Comparing Deterministic and Stochastic Reinforcement Learning for Glucose Regulation in Type 1 Diabetes...20th World Congress on Medical and Health Informatics (MEDINFO), August 9-13, 2025, Taipei, Taiwan.

Type 1 Diabetes (T1D) is a chronic condition affecting millions worldwide, requiring external insulin administration to regulate blood glucose levels and prevent serious complications. Artificial Pancreas Systems (APS) for managing T1D currently rely on manual input, which adds a cognitive burden on...

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Publicado en:Studies in Health Technology & Informatics Vol. 329; pp. 1039 - 1044
Autores principales: TIMMS, David, HETTIARACHCHI, Chirath, SUOMINEN, Hanna
Formato: algorithm proceedings research tables/charts Journal Article
Publicado: Sage Publications Inc. 2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Comparing Deterministic and Stochastic Reinforcement Learning for Glucose Regulation in Type 1 Diabetes...20th World Congress on Medical and Health Informatics (MEDINFO), August 9-13, 2025, Taipei, Taiwan.
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        au:
          TIMMS, David
          HETTIARACHCHI, Chirath
          SUOMINEN, Hanna
        affil: The Australian National University, Australia
      sug:
        subj:
          Prediction Models
          Learning Methods
          Blood Glucose Physiology
          Diabetes Mellitus, Type 1
          Congresses and Conferences Taiwan
          Taiwan
          Human
          Funding Source
          Male
          Female
          Adolescence
          Adult
          Multimethod Studies
          Algorithms
          United States Food and Drug Administration
          Artificial Organs
          Pancreas
          Deep Learning
          Benchmarking
          Comparative Studies
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Type 1 Diabetes (T1D) is a chronic condition affecting millions worldwide, requiring external insulin administration to regulate blood glucose levels and prevent serious complications. Artificial Pancreas Systems (APS) for managing T1D currently rely on manual input, which adds a cognitive burden on people with T1D and their carers. Research into alleviating this burden through Reinforcement Learning (RL) explores enabling the APS to autonomously learn and adapt to the complex dynamics of blood glucose regulation, demonstrating improvements in in-silico evaluations compared to traditional clinical approaches. This evaluation study compared the primary polarities of RL for glucose regulation, namely, stochastic (e.g., Proximal Policy Optimization (PPO) and deterministic (e.g., Twin Delayed Deep Deterministic Policy Gradient (TD3) algorithms in-silico using quantitative and qualitative methods, patient specific clinical metrics, and the adult and adolescent cohorts of the U.S. Food and Drug Administration approved UVA/PADOVA 2008 model. Although the behavior of TD3 was easier to interpret, it did not typically outperform PPO, thereby challenging assessing their safety and suitability. This conclusion highlights the importance of improving RL algorithms in APS applications for both interpretability and predictive performance in future research.
      pubtype: Academic Journal
      doctype:
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    language: English
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