. Such developments could pave the way for advanced, miniaturized devices suitable for portable, wearable, and implantable medical applications.
Keywords

  • Kaiser, U. B., Mirmira, R. G., & Stewart, P. M. (2020). Our response to COVID-19 as endocrinologists and diabetologists. The Journal of Clinical Endocrinology & Metabolism, 105(5), 1299–1301. https://doi.org/10.1210/clinem/dgaa148
  • Ogurtsova, K., da Rocha Fernandes, J. D., Huang, Y., Linnenkamp, U., Guariguata, L., Cho, N. H., Cavan, D., Shaw, J. E., & Makaroff, L. E. (2017). IDF diabetes atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Research and Clinical Practice, 128, 40–50. https://doi.org/10.1016/j.diabres.2017.03.024
  • Schofield, J., Leelarathna, L., & Thabit, H. (2020). COVID-19: Impact of and on diabetes. Diabetes Therapy, 11(6), 1429–1435. https://doi.org/10.1007/s13300-020-00847-5
  • Guo, W., Li, M., Dong, Y., Zhou, H., Zhang, Z., Tian, C., Qin, R., Wang, H., Shen, Y., Du, K., et al. (2020). Diabetes is a risk factor for the progression and prognosis of COVID-19. Diabetes/Metabolism Research and Reviews, 36(e3319). https://doi.org/10.1002/dmrr.3319
  • Beneyto, A., Bertachi, A., Bondia, J., & Vehí, J. (2020). A new blood glucose control scheme for unannounced exercise in type 1 diabetic subjects. IEEE Transactions on Control Systems Technology, 28(2), 593–600. https://doi.org/10.1109/TCST.2018.2878205
  • Gondhalekar, R., Dassau, E., & Doyle III, F. J. (2018). Velocity-weighting & velocity-penalty MPC of an artificial pancreas: Improved safety & performance. Automatica, 91, 105–117. https://doi.org/10.1016/j.automatica.2018.01.025
  • Kovàcs, L., Eigner, G., Czakó, B., Siket, M., & Tar, J. K. (2019, September). An opportunity of using robust fixed-point transformation-based controller design in case of type 1 diabetes mellitus. In 2019 First International Conference on Societal Automation (pp. 1–6). IEEE. https://doi.org/10.1109/SA47457.2019.8938069
  • Magni, L., Raimondo, D. M., Dalla Man, C., De Nicolao, G., Kovatchev, B., & Cobelli, C. (2009). Model predictive control of glucose concentration in type I diabetic patients: An in silico trial. Biomedical Signal Processing and Control, 4(4), 338–346. https://doi.org/10.1016/j.bspc.2009.04.003
  • Messori, M., Incremona, G. P., Cobelli, C., & Magni, L. (2018). Individualized model predictive control for the artificial pancreas. IEEE Control Systems Magazine, 38(1), 86–104. https://doi.org/10.1109/MCS.2017.2766314
  • Clarke, F. H., Ledyaev, Y. S., Sontag, E. D., & Subbotin, A. I. (1997). Asymptotic controllability implies feedback stabilization. IEEE Transactions on Automatic Control, 42(10), 1394–1407. https://doi.org/10.1109/9.633828
  • Di Ferdinando, M., Pepe, P., & Borri, A. (2021). On practical stability preservation under fast sampling and accurate quantization of feedbacks for nonlinear time-delay systems. IEEE Transactions on Automatic Control, 66(1), 314–321. https://doi.org/10.1109/TAC.2020.2976049
  • Hetel, L., Fiter, C., Omran, H., Seuret, A., Fridman, E., Richard, J. P., & Niculescu, S. I. (2017). Recent developments on the stability of systems with aperiodic sampling: An overview. Automatica, 76, 309–335. https://doi.org/10.1016/j.automatica.2016.10.023
  • Pepe, P. (2016). On stability preservation under sampling and approximation of feedbacks for retarded systems. SIAM Journal on Control and Optimization, 54(4), 1895–1918. https://doi.org/10.1137/140996951
  • Borri, A., Pepe, P., Loreto, I. D., & Di Ferdinando, M. (2021). Finite dimensional periodic event-triggered control of nonlinear time-delay systems with an application to the artificial pancreas. IEEE Control Systems Letters, 5(1), 31–36. https://doi.org/10.1109/LCSYS.2020.2999306
  • Di Ferdinando, M., Pepe, P., Palumbo, P., Panunzi, S., & De Gaetano, A. (2017, December). Robust global nonlinear sampled-data regulator for the glucose-insulin system. In 2017 IEEE 56th Annual Conference on Decision and Control (CDC) (pp. 1–6). IEEE. https://doi.org/10.1109/CDC.2017.8264351
  • Di Ferdinando, M., Pepe, P., & Di Gennaro, S. (2020, July). Sampled data static output feedback control of the glucose-insulin system. In IFAC World Congress (pp. 1–6). https://doi.org/10.1016/j.conengprac.2021.104828
  • Di Ferdinando, M., Pepe, P., Di Gennaro, S., & Borri, A. (2021). Quantized sampled-data static output feedback control of the glucose-insulin system. Control Engineering Practice, 112, 104828. https://doi.org/10.1016/j.conengprac.2021.104828
  • Reddy, R., Rajamani, D., & Vasudevan, A. (2017). Blood glucose level prediction using PLS regression model. Procedia Computer Science, 115, 203–209. https://doi.org/10.1016/j.procs.2017.09.129
  • Percival, J., & Percival, J. (2019). Smart wearable body sensors for patient self-assessment and monitoring. In D. A. Clifton (Ed.), Health Informatics: A Computational Perspective in Healthcare (pp. 227–248). Academic Press. https://doi.org/10.1016/B978-0-12-815374-5.00011-3
  • Islam, S. M. R., Kwak, D., Kabir, M. H., Hossain, M., & Kwak, K. S. (2015). The Internet of Things for health care: A comprehensive survey. IEEE Access, 3, 678–708. https://doi.org/10.1109/ACCESS.2015.2437951
  • Puri, V., Jindal, P., & Tanwar, S. (2022). Insulin dosage prediction using long short-term memory networks. Healthcare Technology Letters, 9(2), 24–35. https://doi.org/10.1049/htl2.12023
  • Contreras, I., & Vehi, J. (2018). Artificial intelligence for diabetes management and decision support: Literature review. Journal of Medical Internet Research, 20(5), e10775. https://doi.org/10.2196/10775
  • Aslam, N., Ejaz, K., & Sabir, M. (2021). A hybrid model using neural networks for insulin dosage prediction. Health Information Science and Systems, 9(1), 1–10. https://doi.org/10.1007/s13755-021-00139-4
  • Al-Turjman, F., & Malekloo, A. (2020). Smart healthcare in the era of artificial intelligence. In F. Al-Turjman & A. Malekloo, Applications of Artificial Intelligence in Medical Imaging (pp. 19–51). Academic Press. https://doi.org/10.1016/B978-0-12-819044-3.00002-1
  • Gowda, S., & Mohan, B. (2021). An effective predictive model for diabetes and insulin dosage recommendation using machine learning. Materials Today: Proceedings, 47, 2228–2234. https://doi.org/10.1016/j.matpr.2021.04.027
  • Kulkarni, A., & Akarte, A. (2019). IoT based glucose monitoring system using Raspberry Pi. International Journal of Engineering Research and Technology, 8(10), 1139–1142. https://doi.org/10.17577/IJERTV8IS100595
  • Soni, D., & Makwana, A. (2017). A survey on MQTT: A protocol of Internet of Things (IoT). In 2017 International Conference on Telecommunication, Power Analysis and Computing Techniques (ICTPACT) (pp. 1–6). IEEE. https://doi.org/10.1109/ICTPACT.2017.8378371
  • Majumder, S., & Deen, M. J. (2019). Smartphone sensors for health monitoring and diagnosis. Sensors, 19(9), 2164. https://doi.org/10.3390/s19092164
  • Shrivastava, A., & Kumar, S. (2020). Blood glucose prediction using machine learning: A comparative study. In Proceedings of the 2020 4th International Conference on Computing Methodologies and Communication (ICCMC) (pp. 453–458). IEEE. https://doi.org/10.1109/ICCMC48092.2020.ICCMC-00086
  • Pradhan, R., Bhardwaj, A., & Jha, S. K. (2021). IoT based smart healthcare kit for diabetic patients. Materials Today: Proceedings, 46, 4802–4807. https://doi.org/10.1016/j.matpr.2021.04.659
  • Jain, V., & Garg, S. (2018). Predicting blood glucose level using machine learning. International Journal of Engineering and Advanced Technology, 8(2), 351–354. https://doi.org/10.35940/ijeat.B1294.1282S319
  • Patil, S. S., Kulkarni, M. S., & Jadhav, P. (2020). A novel approach to monitor diabetes using Raspberry Pi and IoT. In 2020 International Conference on Emerging Trends in Information Technology and Engineering (ic-ETITE) (pp. 1–6). IEEE. https://doi.org/10.1109/ic-ETITE47903.2020.217
  • Saberi, S., Ghazisaeedi, M., & Esmaeili, M. (2022). A review of IoT-based health monitoring systems for diabetes management. Health and Technology, 12(1), 1–15. https://doi.org/10.1007/s12553-021-00625-4
  • Lázaro, A., Girbau, D., & Villarino, R. (2014). A novel UHF RFID-based system for monitoring blood glucose levels: Design and experimental validation. IEEE Transactions on Microwave Theory and Techniques, 62(12), 3273–3280. https://doi.org/10.1109/TMTT.2014.2360141
  • Chandani, M., & Sinha, S. (2021). Prediction of diabetes using deep learning neural network. Materials Today: Proceedings, 47, 410–415. https://doi.org/10.1016/j.matpr.2021.04.220
  • Zecchin, C., Facchinetti, A., Sparacino, G., & Cobelli, C. (2014). Neural network incorporating meal information improves accuracy of short-time prediction of glucose concentration. IEEE Transactions on Biomedical Engineering, 61(2), 482–490. https://doi.org/10.1109/TBME.2013.2285140
  • Resalat, N., Youssef, J. E., & Jensen, M. H. (2018). Modeling glucose dynamics during moderate exercise using continuous glucose monitoring data. IEEE Journal of Biomedical and Health Informatics, 22(5), 1427–1436. https://doi.org/10.1109/JBHI.2017.2737042
Volume 7, Issue 2
Winter 2024
Pages 136-146

  • Receive Date 02 April 2024
  • Revise Date 28 May 2024
  • Accept Date 12 June 2024