Validation of a Probabilistic Prediction Model for Patients with Type 1 Diabetes Using Compositional Data Analysis

Glycemia assessment in people with type 1 diabetes (T1D) has focused on the time spent in different glucose ranges. As this time reflects the relative contributions to the finite duration of a day, it should be treated as compositional data (CoDa) that can be applied to T1D data. Previous works pres...

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Detalles Bibliográficos
Autores: Cabrera, Alvis, Biagi, Lyvia, Beneyto Tantiña, Aleix, Estremera, Ernesto, Contreras, Ivan, Giménez, Marga, Conget, Ignacio, Bondia, Jorge, Martín Fernández, Josep Antoni, Vehí, Josep
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10256/22853
Acceso en línea:http://hdl.handle.net/10256/22853
Access Level:acceso abierto
Palabra clave:Diabetis
Diabetes
Glucèmia -- Control automàtic
Blood sugar -- Automatic control
Monitoratge de pacients
Patient monitoring
Intel·ligència artificial -- Aplicacions a la medicina
Artificial intelligence -- Medical applications
Descripción
Sumario:Glycemia assessment in people with type 1 diabetes (T1D) has focused on the time spent in different glucose ranges. As this time reflects the relative contributions to the finite duration of a day, it should be treated as compositional data (CoDa) that can be applied to T1D data. Previous works presented a tool for the individual categorization of days and proposed a probabilistic transition model between categories, although validation has hitherto not been presented. In this study, we consider data from eight real adult patients with T1D obtained from continuous glucose monitoring (CGM) sensors and introduce a methodology based on compositional methods to validate the previously presented probability transition model. We conducted 5-fold cross-validation, with both the training and validation data being CoDa vectors, which requires developing new performance metrics. We design new accuracy and precision measures based on statistical error calculations. The results show that the precision for the entire model is higher than 95% in all patients. The use of a probabilistic transition model can help doctors and patients in diabetes treatment management and decision-making. Although the proposed method was tested with CoDa applied to T1D data obtained from CGM, the newly developed accuracy and precision measures apply to any other data or validation based on CoDa