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Long-acting Insulin in Diabetes Therapy: In Silico Clinical Trials with the UVA/Padova Type 1 Diabetes Simulator*

机译:长效胰岛素在糖尿病治疗中的作用:采用UVA / Padova 1型糖尿病模拟器的Silico临床试验 *

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The University of Virginia/Padova Type 1 Diabetes (TID) simulator has been widely used for testing artificial pancreas controllers, and, recently, novel insulin formulations and glucose sensors. However, a module describing the pharmacokinetics of the new long-acting insulin analogues is not available. The aim of this contribution is to reproduce multiple daily insulin injection (MDI) therapy, with insulin glargine 100 U/mL (Gla-100) as basal insulin, using the TID simulator. This was achieved by developing a model of Gla-100 and by incorporating it into the simulator. The methodology described here can be extended to other insulins, allowing an extensive in silico testing of different long-acting insulin analogues under various settings before starting human trials.
机译:弗吉尼亚大学/帕多瓦大学的1型糖尿病(TID)仿真器已被广泛用于测试人造胰腺控制器,以及最近的新型胰岛素制剂和葡萄糖传感器。但是,尚无描述新长效胰岛素类似物药代动力学的模块。该贡献的目的是使用TID仿真器以100 U / mL甘精胰岛素(Gla-100)作为基础胰岛素,重现多次每日胰岛素注射(MDI)治疗。这是通过开发Gla-100模型并将其合并到模拟器中来实现的。这里描述的方法可以扩展到其他胰岛素,从而可以在开始人体试验之前,在各种环境下对不同的长效胰岛素类似物进行广泛的计算机测试。

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