PMID- 38307451 OWN - NLM STAT- MEDLINE DCOM- 20240219 LR - 20240322 IS - 1095-8541 (Electronic) IS - 0022-5193 (Linking) VI - 581 DP - 2024 Mar 21 TI - A mathematical model of obesity-induced type 2 diabetes and efficacy of anti-diabetic weight reducing drug. PG - 111756 LID - S0022-5193(24)00037-7 [pii] LID - 10.1016/j.jtbi.2024.111756 [doi] AB - The dominant paradigm for modeling the obesity-induced T2DM (type 2 diabetes mellitus) today focuses on glucose and insulin regulatory systems, diabetes pathways, and diagnostic test evaluations. The problem with this approach is that it is not possible to explicitly account for the glucose transport mechanism from the blood to the liver, where the glucose is stored, and from the liver to the blood. This makes it inaccurate, if not incorrect, to properly model the concentration of glucose in the blood in comparison to actual glycated hemoglobin (A1C) test results. In this paper, we develop a mathematical model of glucose dynamics by a system of ODEs. The model includes the mechanism of glucose transport from the blood to the liver, and from the liver to the blood, and explains how obesity is likely to lead to T2DM. We use the model to evaluate the efficacy of an anti-T2DM drug that also reduces weight. CI - Copyright (c) 2024 Elsevier Ltd. All rights reserved. FAU - Siewe, Nourridine AU - Siewe N AD - School of Mathematics and Statistics, College of Science, Rochester Institute of Technology, Rochester, NY, USA. Electronic address: nourridine@aims.ac.za. FAU - Friedman, Avner AU - Friedman A AD - Department of Mathematics, The Ohio State University, Columbus, OH, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240201 PL - England TA - J Theor Biol JT - Journal of theoretical biology JID - 0376342 RN - 0 (Blood Glucose) RN - IY9XDZ35W2 (Glucose) RN - 0 (Insulin) SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/complications/drug therapy MH - Blood Glucose/metabolism MH - Glucose MH - Insulin/metabolism MH - Obesity/complications/drug therapy MH - Models, Theoretical OTO - NOTNLM OT - A1C OT - GLUT-2/GLUT-4 OT - GPL-1 OT - Glucose OT - Insulin OT - Mounjaro OT - Type 2 diabetes COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2024/02/03 00:42 MHDA- 2024/02/19 06:42 CRDT- 2024/02/02 19:34 PHST- 2023/08/17 00:00 [received] PHST- 2023/11/04 00:00 [revised] PHST- 2024/01/26 00:00 [accepted] PHST- 2024/02/19 06:42 [medline] PHST- 2024/02/03 00:42 [pubmed] PHST- 2024/02/02 19:34 [entrez] AID - S0022-5193(24)00037-7 [pii] AID - 10.1016/j.jtbi.2024.111756 [doi] PST - ppublish SO - J Theor Biol. 2024 Mar 21;581:111756. doi: 10.1016/j.jtbi.2024.111756. Epub 2024 Feb 1.