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Louisa van den Boom

Publications and source records attributed to Louisa van den Boom.

2 recordsLinked to original sources

Towards Improved Short-term Hypoglycemia Prediction and Diabetes Management based on Refined Heart Rate Data

Hypoglycemia is a severe condition of decreased blood glucose, specifically below 70 mg/dL (3.9 mmol/L). This condition can often be asymptomatic and challenging to predict in individuals with type 1 diabetes (T1D). Research on hypoglycemic prediction typically uses a combination of blood glucose readings and heart rate data to predict hypoglycemic events. Given that these features are collected through wearable sensors, they can sometimes have missing values, necessitating efficient imputation methods. This work makes significant contributions to the current state of the art by introducing two novel imputation techniques for imputing heart rate values over short-term horizons: Controlled Weighted Rational Bézier Curves (CRBC) and Controlled Piecewise Cubic Hermite Interpolating Polynomial with mapped peaks and valleys of Control Points (CMPV). In addition to these imputation methods, we employ two metrics to capture data patterns, alongside a combined metric that integrates the strengths of both individual metrics with RMSE scores for a comprehensive evaluation of the imputation techniques. According to our combined metric assessment, CMPV outperforms the alternatives with an average score of 0.33 across all time gaps, while CRBC follows with a score of 0.48. These findings clearly demonstrate the effectiveness of the proposed imputation methods in accurately filling in missing heart rate values. Moreover, this study facilitates the detection of abnormal physiological signals, enabling the implementation of early preventive measures for more accurate diagnosis.

q-bio.QM↗

A Review on Machine Learning Approaches for the Prediction of Glucose Levels and Hypogylcemia

Type 1 Diabetes (T1D) is an autoimmune disease leading to insulin insufficiency. Thus, patients require lifelong insulin therapy, which has a side effect of hypoglycemia. Hypoglycemia is a critical state of decreased blood glucose levels (BGL) below 70 mg/dL and is associated with increased risk of mortality. Machine learning (ML) models can improve diabetes management by predicting hypoglycemia and providing optimal prevention methods. ML models are classified into regression and classification based, that forecast glucose levels and identify events based on defined labels, respectively. This review investigates state-of-the-art models trained on data of continuous glucose monitoring (CGM) devices from patients with T1D. We compare the models' performance across short-term (15 to 120 min) and long term (3 to more than 24 hours) prediction horizons (PHs). Particularly, we explore: 1) How much in advance can glucose values or a hypoglycemic event be accurately predicted? 2) Which models have the best performance? 3) Which factors impact the performance? and 4) Does personalization increase performance? The results show that 1) a PH of up to 1 hour provides the best results. 2) Conventional ML methods yield the best results for classification and DL for regression. A single model cannot adequately classify across multiple PHs. 3) The model performance is influenced by multivariate datasets and the input sequence length (ISL). 4) Personal data enhances performance but due to limited data quality population-based models are preferred.

cs.LG↗