Diabetes technology

Development and Validation of Binary Classifiers to Predict Nocturnal Hypoglycemia in Adults With Type 1 Diabetes

J Diabetes Sci TechnolPublished Prediction model development and external validation study

Authors' conclusion

Our model shows state-of-the-art performance, generalizability, and robustness in sensor devices from different manufacturers. We believe it is a potential viable approach to inform people with T1D about their risk of NH before it occurs.

Study context

Population
Adults with T1D using MDI; development cohort from 6-month free-living study with continuous glucose monitor (CGM); external population of 20 adults with T1D on MDI wearing CGM and flash glucose monitoring sensors for two 8-week periodsplus 20 external validation
Participants
37 adults
Comparison
SVM vs Random Forests (RF) classifiers for predicting nocturnal hypoglycemia
Outcome
Prediction of nocturnal hypoglycemia (blood glucose <70 mg/dL) from daytime features (ROC-AUC)
Methodological detailsmachine learning, free-living conditions
  • Machine learning
  • Free-living conditions

Performance

As reported in the abstract

ROC-AUC for nocturnal hypoglycemia (NH) prediction, population-level
Test or modelValueReceiver operating characteristic-area under curve (ROC-AUC)
SVM79.36% (CI 76.86%–81.86%)79.36%

SVM

Value79.36% (CI 76.86%–81.86%)
Receiver operating characteristic-area under curve (ROC-AUC)79.36%

Further findings

SVM ROC-AUC in unseen external population
77.06%
SVM ROC-AUC between the two different glucose sensors
77.74%

Original publication

Development and Validation of Binary Classifiers to Predict Nocturnal Hypoglycemia in Adults With Type 1 Diabetes. J Diabetes Sci Technol. Published 11 July 2023. doi:10.1177/19322968231185796

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