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Identification of Blood Glucose Patterns through Continuous Glucose Monitoring Sensors and DecisionTrees

Lozano Serrano, F. J.; Hidalgo Perez, J. I.; Botella Serrano, M.; Contador Pachon, S.; Lanchares Davila, J.; Velasco Cabo, J. M.; Garnica Alcazar, O.

2020-09-11 endocrinology
10.1101/2020.09.09.20190736 medRxiv
Show abstract

The demand for Continuous Glucose Monitoring systems is increasing among type 1 diabetic patients. Some companies are trying to improve the monitoring and the usability of these systems. One example is Abbott FreeStyle Libre, which provides a new concept of glucose monitoring called Flash Glucose Monitoring which is more affordable and does not need calibration. The increasing demand for these devices means an opportunity for data and computer scientists, who can contribute to the development of decision-making support systems based on the data collected from the devices. Type 1 diabetic patients that use FreeStyle Libre may enter the number of insulin and carbohydrates units that they are going to take before a meal. Using both the entered data and the blood glucose values collected by the device automatically, the application presented in this paper generates a report of the patients glucose patterns. In addition, it provides a web application that allows the user to upload the data obtained from the device and download the report on his computer or smartphone. The application uses decision trees to detect the patterns and entails a starting point in the creation of ensemble models with more predictive power, also based on decision trees. Furthermore, the methodology makes a segmentation of the data set in blocks, determined by the different meals done throughout the day, adding more information to the set of variables used to train the model. As a result, the application can discover repetitive patterns in the daily life of the patient, which can help to take early preventive measures for risk situations in a period close to the next meal.

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