Glucose–Insulin Interaction System for Type 1 Diabetes Mellitus Patients Based on an Adaptive Aquila Optimization–Tilt Acceleration

Authors

  • A. K. Patra Department of EEE, ITER, Siksha ‘O’ Anusandhan University, Bhubaneswar 751030, India.
  • A. K. Mishra Department of EEE, ITER, Siksha ‘O’ Anusandhan University, Bhubaneswar 751030, India.
  • A. Nanda Department of EEE, ITER, Siksha ‘O’ Anusandhan University, Bhubaneswar 751030, India.
  • R. Agrawal Department of EE, ITER, Siksha ‘O’ Anusandhan University, Bhubaneswar 751030, India.
  • D. K. Subudhi Department of CSIT, ITER, Siksha ‘O’ Anusandhan University, Bhubaneswar 751030, India.
  • L. M. Satapathy Department of CSE, ITER, Siksha ‘O’ Anusandhan University, Bhubaneswar 751030, India.

DOI:

https://doi.org/10.63746/njtd.v23i3.3565

Keywords:

glucose, insulin, artificial pancreas, optimization, controller

Abstract

ype-I Diabetes Mellitus (TIDM) requires continuous external insulin regulation, and artificial pancreas (AP) systems offer closed-loop control through glucose sensing, control computation, and micro-insulin dispensing. Glucose-insulin dynamics are nonlinear, time-varying, patient-specific, and affected by delays, meal/exercise disturbances, sensor noise, and parameter uncertainty. Conventional PID and advanced controllers often show limited robustness, slow response, and poor adaptability. This study designs an Aquila Optimization–Tilt Acceleration Derivative with Filter (AO-TADF) controller to regulate insulin delivery and maintain Blood Glucose (BG) within 70–120 mg/dl. A multi-compartment Lehmann glucose–insulin patient model is implemented in SIMULINK. Meal and exercise disturbances are included. Linearization at 81 mg/dl and basal insulin 22.3 mU/min yields state-space matrices. TADF combines tilt, acceleration, and derivative actions with pre-filters, gains, and shaping coefficients. The Aquila Optimizer, mimicking high soaring, contour gliding, low-altitude flight, and prey capture, tunes parameters by minimizing integral time absolute error. The closed-loop AP includes glucose sensing, the AO-TADF controller, and a micro-insulin dispenser. Performance is tested under a 60 g meal at 600 min, exercise at 1300 min, hepatic/peripheral insulin sensitivity variations, and noise. BG stabilized at 81–83.3 mg/dl with no renal glucose excretion. This controller achieved 230 min settling time, 58.2 mU/min insulin infusion, 3.9 mg/dl peak overshoot, 1.0 mg/dl undershoot, zero steady-state error, mean BG 84 mg/dl, and standard deviation 1.5, outperforming PID, fuzzy, sliding mode, LQG, and H? controllers. The AO-TADF controller provides robust, stable, and accurate glycemic regulation, and promising for practical AP implementation, with future validation using clinical simulators and real-time embedded platforms

References

Chee, F., Fernando, T., & Van Heerden, P. V. (2003). Closed-loop glucose control in critically ill patients using continuous glucose monitoring system (CGMS) in real time. IEEE Transactions on information technology in biomedicine, 7(1), 43-53.

Kamath, S., George, V. I., & Vidyasagar, S. (2009). Simulation study on closed loop control algorithm of type 1 diabetes mellitus patients. IETE Journal of Research, 55(5), 230-235.

Chee, F., Fernando, T. L., Savkin, A. V., & Van Heeden, V. (2003). Expert PID control system for blood glucose control in critically ill patients. IEEE Transactions on Information Technology in Biomedicine, 7(4), 419-425.

Sutradhar, A., Chaudhuri, A. S., Bera, S. C., & Sadhu, S. (2002). Analysis and design of an optimal PID controller for insulin dispenser system. Journal of the Institution of Engineers(India): Electrical Engineering Division, 82, 304-313.

Rout, P. K., & Patra, A. K. (2020). Design of artificial pancreas based on the SMGC and self-tuning PI control in type-I diabetic patient. International Journal of Biomedical Engineering and Technology, 32(1), 1-35.

Panigrahi, S., Patra, A. K., Nanda, A., & Mishra, A. K. (2020). The fractional order PID controller design for BG control in type-I diabetes patient. In Advances in Intelligent Computing and Communication: Proceedings of ICAC 2019 (pp. 321-329). Springer Singapore.

Panigrahi, G. S., & Patra, A. K. (2023). An adaptive control algorithm for blood glucose regulation in Type-I Diabetes Mellitus patients. Decision Analytics Journal, 8, 100276.

Nanda, A., & Patra, A. K. (2023). Design of artificial pancreas based on HGAPSO-FOPID control algorithm. International Journal of Biomedical Engineering and Technology, 42(3), 262-280.

Debnath, M. K., Patra, A. K., Panigrahi, G. S., Patra, V. L., Mishra, A. K., & Rout, B. (2023, August). Optimal BG Regulation in TIDM Patient Based on Adaptive Control Algorithm. In 2023 IEEE 3rd International Conference on Sustainable Energy and Future Electric Transportation (SEFET) (pp. 1-5). IEEE.

Mohapatra, S., Patra, A. K., & Rath, D. (2024). Performance Evaluation of Grid-Connected Photovoltaic System using SHO-VPTIDF. Journal of Renewable Energy and Environment, 11(1), 100-121.

Rath, D., Kar, S., & Patra, A. K. (2021). Harmonic distortion assessment in the single-phase photovoltaic (PV) system based on spwm technique. Arabian Journal for Science and Engineering, 1-15.

Rath, D., Patra, A. K., & Kar, S. (2023). Performance evaluation of grid connected photovoltaic system using AOA tuned VPTIDF. International Journal of Advanced Mechatronic Systems, 10(2), 49-69.

Nahak, N., Patra, A. K., Panigrahi, G. S., Patra, V. L., Mishra, A. K., & Rout, B. (2023, June). Adaptive control with disturbance modelling for BG regulation in TIDM patient. In 2023 International Conference in Advances in Power, Signal, and Information Technology (APSIT) (pp. 1-5). IEEE.

Kar, S. K., Panigrahi, G. S., Patra, A. K., & Nanda, A. & (2023). Adaptive controller design based on grasshopper optimisation technique for BG regulation in TIDM patient. International Journal of Automation and Control, 17(4), 440-460.

Patra, A. K., Panigrahi, G. S., & Nanda, A. (2023). An automatic artificial pancreas based on AOA-VPTIDF control algorithm. International Journal of Advanced Mechatronic Systems, 10(1), 21-32.

Subudhi, D. K., Patra, A. K., Nanda, A., Rout, B., & Kar, S. K. (2021). An automatic insulin infusion system based on the genetic algorithm FOPID control. In Green Technology for Smart City and Society: Proceedings of GTSCS 2020 (pp. 355-366). Springer Singapore.

Subudhi, D. K., Patra, A. K., Nanda, A., & Rout, B. & (2022). Artificial pancreas (AP) based on the JAYA optimized PI controller (JAYA-PIC). In Ambient Intelligence in Health Care: Proceedings of ICAIHC 2022 (pp. 11-20). Singapore: Springer Nature Singapore.

Agrawal, R., Patra, A. K., & Nanda, A. (2023). Automated artificial pancreas (AP) based on the JAYA optimized PID controller (JAYA-PIDC). Materials Today: Proceedings, 74, 830-835.

Agrawal, R. et al. (2022). An Automatic Artificial Pancreas (AP) based on MO-PID Control Algorithm. In 2022 2nd Odisha International Conference on Electrical Power Engineering, Communication and Computing Technology (ODICON), (pp. 1-5), IEEE. 2022.

Ibbini, M. (2006). A PI-fuzzy logic controller for the regulation of blood glucose level in diabetic patients. Journal of medical engineering & technology, 30(2), 83-92.

Mishra, A. K., Patra, A. K., Nanda, A., & Panigrahi, S. (2020). Design of artificial pancreas based on fuzzy logic control in type-I diabetes patient. In Innovation in Electrical Power Engineering, Communication, and Computing Technology: Proceedings of IEPCCT 2019 (pp. 557-569). Singapore: Springer Singapore.

Hernández, A. G. G., Fridman, L., Levant, A., Shtessel, Y., Leder, R., Monsalve, C. R., & Andrade, S. I. (2013). High-order sliding-mode control for blood glucose: Practical relative degree approach. Control Engineering Practice, 21(5), 747-758.

Abu-Rmileh, A., & Garcia-Gabin, W. (2012). Wiener sliding-mode control for artificial pancreas: a new nonlinear approach to glucose regulation. Computer methods and programs in biomedicine, 107(2), 327-340.

Rout, P. K., & Patra, A. K. (2018). Backstepping sliding mode Gaussian insulin injection control for blood glucose regulation in type I diabetes patient. Journal of Dynamic Systems, Measurement, and Control, 140(9), 091006.

Rout, P. K., &. Patra, A. K. (2017). Adaptive sliding mode Gaussian controller for artificial pancreas in TIDM patient. Journal of Process Control, 59, 13-27.

Patra, A. K., & Rout, P. K. (2015). An automatic insulin infusion system based on LQG control technique. International Journal of Biomedical Engineering and Technology, 17(3), 252-275.

Patra, A. K., Nanda, A., & Rout, P. K. (2020). Design of backstepping LQG controller for blood glucose regulation in type I diabetes patient. International Journal of Automation and Control, 14(4), 445-468.

Nanda, A., & Patra, A. K. (2020). Kalman filtering linear quadratic regulator for artificial pancreas in type-I diabetes patient. International Journal of Modelling, Identification and Control, 34(1), 59-74.

Mishra, A. K., Patra, A. K., Nanda, A., & Satapathy, L. M. (2020). The linear quadratic regulator design for BG control in Type-I diabetes patient. In Advances in Electrical Control and Signal Systems: Select Proceedings of AECSS 2019 (pp. 57-71). Singapore: Springer Singapore.

Chee, F., Savkin, A. V., Fernando, T. L., & Nahavandi, S. (2005). Optimal H/sup/spl infin//insulin injection control for blood glucose regulation in diabetic patients. IEEE Transactions on Biomedical Engineering, 52(10), 1625-1631.

Karimpour, A., Yasini, S., & Naghibi Sistani, M. B. (2012). Knowledge-based closed-loop control of blood glucose concentration in diabetic patients and comparison with H∞ control technique. IETE Journal of Research, 58(4), 328-336.

Patra, A. K., & Rout, P. K. (2014). Optimal H∞ insulin injection control for blood glucose regulation in IDDM patient using physiological model. International Journal of Automation and Control, 8(4), 309-322.

Mishra, A. K., Patra, A. K., & Rout, P. K. (2020). Backstepping model predictive controller for blood glucose regulation in type-I diabetes patient. IETE Journal of Research, 66(3), 326-340.

Patra, A. K., & Rout, P. K. (2017). Adaptive continuousâ€time model predictive controller for implantable insulin delivery system in Type I diabetic patient. Optimal Control Applications and Methods, 38(2), 184-204.

Nanda, A., & Patra, A. K. (2021). Model predictive controller design based on the Laguerre functions for blood glucose regulation in TIDM patient. Journal of The Institution of Engineers (India): Series B, 102(2), 237-248.

Nanda, A., & Patra, A. K. (2020). Automated micro insulin dispenser system based on the model predictive control algorithm. International Journal of Advanced Mechatronic Systems, 8(4), 144-154.

Lehmann, E. D., & Deutsch, T. (1992). A physiological model of glucose-insulin interaction in type 1 diabetes mellitus. Journal of biomedical engineering, 14(3), 235-242.

Lehmann, E. D., & Deutsch, T. (1998). Compartmental models for glycaemic prediction and decision-support in clinical diabetes care: promise and reality. Computer Methods and programs in Biomedicine, 56(2), 193-204.

Cochin, L. (1997). Analysis and design of dynamic systems, 3rd edition, Addison-Wesley, New York.

Patra, A. K., Mishra, A. K., Panigrahi, G. S., Nahak, N., Patra, V. L., & Nanda, A. (2023, November). Artificial Pancreas (AP) in Diabetes Patient based On TLBO Algorithm. In 2023 2nd International Conference on Ambient Intelligence in Health Care (ICAIHC) (pp. 01-05). IEEE.

He, P., Chen, Z. A., Zhou, Z., Liu, Z., & Qian, D. (2023). Robust H2/H∞ DPDC dynamic output feedback controller for an uncertain tensor product model of statically unstable missile. International Journal of Advanced Mechatronic Systems, 10(1), 33-40.

Seghiri, T., Ladaci, S., & Haddad, S. (2023). Fractional order adaptive MRAC controller design for high-accuracy position control of an industrial robot arm. International Journal of Advanced Mechatronic Systems, 10(1), 8-20.

Patra, A. K., & Nanda, A. (2021). An automatic insulin infusion system based on Kalman filtering model predictive control technique. Journal of Dynamic Systems, Measurement, and Control, 143(2), 021004.

Biswal, S. S., Patra, A. K., & Rout, P. K. (2022). Backstepping linear quadratic gaussian controller design for balancing an inverted pendulum. IETE Journal of Research, 68(1), 150-164.

Debnath, M. K., Patra, A. K., Agrawal, R., Rout, B., Mishra, A. K., & Patra, V. L. (2023, August). Vehicle Suspension Control Using LQR Technique. In 2023 IEEE 3rd International Conference on Sustainable Energy and Future Electric Transportation (SEFET) (pp. 1-6). IEEE.

Panigrahi, G. S., Patra, A. K., Mishra, A. K., & Kar, S. K. (2024). Artificial pancreas design for BG regulation in TIDM patient based on sliding mode controller with sliding hyperplane. International Journal of Advanced Mechatronic Systems, 11(4), 200-213.

Kar, S. K., Panigrahi, G. S., Patra, A. K.,& Nanda, A. (2024). Design of artificial pancreas based on adaptive controller with wild goat optimisation algorithm. International Journal of Intelligent Systems Technologies and Applications, 22(2), 173-192.

Patra, A. K., Panigrahi, G. S., Nanda, A., & Kar, S. K. (2024). Design of artificial pancreas based on adaptive controller with wild goat optimisation algorithm. International Journal of Intelligent Systems Technologies and Applications, 22(2), 173-192.

Nanda, A., Panigrahi, G. S., Patra, A. K., & Kar, S. K. (2023). Adaptive controller design based on grasshopper optimisation technique for BG regulation in TIDM patient. International Journal of Automation and Control, 17(4), 440-460.

Abualigah, L., Yousri, D., Abd Elaziz, M., Ewees, A. A., Al-Qaness, M. A., & Gandomi, A. H. (2021). Aquila optimizer: a novel meta-heuristic optimization algorithm. Computers & Industrial Engineering, 157(1), 107250.

Published

2026-09-30

Similar Articles

1 2 > >> 

You may also start an advanced similarity search for this article.