Diabetes technology

Online Classification of Unstructured Free-Living Exercise Sessions in People with Type 1 Diabetes

Diabetes Technol TherPublished Model development and validation study

Authors' conclusion

The proposed algorithm reliably identified physical activity associated with expected change in glucose, which could be integrated into an AID system to manage the exercise disturbance in glycemia according to the predicted class.

Study context

Population
People with T1D; 30-min structured at-home exercise sessions (aerobic, resistance or mixed) and free-living unstructured activities
Participants
1,610 structured exercise sessions
Comparison
Aerobic vs Interval vs Resistance
Outcome
Classification of exercise events (structured or unstructured) as aerobic, interval or resistance, for incorporation into an automated insulin delivery (AID) system
Methodological detailslong short-term memory network model, real-world data, triaxial accelerometer, heart rate and activity duration inputs
  • Long short-term memory network model
  • Real-world data
  • Triaxial accelerometer, heart rate and activity duration inputs

Performance

As reported in the abstract

Classification accuracy, structured sessions, testing set
Test or modelValueAccuracy
Aerobic72%72%
Interval65%65%
Resistance77%77%

Value

Aerobic72%
Interval65%
Resistance77%

Accuracy

Aerobic72%
Interval65%
Resistance77%

Further findings

Mean, mg/dL

OutcomeAerobicIntervalResistance
Change in glucose during unstructured sessions, by predicted class−20.8 (SD 40.3)−16.2 (SD 39.0)−11.6 (SD 38.8)
  • Change in glucose during unstructured sessions, by predicted class: 3328 unstructured sessions

Original publication

Online Classification of Unstructured Free-Living Exercise Sessions in People with Type 1 Diabetes. Diabetes Technol Ther. Published 24 May 2024. doi:10.1089/dia.2023.0528

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