Case-base maintenance of a personalised and adaptive CBR bolus insulin recommender system for type 1 diabetes

People with type 1 diabetes must control their blood glucose level through insulin infusion either with several daily injections or with an insulin pump. However, estimating the required insulin dose is not easy. Recommender systems, mainly based on Case-Based Reasoning (CBR), are being developed to...

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Detalhes bibliográficos
Autores: Torrent-Fontbona, Ferran, Massana i Raurich, Joaquim, López Ibáñez, Beatriz
Tipo de documento: artigo
Estado:Versión aceptada para publicación
Data de publicação:2019
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositório:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10256/16214
Acesso em linha:http://hdl.handle.net/10256/16214
Access Level:Acceso aberto
Palavra-chave:Diabetis
Diabetes
Raonament basat en casos
Case-based reasoning
Manteniment basat en casos
Case-base maintenance
Insulina
Insuline
Intel·ligència artificial -- Aplicacions a la medicina
Artificial intelligence -- Medical applications
Descrição
Resumo:People with type 1 diabetes must control their blood glucose level through insulin infusion either with several daily injections or with an insulin pump. However, estimating the required insulin dose is not easy. Recommender systems, mainly based on Case-Based Reasoning (CBR), are being developed to provide recommendations to users. These systems are designed to keep the experiences or cases of the user in a case-base, which requires maintenance to keep system's response accurate and efficient. This paper proposes a case-base maintenance methodology that combines case-base redundancy reduction and attribute weight learning. Contrary to previous approaches designed for classification problems, the maintenance methodology presented in this paper deals with numerical recommendations. It can manage a potentially huge case-base due to the combinatorial derived from the number of attributes used to represent a case. The proposed approach has been tested using the UVA/PADOVA type 1 diabetes simulator and the results demonstrate that it can accomplish better levels of accuracy than other insulin recommender systems mentioned in the literature, when a large number of attributes is considered