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Bio-medical Ontologies Maintenance and Change Management

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Ra (mg/min)<br />

Ra (mg/min)<br />

400<br />

350<br />

300<br />

250<br />

200<br />

150<br />

100<br />

50<br />

The Minimal Model of Glucose Disappearance in Type I Diabetes 301<br />

0<br />

0 50 100 150<br />

Time (min)<br />

200 250 300<br />

400<br />

350<br />

300<br />

250<br />

200<br />

150<br />

100<br />

50<br />

(a) 45 (g) of ingested glucose load<br />

0<br />

0 50 100 150<br />

Time (min)<br />

200 250 300<br />

(c) 5 (g) of ingested glucose load<br />

Ra (mg/min)<br />

Ra (mg/min)<br />

400<br />

350<br />

300<br />

250<br />

200<br />

150<br />

100<br />

50<br />

0<br />

0 50 100 150<br />

Time (min)<br />

200 250 300<br />

400<br />

350<br />

300<br />

250<br />

200<br />

150<br />

100<br />

50<br />

(b) 89 (g) of ingested glucose load<br />

0<br />

0 50 100 150<br />

Time (min)<br />

200 250 300<br />

(d) 9 (g) of ingested glucose load<br />

Fig. 3. Rate of absorption Ra(t) for ingested glucose according to Lehmann <strong>and</strong> Deutsch’s<br />

model<br />

In Fig. 3 we can see the different functions for glucose absorption obtained by<br />

Lehmann <strong>and</strong> Deutsch model, according to the amount of glucose ingested (say<br />

45, 89, 5 <strong>and</strong> 9 g respectively). We see that the functional form changes depending<br />

on the critical load <strong>and</strong> that the predicted total amount of glucose ingested (area<br />

under the curves) is approximately the same as the corresponding glucose load.<br />

This model is an improvement in respect to Radziuk’s model in that it accounts for<br />

specific glucose loads even though the functional forms are simpler. Using a rough<br />

numerical integrator (lower Reimann sums) for the curves depicted using Radziuk’s<br />

estimate, we obtain that the predicted loads are approximately 42 <strong>and</strong> 87 g, whilst<br />

for the model given by Lehmann <strong>and</strong> Deutsch the curves predict overall a glucose<br />

load very close to the actual load reported by the patients.<br />

3.4 Insulin Absorption Model<br />

As previously stated, the insulin absorption model used in [14] is a model provided<br />

by Shichiri <strong>and</strong> colleagues [18]. Their subcutaneous insulin absorption model

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