Prediction of Blood Glucose Levels And Nocturnal Hypoglycemia Using Physiological Models and Artificial Neural Networks

Blood glucose control is a burden for subjects who live with Type 1 Diabetes (T1D). Patients with T1D aim to maintain blood glucose levels into euglycemic ranges, but this is not trivial task and requires a lifelong commitment on diabetes management. Emerging technologies (e.g. continuous glucose monitoring, insulin pump, mobile applications) have permitted to track several signals related with diabetes management closely, boosting the application of various machine learning algorithm focusing to learn the behavior of blood glucose. In this work we present the application of artificial neural networks to perform two different tasks: i) creating regression models to predict blood glucose levels continuously and ii) creating classification models to predict nocturnal hypoglycemic events. Both methods are evaluated on a dataset which contains about eight weeks of data from six different patients with T1D. Numerical results indicate that ANNs are feasible to perform these tasks satisfactorily and may be considerable to assist patients on T1D diabetes management.

[1]  William Sandham,et al.  Blood glucose prediction for diabetes therapy using a recurrent artificial neural network , 1998, 9th European Signal Processing Conference (EUSIPCO 1998).

[2]  Giuseppe De Nicolao,et al.  Neural Network Incorporating Meal Information Improves Accuracy of Short-Time Prediction of Glucose Concentration , 2012, IEEE Transactions on Biomedical Engineering.

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

[4]  Cynthia R. Marling,et al.  The OhioT1DM Dataset for Blood Glucose Level Prediction: Update 2020 , 2020, KDH@ECAI.

[5]  A. A. Patwardhan,et al.  NONLINEAR MODEL PREDICTIVE CONTROL , 1990 .

[6]  E. Martin-Diener,et al.  Nocturnal Hypoglycemia and Physical Activity in Children With Diabetes: New Insights by Continuous Glucose Monitoring and Accelerometry , 2016, Diabetes Care.

[7]  Francesca Annan,et al.  Exercise management in type 1 diabetes: a consensus statement. , 2017, The lancet. Diabetes & endocrinology.

[8]  E. Tsalikian,et al.  Effects of Moderate-to-Vigorous Intensity Physical Activity on Overnight and Next-Day Hypoglycemia in Active Adolescents With Type 1 Diabetes , 2014, Diabetes Care.

[9]  Cynthia R. Marling,et al.  Using LSTMs to learn physiological models of blood glucose behavior , 2017, 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[10]  C. Cobelli,et al.  How Much Is Short-Term Glucose Prediction in Type 1 Diabetes Improved by Adding Insulin Delivery and Meal Content Information to CGM Data? A Proof-of-Concept Study , 2016, Journal of diabetes science and technology.

[11]  Malgorzata E. Wilinska,et al.  Insulin kinetics in type-1 diabetes: continuous and bolus delivery of rapid acting insulin , 2005, IEEE Transactions on Biomedical Engineering.

[12]  T. Jones,et al.  Effect of sensor-augmented insulin pump therapy and automated insulin suspension vs standard insulin pump therapy on hypoglycemia in patients with type 1 diabetes: a randomized clinical trial. , 2013, JAMA.

[13]  Heekuck Oh,et al.  Neural Networks for Pattern Recognition , 1993, Adv. Comput..