Adaptive fuzzy control-based optimization models for real-time insulin delivery in diabetes
Supriya Maheshwarisupmaheshwari@gmail.comDepartment of MathematicsNoida Institute of Engineering and TechnologyGreater Noida, Uttar Pradesh, 201306, IndiaView full profile → , Khursheed Alamkhursheed.alam@sharda.ac.inDepartment of Mathematics & Data ScienceThe A. H. Siddiqi Centre for Advanced Research in Applied Mathematics & Physics (CARAMP)Sharda UniversityGreater Noida, Uttar Pradesh, 201310, IndiaView full profile → , *Masood AlamCorresponding authormalam@squ.edu.omDepartment of Mathematics and Information TechnologyCentre for Preparatory Studies (CPS)Sultan Qaboos UniversityMuscat, OmanView full profile → , A. K. Singhaksinghrbs@yahoo.comDepartment of Applied Sciences (Mathematics)Raja Balwant Singh Engineering Technical CampusBichpuri, Agra, Uttar Pradesh, 283105, IndiaView full profile → , Surekha Manohar Jadhavsurekha.kale@pravara.inDepartment of Bachelor of Computer ApplicationLoknete Dr. Balasaheb Vikhe Patil (Padmbhushan Awardee), Pravara Rural Education Society’sWomen’s College of Home Science and BCALoni, Pune, Maharashtra, 413713, IndiaView full profile → , Firdaus Mohamad Hamzahkagba2006@gmail.comDepartment of MathematicsCentre for Defence Foundation StudiesUniversiti Pertahanan Nasional MalaysiaKem Sungai Besi, Kuala Lumpur, 57000, MalaysiaView full profile →
* Corresponding author · click or hover a name for details
- Received:
- 01 Jan 2026
- Published Online:
- 30 Sep 2026
- Article type:
- Research Article
- Language:
- EN
- Article no.:
- JIOS-2421
- Pages:
- 3293–3308
Abstract
An adaptive fuzzy control model is developed as an optimization-based real-time insulin delivery system for managing diabetes. The fuzzy controller uses 3 input values (blood glucose levels, rate of change of glucose, and amount of food consumed) to adjust the rate at which insulin is infused based on how close the glucose level is to the desired range. In comparison to traditional Proportional Integral Derivative (PID) type controllers, that have difficulty dealing with both time delay and the non-linear relationship of glucose and insulin, the adaptive fuzzy controller performs optimization by adjusting linguistic rules and tuning membership functions in real time to produce less erratic and more stable responses. The simulation demonstrates that the fuzzy controller is capable of reducing glucose excursions, preventing hypoglycemia, and returning to target more quickly than the PID controller after a meal. Comparisons of the fuzzy controller to the PID controller show the potential of this optimization-based technology as part of a closed loop artificial pancreas.
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References
[1] L. Cervantes, C. Caraveo, and O. Castillo, “Performance comparison between type-1 and type-2 fuzzy logic control applied to insulin pump injection in real time for patients with diabetes,” Mathematics, vol. 11, no. 3, Art. no. 730 (2023).
[2] B. Farahmand, M. Dehghani, and N. Vafamand, “Fuzzy model-based controller for blood glucose control in type 1 diabetes: An LMI approach,” Biomedical Signal Processing and Control, vol. 54, Art. no. 101627 (2019).
[3] A. Ferrero, E. Ghelichkhan, H. Manooehri, M. M. Ho, D. J. Albertson, B. J. Brintz, and B. S. Knudsen, “HistoEM: A pathologist-guided and explainable workflow using histogram embedding for gland classification,” Modern Pathology, vol. 37, no. 4, Art. no. 100447 (2024).
[4] M. Ganji, M. K. Ardakani, and M. Pourgholi, “Fuzzy insulin dosing policy design for type 1 diabetes under different pump constraints: An LMI approach,” Sustainable Energy and Artificial Intelligence, vol. 1, no. 2, pp. 67–75 (2025).
[5] S. M. Gharghory and D. A. El-Dib, “Fuzzy control system for regulating the blood glucose level of diabetes patients implemented on FPGA,” Journal of Circuits, Systems and Computers, vol. 25, no. 16, Art. no. 1650161 (2016).
[6] P. Holmager, M. B. Christensen, K. Norgaard, and S. Schmidt, “GLP-1 receptor agonists in overweight and obese individuals with type 1 diabetes using an automated insulin delivery device: A real-world study,” Journal of Diabetes Science and Technology, vol. 19, no. 2, pp. 286–291 (2025).
[7] K. Lamamra, F. Batat, and F. Mokhtari, “A new technique with improved control quality of nonlinear systems using an optimized fuzzy logic controller,” Expert Systems with Applications, vol. 145, Art. no. 113148 (2020).
[8] M. Richard, Y. Wang, E. Dassau, R. K. Jr, D. Matheson, H. Zisser, L. Jovanovič, and F. J. Doyle III, “Proposed clinical application for tuning fuzzy logic controller of artificial pancreas utilizing a personalization factor,” Journal of diabetes science and technology, vol. 4, no. 4, pp. 913-922 (2010).
[9] K. Mehran, “Takagi-Sugeno fuzzy modeling for process control,” in Industrial Automation, Robotics and Artificial Intelligence (EEE8005), vol. 262, pp. 1–31 (2008).
[10] K. Mittal, A. Jain, K. S. Vaisla, O. Castillo, and J. Kacprzyk, “A comprehensive review on type-2 fuzzy logic applications: Past, present and future,” Engineering Applications of Artificial Intelligence, vol. 95, Art. no. 103916 (2020).
[11] Y. Y. Rios, J. A. Garcia Rodriguez, E. N. Sanchez, A. Y. Alanis, E. Ruiz-Velazquez, and A. P. Garcia, “Treatment for T1DM patients by a neuro-fuzzy inverse optimal controller including multi-step prediction,” ISA Transactions, vol. 126, pp. 203–212 (2022).
[12] A. I. Roose, S. Yahya, and H. Al-Rizzo, “Fuzzy-logic control of an inverted pendulum on a cart,” Computers and Electrical Engineering, vol. 61, pp. 31–47 (2017).
[13] A. Sala and C. Arino, “Polynomial fuzzy models for nonlinear control: A Taylor series approach,” IEEE Transactions on Fuzzy Systems, vol. 17, no. 6, pp. 1284–1295 (2009).
[14] J. M. Jamil, H. A. A. Ameer, and I. E. Ubaid, “A fuzzy SWT-open in double fuzzy topological space,” Journal of Interdisciplinary Mathematics, vol. 28, no. 3A, pp. 691–701 (2025).
[15] M. Saleki, M. S. Fallahnezhad, D. Shishebori, and M. A. DehghaniTafti, “Multi-objective fuzzy optimization under uncertainty for investment portfolio selection in emerging financial markets,” Journal of Information and Optimization Sciences, vol. 47, no. 3, pp. 849–885 (2026).




