Delay-induced uncertainty in the glucose-insulin system: Pathogenicity for obesity and type-2 diabetes mellitus

We have recently shown that physiological delay can induce a novel form of sustained temporal chaos we call delay-induced uncertainty (DIU) (Karamched et al. (Chaos, 2021, 31, 023142)). This paper assesses the impact of DIU on the ability of the glucose-insulin system to maintain homeostasis when re...

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Main Authors: Bhargav R. Karamched, George Hripcsak, Rudolph L. Leibel, David Albers, William Ott
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.936101/full
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author Bhargav R. Karamched
Bhargav R. Karamched
Bhargav R. Karamched
George Hripcsak
Rudolph L. Leibel
Rudolph L. Leibel
David Albers
David Albers
William Ott
author_facet Bhargav R. Karamched
Bhargav R. Karamched
Bhargav R. Karamched
George Hripcsak
Rudolph L. Leibel
Rudolph L. Leibel
David Albers
David Albers
William Ott
author_sort Bhargav R. Karamched
collection DOAJ
description We have recently shown that physiological delay can induce a novel form of sustained temporal chaos we call delay-induced uncertainty (DIU) (Karamched et al. (Chaos, 2021, 31, 023142)). This paper assesses the impact of DIU on the ability of the glucose-insulin system to maintain homeostasis when responding to the ingestion of meals. We address two questions. First, what is the nature of the DIU phenotype? That is, what physiological macrostates (as encoded by physiological parameters) allow for DIU onset? Second, how does DIU impact health? We find that the DIU phenotype is abundant in the space of intrinsic parameters for the Ultradian glucose-insulin model—a model that has been successfully used to predict glucose-insulin dynamics in humans. Configurations of intrinsic parameters that correspond to high characteristic glucose levels facilitate DIU onset. We argue that DIU is pathogenic for obesity and type-2 diabetes mellitus by linking the statistical profile of DIU to the glucostatic theory of hunger.
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spelling doaj.art-47c71ef13d7441b3b0831784fd6c6ae82022-12-22T02:09:20ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-09-011310.3389/fphys.2022.936101936101Delay-induced uncertainty in the glucose-insulin system: Pathogenicity for obesity and type-2 diabetes mellitusBhargav R. Karamched0Bhargav R. Karamched1Bhargav R. Karamched2George Hripcsak3Rudolph L. Leibel4Rudolph L. Leibel5David Albers6David Albers7William Ott8Department of Mathematics, Florida State University, Tallahassee, FL, United StatesInstitute of Molecular Biophysics, Florida State University, Tallahassee, FL, United StatesProgram in Neuroscience, Florida State University, Tallahassee, FL, United StatesDepartment of Biomedical Informatics, Columbia University, New York, NY, United StatesDivision of Molecular Genetics, Department of Pediatrics, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, NY, NY, United StatesNaomi Berrie Diabetes Center, Columbia University Irving Medical Center, NY, NY, United StatesDepartment of Biomedical Informatics, Columbia University, New York, NY, United StatesSection of Informatics and Data Science, Department of Pediatrics, Department of Biomedical Engineering, and Department of Biostatistics and Informatics, University of Colorado Anschutz Medical Campus, Aurora, CO, United StatesDepartment of Mathematics, University of Houston, Houston, TX, United StatesWe have recently shown that physiological delay can induce a novel form of sustained temporal chaos we call delay-induced uncertainty (DIU) (Karamched et al. (Chaos, 2021, 31, 023142)). This paper assesses the impact of DIU on the ability of the glucose-insulin system to maintain homeostasis when responding to the ingestion of meals. We address two questions. First, what is the nature of the DIU phenotype? That is, what physiological macrostates (as encoded by physiological parameters) allow for DIU onset? Second, how does DIU impact health? We find that the DIU phenotype is abundant in the space of intrinsic parameters for the Ultradian glucose-insulin model—a model that has been successfully used to predict glucose-insulin dynamics in humans. Configurations of intrinsic parameters that correspond to high characteristic glucose levels facilitate DIU onset. We argue that DIU is pathogenic for obesity and type-2 diabetes mellitus by linking the statistical profile of DIU to the glucostatic theory of hunger.https://www.frontiersin.org/articles/10.3389/fphys.2022.936101/fulldelay-induced uncertaintyglucostatic hypothesislyapunov exponentobesitysheartheory of rank-one maps
spellingShingle Bhargav R. Karamched
Bhargav R. Karamched
Bhargav R. Karamched
George Hripcsak
Rudolph L. Leibel
Rudolph L. Leibel
David Albers
David Albers
William Ott
Delay-induced uncertainty in the glucose-insulin system: Pathogenicity for obesity and type-2 diabetes mellitus
Frontiers in Physiology
delay-induced uncertainty
glucostatic hypothesis
lyapunov exponent
obesity
shear
theory of rank-one maps
title Delay-induced uncertainty in the glucose-insulin system: Pathogenicity for obesity and type-2 diabetes mellitus
title_full Delay-induced uncertainty in the glucose-insulin system: Pathogenicity for obesity and type-2 diabetes mellitus
title_fullStr Delay-induced uncertainty in the glucose-insulin system: Pathogenicity for obesity and type-2 diabetes mellitus
title_full_unstemmed Delay-induced uncertainty in the glucose-insulin system: Pathogenicity for obesity and type-2 diabetes mellitus
title_short Delay-induced uncertainty in the glucose-insulin system: Pathogenicity for obesity and type-2 diabetes mellitus
title_sort delay induced uncertainty in the glucose insulin system pathogenicity for obesity and type 2 diabetes mellitus
topic delay-induced uncertainty
glucostatic hypothesis
lyapunov exponent
obesity
shear
theory of rank-one maps
url https://www.frontiersin.org/articles/10.3389/fphys.2022.936101/full
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