Neuro-fuzzy based glucose prediction model for patients with Type 1 diabetes mellitus

This paper presents the design, the development and the evaluation of a personalized glucose prediction model for patients with Type 1 Diabetes Mellitus (T1DM). The personalized model is based on neuro-fuzzy techniques in order to capture the metabolic behavior of a patient with T1DM. Moreover, wavelets are applied as activation functions in order to enhance the prediction performance and avoid local minimum during training stage. The model receives as input, data from sensors which record in real time glucose levels and physical activity, and provides with future glucose levels. The proposed model is evaluated using data from the medical records of 6 patients with T1DM for the time being on CGMSs and physical activity sensors. The obtained results demonstrate the ability of the proposed model to capture the metabolic behavior of a patient with T1DM and to handle intra- and inter-patient variability.

[1]  Zarita Zainuddin,et al.  A Neural Network Approach in Predicting the Blood Glucose Level for Diabetic Patients , 2009 .

[2]  Dale E. Seborg,et al.  IDENTIFICATION OF LINEAR DYNAMIC MODELS FOR TYPE 1 DIABETES: A SIMULATION STUDY , 2006 .

[3]  John Joseph Valletta,et al.  Gaussian process modelling of blood glucose response to free-living physical activity data in people with type 1 diabetes , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[4]  D. Klonoff Continuous glucose monitoring: roadmap for 21st century diabetes therapy. , 2005, Diabetes care.

[5]  Mihalis G. Markakis,et al.  Nonlinear Modeling of the Dynamic Effects of Infused Insulin on Glucose: Comparison of Compartmental With Volterra Models , 2009, IEEE Transactions on Biomedical Engineering.

[6]  Robert S. Parker,et al.  Empirical Modeling for Glucose Control in Critical Care and Diabetes , 2005, Eur. J. Control.

[7]  Eleni I. Georga,et al.  Data mining for blood glucose prediction and knowledge discovery in diabetic patients: The METABO diabetes modeling and management system , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[8]  Konstantina S. Nikita,et al.  An Insulin Infusion Advisory System Based on Autotuning Nonlinear Model-Predictive Control , 2011, IEEE Transactions on Biomedical Engineering.

[9]  Dimitrios I. Fotiadis,et al.  Multivariate Prediction of Subcutaneous Glucose Concentration in Type 1 Diabetes Patients Based on Support Vector Regression , 2013, IEEE Journal of Biomedical and Health Informatics.

[10]  S. Genuth,et al.  The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. , 1993, The New England journal of medicine.

[11]  Tony R. Martinez,et al.  The general inefficiency of batch training for gradient descent learning , 2003, Neural Networks.

[12]  G. Baghdadi,et al.  Controlling Blood Glucose Levels in Diabetics By Neural Network Predictor , 2007, 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[13]  Ying Wang,et al.  Independent Effect of Visceral Adipose Tissue on Metabolic Syndrome in Obese Adolescents , 2008, Hormone Research in Paediatrics.

[14]  Konstantina S. Nikita,et al.  SMARTDIAB: A Communication and Information Technology Approach for the Intelligent Monitoring, Management and Follow-up of Type 1 Diabetes Patients , 2010, IEEE Transactions on Information Technology in Biomedicine.

[15]  Brent D. Cameron,et al.  Development of a Neural Network for Prediction of Glucose Concentration in Type 1 Diabetes Patients , 2008, Journal of diabetes science and technology.

[16]  R. Hovorka,et al.  Nonlinear model predictive control of glucose concentration in subjects with type 1 diabetes. , 2004, Physiological measurement.

[17]  Giuseppe De Nicolao,et al.  Model predictive control of glucose concentration in type I diabetic patients: An in silico trial , 2009, Biomed. Signal Process. Control..

[18]  Okyay Kaynak,et al.  Fuzzy Wavelet Neural Networks for Identification and Control of Dynamic Plants—A Novel Structure and a Comparative Study , 2008, IEEE Transactions on Industrial Electronics.

[19]  D. Cox,et al.  Evaluating Clinical Accuracy of Systems for Self-Monitoring of Blood Glucose , 1987, Diabetes Care.

[20]  Manoj Sharma,et al.  Accuracy Requirements for a Hypoglycemia Detector: An Analytical Model to Evaluate the Effects of Bias, Precision, and Rate of Glucose Change , 2007, Journal of diabetes science and technology.

[21]  Konstantina S. Nikita,et al.  Personalized glucose-insulin metabolism model based on self-organizing maps for patients with Type 1 Diabetes Mellitus , 2013, 13th IEEE International Conference on BioInformatics and BioEngineering.