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The Artificial Pancreas                                      453


















































              Fig. 31 Modular architecture for a closed-loop artificial pancreas. (Based on Patek, S.,
              Magni, L., Hughes-Karvetski, C., Toffanin, C., DeNicolao, G., DelFavero, S., Breton, M.,
              DallaMan, C., Renard, E., Zisser, H., DoyleIII, F., Cobelli, C., Kovatchev, B., 2012. Modular
              closed-loop control of diabetes. IEEE Trans. Biomed. Eng. 59(11): 2986–2999.)

              algorithms to be easily implemented without requiring changes to the core
              CGM or pump hardware.
                 Future automation of insulin delivery will be further supported by the
              introduction of algorithms that are capable of using multiple signals to better
              determine the physiological state of the person. Studies of multihormonal
              systems will gauge the viability of insulin plus glucagon control and of alter-
              natives like insulin plus pramlintide. Finally, all of these systems will benefit
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