Type 1 diabetes

Development of Machine Learning Models for the Identification of Elevated Ketone Bodies During Hyperglycemia in Patients with Type 1 Diabetes

Diabetes Technol TherPublished Prediction model development study

Authors' conclusion

The novel approach for identifying elevated ketone levels in patients with type 1 diabetes utilized in this study indicates that CGM could be a valuable resource for the early prediction of patients at risk of developing DKA.

Study context

Population
Patients with T1D with ketone body measurements and continuous glucose monitoring (CGM) data (over 30,000 days of wear time)913 ketone samples
Participants
138 patients
Comparison
Random forest vs logistic regression classifier
Outcome
Identification of elevated ketone bodies (≥0.6 mmol/L) during hyperglycemia
Methodological detailssupervised binary classification machine learning, random 70%/30% training/test split at patient level
  • Supervised binary classification machine learning
  • Random 70%/30% training/test split at patient level

Main finding

As reported in the abstract

AUC for elevated ketone levels
GroupValueAUC
Random forest (RF)0.836 (90% CI 0.783–0.886)0.836
Logistic regression (LR)0.710 (90% CI 0.646–0.77)0.710

Value

Random forest (RF)0.836 (90% CI 0.783–0.886)
Logistic regression (LR)0.710 (90% CI 0.646–0.77)

AUC

Random forest (RF)0.836
Logistic regression (LR)0.710

Original publication

Development of Machine Learning Models for the Identification of Elevated Ketone Bodies During Hyperglycemia in Patients with Type 1 Diabetes. Diabetes Technol Ther. Published 8 March 2024. doi:10.1089/dia.2023.0531

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