Data-based modeling for hypoglycemia prediction : Importance, trends, and implications for clinical practice

Copyright © 2023 Zhang, Yang and Zhou..

Background and objective: Hypoglycemia is a key barrier to achieving optimal glycemic control in people with diabetes, which has been proven to cause a set of deleterious outcomes, such as impaired cognition, increased cardiovascular disease, and mortality. Hypoglycemia prediction has come to play a role in diabetes management as big data analysis and machine learning (ML) approaches have become increasingly prevalent in recent years. As a result, a review is needed to summarize the existing prediction algorithms and models to guide better clinical practice in hypoglycemia prevention.

Materials and methods: PubMed, EMBASE, and the Cochrane Library were searched for relevant studies published between 1 January 2015 and 8 December 2022. Five hypoglycemia prediction aspects were covered: real-time hypoglycemia, mild and severe hypoglycemia, nocturnal hypoglycemia, inpatient hypoglycemia, and other hypoglycemia (postprandial, exercise-related).

Results: From the 5,042 records retrieved, we included 79 studies in our analysis. Two major categories of prediction models are identified by an overview of the chosen studies: simple or logistic regression models based on clinical data and data-based ML models (continuous glucose monitoring data is most commonly used). Models utilizing clinical data have identified a variety of risk factors that can lead to hypoglycemic events. Data-driven models based on various techniques such as neural networks, autoregressive, ensemble learning, supervised learning, and mathematical formulas have also revealed suggestive features in cases of hypoglycemia prediction.

Conclusion: In this study, we looked deep into the currently established hypoglycemia prediction models and identified hypoglycemia risk factors from various perspectives, which may provide readers with a better understanding of future trends in this topic.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

Frontiers in public health - 11(2023) vom: 07., Seite 1044059

Sprache:

Englisch

Beteiligte Personen:

Zhang, Liyin [VerfasserIn]
Yang, Lin [VerfasserIn]
Zhou, Zhiguang [VerfasserIn]

Links:

Volltext

Themen:

Blood Glucose
Data-based algorithms or models
Diabetes mellitus
Hypoglycemia
Hypoglycemic Agents
Machine learning
Prediction
Research Support, Non-U.S. Gov't
Systematic Review

Anmerkungen:

Date Completed 14.02.2023

Date Revised 27.03.2023

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.3389/fpubh.2023.1044059

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM352879580