Evaluation of short-term predictors of glucose concentration in type 1 diabetes combining feature ranking with regression models.

Glucose concentration in type 1 diabetes is a function of biological and environmental factors which present high inter-patient variability. The objective of this study is to evaluate a number of features, which are extracted from medical and lifestyle self-monitoring data, with respect to their abi...

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Published in:Medical & Biological Engineering & Computing Vol. 53; no. 12; pp. 1305 - 1319
Main Authors: Georga, Eleni, Protopappas, Vasilios, Polyzos, Demosthenes, Fotiadis, Dimitrios, Georga, Eleni I, Protopappas, Vasilios C, Fotiadis, Dimitrios I
Format: research Journal Article
Published: Springer Nature Dec2015
Online Access:View this record in EBSCOhost
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      dt: Dec2015
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      pub: Springer Nature
      place: New York, New York
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        atl: Evaluation of short-term predictors of glucose concentration in type 1 diabetes combining feature ranking with regression models.
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          Georga, Eleni
          Protopappas, Vasilios
          Polyzos, Demosthenes
          Fotiadis, Dimitrios
          Georga, Eleni I
          Protopappas, Vasilios C
          Fotiadis, Dimitrios I
        affil: Unit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, 45110 Ioannina Greece
      sug:
        subj:
          Blood Glucose Analysis
          Diabetes Mellitus, Type 1 Blood
          Models, Statistical
          Insulin Pharmacodynamics
          Regression
          Hypoglycemic Agents Pharmacodynamics
          Female
          Hypoglycemic Agents Therapeutic Use
          Middle Age
          Insulin Therapeutic Use
          Algorithms
          Adult
          Male
          Blood Glucose Drug Effects
          Human
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Female
          Male
      ab: Glucose concentration in type 1 diabetes is a function of biological and environmental factors which present high inter-patient variability. The objective of this study is to evaluate a number of features, which are extracted from medical and lifestyle self-monitoring data, with respect to their ability to predict the short-term subcutaneous (s.c.) glucose concentration of an individual. Random forests (RF) and RReliefF algorithms are first employed to rank the candidate feature set. Then, a forward selection procedure follows to build a glucose predictive model, where features are sequentially added to it in decreasing order of importance. Predictions are performed using support vector regression or Gaussian processes. The proposed method is validated on a dataset of 15 type diabetics in real-life conditions. The s.c. glucose profile along with time of the day and plasma insulin concentration are systematically highly ranked, while the effect of food intake and physical activity varies considerably among patients. Moreover, the average prediction error converges in less than d/2 iterations (d is the number of features). Our results suggest that RF and RReliefF can find the most informative features and can be successfully used to customize the input of glucose models.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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