The proposed in silico trial shows the potential of MPC for artificial pancreas design. The main features are a capability to consider meal announcement information, delay compensation, and simplicity of tuning and implementation.

Integrated closed-loop control (CLC), combining continuous glucose monitoring (CGM) with insulin pump (continuous subcutaneous insulin infusion [CSII]), known as artificial pancreas, can help optimize glycemic control in diabetes. We present a fundamental modular concept for CLC design, illustrated by clinical studies involving 11 adolescents and 27 adults at the Universities of Virginia, Padova, and Montpellier. We tested two modular CLC constructs: standard control to range (sCTR), designed to augment pump plus CGM by preventing extreme glucose excursions; and enhanced control to range (eCTR), designed to truly optimize control within near normoglycemia of 3.9–10 mmol/L. The CLC system was fully integrated using automated data transfer CGM→algorithm→CSII. All studies used randomized crossover design comparing CSII versus CLC during identical 22-h hospitalizations including meals, overnight rest, and 30-min exercise. sCTR increased significantly the time in near normoglycemia from 61 to 74%, simultaneously reducing hypoglycemia 2.7-fold. eCTR improved mean blood glucose from 7.73 to 6.68 mmol/L without increasing hypoglycemia, achieved 97% in near normoglycemia and 77% in tight glycemic control, and reduced variability overnight. In conclusion, sCTR and eCTR represent sequential steps toward automated CLC, preventing extremes (sCTR) and further optimizing control (eCTR). This approach inspires compelling new concepts: modular assembly, sequential deployment, testing, and clinical acceptance of custom-built CLC systems tailored to individual patient needs.

The control of diabetes is an interdisciplinary endeavor, which includes a significant biomedical engineering component, with traditions of success beginning in the early 1960s. It began with modeling of the insulin-glucose system, and progressed to large-scale in silico experiments, and automated closed-loop control (artificial pancreas). Here, we follow these engineering efforts through the last, almost 50 years. We begin with the now classic minimal modeling approach and discuss a number of subsequent models, which have recently resulted in the first in silico simulation model accepted as substitute to animal trials in the quest for optimal diabetes control. We then review metabolic monitoring, with a particular emphasis on the new continuous glucose sensors, on the analyses of their time-series signals, and on the opportunities that they present for automation of diabetes control. Finally, we review control strategies that have been successfully employed in vivo or in silico, presenting a promise for the development of a future artificial pancreas and, in particular, discuss a modular architecture for building closed-loop control systems, including insulin delivery and patient safety supervision layers. We conclude with a brief discussion of the unique interactions between human physiology, behavioral events, engineering modeling and control relevant to diabetes.

Consumer electronics, wearable and personal health devices, power networks, microgrids, and hybrid electric vehicles (HEVs) are some of the many applications of lithium-ion batteries. Their optimal design and management are important for safe and profitable operations. The use of accurate mathematical models can help in achieving the best performance. This article provides a detailed description of a finite volume method (FVM) for a pseudo-two-dimensional (P2D) Li-ion battery model suitable for the development of model-based advanced battery management systems. The objectives of this work are to provide: (i) a detailed description of the model formulation, (ii) a parametrizable Matlab framework for battery design, simulation, and control of Li-ion cells or battery packs, (iii) a validation of the proposed numerical implementation with respect to the COMSOL MultiPhysics commercial software and the Newman's DUALFOIL code, and (iv) some demonstrative simulations involving thermal dynamics, a hybrid charge-discharge cycle emulating the throttle of an HEV, a model predictive control of state of charge, and a battery pack simulation. The increasing demand for portable devices (e.g., smartphones) and hybrid electric vehicles (HEVs) calls for the design and management of storage devices of high power density and reduced size and weight. During the many decades of research, different chemistries of batteries have been developed, such as Nickel Cadmium (NiCd), Nickel Metal Hydride (NiMH), Lead Acid and Lithium ion (Li-ion) and Lithium ion Polymer (Li-Poly) (e.g., see Refs. 1-4). Among electrochemical accumulators, Li-ion batteries provide one of the best tradeoff in terms of power density, low weight, cell voltage, and low self-discharge. 5 Mathematical models can support the design of new batteries as well as the development of new advanced battery management systems (ABMS). [6][7][8] According to the literature, mathematical models for Li-ion battery dynamics fall within two main categories: Equivalent Circuit Models (ECMs) and Electrochemical Models (EMs). ECMs use only electrical components to model the dynamic behavior of the battery. ECMs include (i) the R int model where only a resistance and a voltage source are used to model the battery, (ii) the RC model (introduced by the company SAFT 9 ) where capacitor dynamics have been added to the R int model, 10 and (iii) the Thevenin model, which is an extension of the RC model (e.g., see Refs. 11, 12 and references therein). In contrast, EMs explicitly represent the chemical processes that take place in the battery. While ECMs have the advantage of simplicity, EMs are more accurate due to their ability to describe detailed physical phenomena. 13 The most widely used EM in the literature is the porous electrode theory-based pseudo-two-dimensional (P2D) model, 14 which is described by a set of tightly coupled and highly nonlinear partial differential-algebraic equations (PDAEs). In order to exploit the model for simulation and design purposes, the set of PDAEs are reformu...

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