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Determination of physiological parameters for endogenous glucose production in individuals using diurnal data.


ABSTRACT:

Background

Triple tracer meal experiments used to investigate organ glucose-insulin dynamics, such as endogenous glucose production (EGP) of the liver are labor intensive and expensive. A procedure was developed to obtain individual liver related parameters to describe EGP dynamics without the need for tracers.

Results

The development used an existing formula describing the EGP dynamics comprising 4 parameters defined from glucose, insulin and C-peptide dynamics arising from triple meal studies. The method employs a set of partial differential equations in order to estimate the parameters for EGP dynamics. Tracer-derived and simulated data sets were used to develop and test the procedure. The predicted EGP dynamics showed an overall mean R 2 of 0.91.

Conclusions

In summary, a method was developed for predicting the hepatic EGP dynamics for healthy, pre-diabetic, and type 2 diabetic individuals without applying tracer experiments.

SUBMITTER: van Stee MF 

PROVIDER: S-EPMC7422590 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Determination of physiological parameters for endogenous glucose production in individuals using diurnal data.

van Stee Mariël F MF   Krishnan Shaji S   Groen Albert K AK   de Graaf Albert A AA  

BMC biomedical engineering 20191115


<h4>Background</h4>Triple tracer meal experiments used to investigate organ glucose-insulin dynamics, such as endogenous glucose production (EGP) of the liver are labor intensive and expensive. A procedure was developed to obtain individual liver related parameters to describe EGP dynamics without the need for tracers.<h4>Results</h4>The development used an existing formula describing the EGP dynamics comprising 4 parameters defined from glucose, insulin and C-peptide dynamics arising from tripl  ...[more]

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