Glucose Regulator with FPGA for Diabetes Management

Glucose Regulator

Introduction

Managing blood sugar is a daily challenge for people with type 2 diabetes. Their bodies either do not produce enough insulin or do not respond to it properly, making even simple activities like eating, exercising, or stress impact their glucose levels. A glucose regulator plays a crucial role in managing these fluctuations by continuously monitoring glucose levels and adjusting insulin delivery as needed. Traditional methods rely on insulin injections, glucose monitoring, and microcontroller-based systems, which often come with delays and inefficiencies, making a reliable glucose regulator an essential tool for effective diabetes management.

This is where FPGA-based glucose regulators offer a breakthrough. These devices operate entirely through hardware instead of relying on software-driven systems, making glucose management faster, more precise, and more efficient. By removing software dependencies, FPGA technology makes insulin regulation seamless and highly responsive, ensuring better control for diabetic patients.

What is a Glucose Regulator?

How Glucose Regulators Work

A glucose regulator monitors blood sugar levels and administers insulin when needed. The human pancreas naturally handles this task, but diabetes disrupts the process.

Digital Glucose: On the left: the closed–loop control scheme of the insulin-glucose regulator. On the right: The SIMULINK model simulating the VP and the FPGA board implementing the AP system.
On the left: the closed–loop control scheme of the insulin-glucose regulator. On the right: The SIMULINK model simulating the VP and the FPGA board implementing the AP system.

Type 1 diabetes patients do not produce insulin at all, meaning they require external sources for survival. Type 2 diabetes patients may still produce insulin, but their body does not process glucose efficiently, leading to fluctuating blood sugar levels. Both types need medical intervention to prevent dangerous highs and lows.

The Shortcomings of Traditional Glucose Regulator

Most existing glucose regulators rely on microcontroller-based systems that use software to process glucose readings and calculate insulin dosage. However, software-driven systems have several drawbacks:

  • Slower processing speeds, which can delay insulin infusion when the body needs it most.
  • Higher power consumption, making wearable and implantable solutions less efficient.
  • Potential inaccuracies, leading to glucose mismanagement.

FPGA-based glucose regulators solve these problems by eliminating software entirely, running purely on hardware for lightning-fast glucose control.

Why FPGA-Based Glucose Regulators Are Better

Hardware-Only Processing for Faster Results

Traditional glucose regulators depend on software-based calculations, which can slow down insulin response times. FPGA-based solutions bypass these delays by processing all calculations on dedicated hardware. This results in:

  • Faster processing speeds (1.1 microseconds per calculation) ensuring no insulin delays.
  • Lower power consumption (only 36 milliwatts) allowing long-term use in wearable devices.
  • Greater accuracy (within ±1% error margin) ensuring stable glucose levels.
Digital architecture implementing the insulin treatment decision controller on the FPGA board.
Digital architecture implementing the insulin treatment decision controller on the FPGA board.

Because FPGA-based regulators work exclusively on hardware, there is no need for updates or patches, making them highly reliable and ideal for real-world diabetes management.

Digital architecture at block level of the insulin treatment decision controller implemented on the FPGA board.
Digital architecture at block level of the insulin treatment decision controller implemented on the FPGA board.

How the FPGA-Based Glucose Regulator Works

Operating Modes: Open-Loop vs. Closed-Loop

The regulator operates in two different modes to optimize glucose control.

Open-Loop Mode

In this mode, the regulator functions independently, calculating insulin needs without real-time feedback from the patient. It monitors glucose levels and adjusts insulin dosage accordingly, ensuring stable sugar levels.

Closed-Loop Mode

This mode simulates real patients using FDA-recognized mathematical models. It interacts with virtual patient profiles to adjust insulin dynamically, much like an artificial pancreas. By running through these simulations, the regulator can fine-tune its accuracy, making real-world applications safer and more effective.

Comparing FPGA-Based Glucose Regulator to Traditional Systems

Performance Evaluation Using Virtual Patients

To test effectiveness, researchers compared FPGA regulators to traditional software-driven systems using 100 virtual patients with different glucose patterns. The results were clear: FPGA-based systems outperformed software-based systems in accuracy and speed.

FeatureFPGA-Based RegulatorSoftware-Based Regulator
Processing Speed1.1 microsecondsVariable (often slower)
Power Consumption36 milliwattsHigher
Accuracy±1% error marginLess reliable
FDA ValidationApproved models usedStandard simulations

FPGA glucose regulators respond faster, use less power, and provide greater accuracy, making them a more reliable choice for diabetes management.

Glucose Regulator: What This Means for the Future of Diabetes Management

Advancing Toward Wearable and Implantable Solutions

The success of FPGA-based glucose regulators opens new doors for next-generation diabetes technology. Future developments could lead to:

  • Wearable devices that regulate insulin in real-time
  • Implantable artificial pancreas solutions that eliminate manual insulin injections
  • Smaller, more efficient glucose management tools

Researchers are now working on integrating FPGA-driven systems into System-on-Chip (SoC) and Lab-on-Chip technologies, making glucose regulation more portable and automated.

Testing and Validation of the FPGA-Based Glucose Regulator

To ensure the FPGA-based glucose regulator works effectively in managing blood sugar levels, researchers put it through rigorous testing. The system was evaluated using FDA-recognized virtual patients, numerical simulations, and hardware performance metrics to determine how well it performed under real-world conditions. The goal was to check its accuracy, efficiency, and responsiveness, confirming whether it could be used in wearable and implantable diabetes management devices.

The results were impressive. The FPGA-based solution outperformed traditional microcontroller-based systems in speed, energy efficiency, and precision. It successfully handled simulated glucose fluctuations, proving it can adapt dynamically to different patient needs.

Glucose Regulator: Testing with Virtual Patients Approved by the FDA

Since real-world clinical trials can be complicated and require long approval processes, researchers first tested the glucose regulator using 100 virtual patients modeled on an FDA-recognized theoretical framework for preclinical validation. These virtual patients simulate how real human bodies respond to glucose and insulin, allowing researchers to measure the regulator’s effectiveness without needing actual human trials.

Each patient had unique glucose regulation characteristics, meaning they responded differently to insulin and glucose variations, just like real individuals would. By studying how the FPGA regulator adjusted insulin levels across different virtual patients, researchers were able to confirm its ability to respond to changing glucose conditions dynamically.

How the Virtual Patient Testing Was Conducted

The FPGA-based insulin-glucose regulator was tested under two key conditions:

  • Open-loop mode: In this setting, the regulator adjusted insulin without patient feedback, simply responding to glucose readings as they appeared.
  • Closed-loop mode: The regulator actively responded to fluctuations in glucose levels, adjusting insulin infusion dynamically based on how the virtual patient’s body reacted.

The results of these tests were then compared with theoretical expectations, ensuring that the FPGA system could accurately and automatically regulate blood sugar without errors.

Key Findings from Virtual Patient Testing

Testing ParameterFPGA-Based Glucose Regulator Performance
Number of Virtual Patients Tested100
Simulation ConditionsOpen-loop & Closed-loop modes
Accuracy Compared to Theoretical ModelsDeviation less than ±1%
Ability to Adjust Insulin Based on Patient ResponseHighly effective

These findings confirmed that the FPGA glucose regulator successfully managed glucose fluctuations and provided precise insulin dosage adjustments in real time.

Comparing FPGA-Based Regulation with Numerical Simulations

To further confirm the system’s accuracy, researchers compared the FPGA regulator’s performance against numerical models created using MATLAB and Simulink. These models served as a scientific benchmark, ensuring that the real-world hardware matched theoretical expectations.

Glucose Regulator: How the Numerical Simulations Were Conducted

  • The FPGA regulator’s output was recorded under controlled glucose variations.
  • The results were then compared with theoretical insulin delivery models, checking whether the hardware’s calculations aligned with expected values.
  • Glucose levels were monitored before and after insulin infusion, ensuring the system’s stabilization effect matched theoretical predictions.

Results of the Accuracy Comparison

Evaluation CriteriaFPGA-Based RegulatorMATLAB-Simulated ResultsDeviation (%)
Glucose Concentration Before RegulationMatches Expected ValuesMatches Expected Values±1%
Insulin Infusion AdjustmentsOptimized Hardware-BasedSimulation-Based Predictions±1%
Response Time for Adjustments1.1 microsecondsVariableFPGA Faster
Power Consumption36 mWSoftware-Based (Higher)FPGA More Efficient

The FPGA-based solution showed almost perfect alignment with theoretical numerical predictions, proving its high accuracy in real-time glucose control with minimal deviation.

Glucose Regulator: Power Consumption and Processing Speed—Why FPGA Is a Game Changer

For a glucose regulator to be usable in real-world medical applications, it needs to be fast and energy-efficient. Patients need a device that can process insulin adjustments immediately while using minimal power for long-term wearability.

Researchers tested the FPGA system’s speed and power consumption, and the results were groundbreaking.

Processing Speed

  • The FPGA regulator processed insulin dosage calculations in just 1.1 microseconds, making adjustments in real time.
  • This ultra-fast response ensures blood sugar stays stable, preventing dangerous spikes or drops.
  • Compared to traditional microcontroller-based glucose regulators, which rely on slower software-driven computations, FPGA processing is significantly faster.

Power Consumption

  • The system operates at just 36 milliwatts, far lower than conventional glucose regulators.
  • This low power requirement makes it perfect for battery-operated wearable devices, ensuring patients can use the regulator continuously without frequent charging.

Comparison with Software-Based Glucose Regulators

Performance FactorFPGA-Based RegulatorSoftware-Based Regulator
Computational Speed1.1 µs per insulin adjustmentVariable (Often slower)
Power Consumption36 mWHigher (More energy drain)
Accuracy in Glucose Regulation±1% deviationLess precise
Suitability for Wearable DevicesHighly efficientLimited by energy usage

These results prove that the FPGA-based glucose regulator is far more efficient than traditional microcontroller-driven systems, making it an excellent choice for diabetes management applications.

Floorplan of the fully implemented system on the commercial XILINX ARTIX 7 FPGA-based board, showcasing the arrangement of hardware components optimized for processing efficiency and real-time data handling.
Floorplan of the fully implemented system on the commercial XILINX ARTIX 7 FPGA-based board, showcasing the arrangement of hardware components optimized for processing efficiency and real-time data handling.

Final Thoughts on Experimental Validation

The FPGA-based glucose regulator has gone through extensive testing using FDA-recognized virtual patients, numerical simulation validation, and hardware performance assessments. The results show that:

  • The system maintains glucose regulation with ±1% accuracy, ensuring real-time effectiveness.
  • Its processing speed is faster than traditional software-driven regulators, responding within 1.1 microseconds.
  • It operates at an energy-efficient 36 mW, making it ideal for wearable and implantable diabetes management solutions.
Experimental setup of the developed insulin-glucose regulator based on the fully-hardware digital treatment decision controller. The MATLAB software environment runs on a laptop PC, the hardware treatment decision controller is implemented on the FPGA ARTY A7-35T.
Experimental setup of the developed regulator, built on a fully hardware-based treatment decision controller. The MATLAB software environment runs on a laptop PC, while the hardware controller is implemented on the FPGA ARTY A7-35T.
Operation of the regulator under open-loop condition. Panel (a): Example of concentration variation for the VP across 144 steps, measured every 10 minutes; Panel (b): Comparison of software and hardware data, with the treatment decision controller emulated using the SIMULINK model and implemented on the FPGA board; Panel (c): Point-by-point relative errors between the two data sets from Panel (b).
Operation of the regulator under open-loop condition. Panel (a): Example of concentration variation for the VP across 144 steps, measured every 10 minutes; Panel (b): Comparison of software and hardware data, with the treatment decision controller emulated using the SIMULINK model and implemented on the FPGA board; Panel (c): Point-by-point relative errors between the two data sets from Panel (b).
Operation of the regulator system under the closed-loop condition. Panel (a): Variation of the software and hardware data of concentration levels for the three VPs during a day; Panel (b): Insulin levels infused in the VP bodies determined by the treatment decision controller implemented by the FPGA board; Panel (c): Point-by-point relative error between the software and hardware data of Panel (a).
Operation of the regulator system under the closed-loop condition. Panel (a): Variation of the software and hardware data of concentration levels for the three VPs during a day; Panel (b): Insulin levels infused in the VP bodies determined by the treatment decision controller implemented by the FPGA board; Panel (c): Point-by-point relative error between the software and hardware data of Panel (a).

With its exceptional accuracy, low power consumption, and ultra-fast response time, this FPGA-based system has the potential to revolutionize diabetes care. Future research could focus on miniaturizing the system, allowing for seamless integration into wearable devices and automated glucose regulation without manual intervention.

Conclusion

Managing blood sugar is one of the biggest challenges for people with Type 2 diabetes. Small changes in diet, activity, or stress levels can cause huge fluctuations, making it tough to maintain stable glucose levels. That’s why having a reliable, real-time insulin regulator is so important.

The FPGA-based glucose regulator offers a major leap forward compared to traditional systems. Instead of relying on slow, software-driven adjustments, it works entirely through hardware, processing insulin doses in just 1.1 microseconds with an accuracy of ±1%. It’s fast, efficient, and incredibly precise, making it an ideal choice for wearable and implantable diabetes management devices. Plus, with its low power consumption of just 36 milliwatts, it can run continuously without draining battery life.

Why Innovation in Glucose Regulation Matters

Diabetes technology has come a long way, but traditional methods still have their limitations. Many existing glucose regulators depend on software, which can cause delays, errors, or unnecessary complexity in insulin management. The FPGA solution cuts out the software entirely, allowing for instant adjustments and more accurate glucose control.

As medical technology advances, automated glucose regulation should become more accessible. The next step is to integrate FPGA regulators into smaller, smarter wearable devices, ensuring continuous glucose monitoring and insulin infusion without any manual intervention. This would be a game-changer for diabetic patients, making daily management much easier and more efficient.

Encouraging Future Research and Development

FPGA-based glucose regulators are just the beginning of a new era in diabetes management. The potential to miniaturize and refine this system into a fully automated solution could completely transform how millions of people monitor and control their blood sugar levels.

Further research could explore ways to integrate this technology into smart patches, implants, or AI-driven monitoring systems that predict glucose fluctuations before they happen. The future of diabetes care is moving toward precision medicine, and FPGA-driven solutions are paving the way for smarter, more effective treatments.

As more advancements are made, one thing is clear—FPGA-based glucose regulators could change the way we approach diabetes care, making life easier, healthier, and stress-free for those who need it most.

References

Di Patrizio Stanchieri, G., De Marcellis, A., Faccio, M., Palange, E., Di Ferdinando, M., Di Gennaro, S., & Pepe, P. (2024). FPGA-Based Implementation of a Digital Insulin-Glucose Regulator for Type 2 Diabetic Patients. Electronics, 13(1607). https://doi.org/10.3390/electronics13091607

License Information

This paper is distributed under the Creative Commons Attribution (CC BY) License, which allows for unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited.