Estimation of Plasma Insulin and Endogenous Insulin Secretion in Critically Ill Patients Using ICING Model

Ummu Kulthum, Jamaludin and Fatanah, M. Suhaimi and Normy Norfiza, A. Razak and Azrina, M. Ralib and Mohd Basri, Mat Nor (2017) Estimation of Plasma Insulin and Endogenous Insulin Secretion in Critically Ill Patients Using ICING Model. Advanced Science Letters, 23 (6). pp. 5511-5514. ISSN 1936-6612. (Published)

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Abstract

The objective of this study is to estimate total plasma insulin level and endogenous insulin secretion by using Intensive Control Insulin-Nutrition-Glucose (ICING) model and 90 critically ill patients’ data from Hospital Tengku Ampuan Afzan, Kuantan. Integral-based method was applied to solve mathematical equations defined in ICING model to find critical parameters of insulin sensitivity (SI) and results of total endogenous insulin secretion and total plasma insulin level were presented in median and 95% confidence interval (CI). It is reported that the total median plasma insulin is 1.35 x 106 mU while (6.59 x 105, 2.79 x 106) mU is in 95% CI, and the total median endogenous insulin secretion is 12.9% from the total median plasma insulin. The results elucidated the effectiveness of current practice via Intensive Insulin Infusion Therapy (IIT) and also suggest a further study on investigating the incretin mechanism which is strongly believed to contribute to the total plasma insulin level and help to simulate endogenous insulin secretion.

Item Type: Article
Additional Information: International Conference on Computer, Communication, and Control Technology, 19-21 April 2016, Kota Kinabalu, Sabah, Malaysia
Uncontrolled Keywords: ICING Model, Endogenous Insulin, Exogenous Insulin, Plasma Insulin, Critically Ill
Subjects: Q Science > QA Mathematics
T Technology > T Technology (General)
T Technology > TJ Mechanical engineering and machinery
Faculty/Division: Faculty of Mechanical Engineering
Depositing User: Dr. Ummu Kulthum Jamaludin
Date Deposited: 02 Feb 2018 01:54
Last Modified: 30 Nov 2018 02:01
URI: http://umpir.ump.edu.my/id/eprint/19702
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