Type 2 & other diabetes

Prediction of People With Type 2 Diabetes Not Achieving HbA1c Target After Initiation of Fast-Acting Insulin Therapy: Using Machine Learning Framework on Clinical Trial Data

J Diabetes Sci TechnolPublished Prediction model development study

Authors' conclusion

The model was able to predict those who did not achieve HbA1c target with promising performance, potentially enabling early identification of people with type 2 diabetes who require additional support to reach glycemic control.

Study context

Population
People with T2D initiating fast-acting insulin in an RCT
Participants
467 people
Primary endpoint
Prediction of HbA1c target (≤7%) nonachievers, assessed by AUROC
Methodological detailssecondary analysis of RCT data, logistic regression, forward feature selection, 20-repeated stratified 5-fold cross-validation
  • Secondary analysis of RCT data
  • Logistic regression
  • Forward feature selection
  • 20-repeated stratified 5-fold cross-validation

Primary result

As reported in the abstract

Model performance (AUROC) for predicting HbA1c target nonachievers

AUROC

0.745

95% CI = 0.734, 0.756

Did not achieve HbA1c target of ≤7%

98

21%

Original publication

Prediction of People With Type 2 Diabetes Not Achieving HbA1c Target After Initiation of Fast-Acting Insulin Therapy: Using Machine Learning Framework on Clinical Trial Data. J Diabetes Sci Technol. Published 20 September 2024. doi:10.1177/19322968241280096

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