Evidence map›Paper›PMID 32476492›Full record

ArticleJournal of diabetes science and technology2021

Feature-Based Machine Learning Model for Real-Time Hypoglycemia Prediction.

Darpit Dave, Daniel J DeSalvo, Balakrishna Haridas, Siripoom McKay, Akhil Shenoy, Chester J Koh, Mark Lawley, Madhav Erraguntla

Erratum issuedAbstract read
In one paragraph

Article in Journal of diabetes science and technology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 54 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Summarizing data from continuous glucose monitors using the cgmstats package.medRxiv : the preprint server for health sciences · 2026
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  20. Artificial Intelligence to Diagnose Complications of Diabetes.Journal of diabetes science and technology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Darpit DaveDepartment of Industrial and Systems Engineering, Texas A&M University, College Station, TX, USA.
Daniel J DeSalvoBaylor College of Medicine, Houston, TX, USA.
Balakrishna HaridasDepartment of Biomedical Engineering, Texas A&M University, College Station, TX, USA.
Siripoom McKayBaylor College of Medicine, Houston, TX, USA.
Akhil ShenoyBaylor College of Medicine, Houston, TX, USA.
Chester J KohBaylor College of Medicine, Houston, TX, USA.
Mark LawleyDepartment of Industrial and Systems Engineering, Texas A&M University, College Station, TX, USA.
Madhav ErraguntlaDepartment of Industrial and Systems Engineering, Texas A&M University, College Station, TX, USA.ORCID 0000-0003-0017-5866

Funding

Southwest National Pediatric Device ConsortiumP50FD006428 · FDA · BAYLOR COLLEGE OF MEDICINE · PI HARIDAS, BALAKRISHNA, HEFFERNAN, MICHAEL JOHN · 2018 to 2022
$7.2M
FDA HHS P50 FD006428
6 · The paper itself

Abstract

backgroundHypoglycemia is a serious health concern in youth with type 1 diabetes (T1D). Real-time data from continuous glucose monitoring (CGM) can be used to predict hypoglycemic risk, allowing patients to take timely intervention measures.

methodsA machine learning model is developed for probabilistic prediction of hypoglycemia (<70 mg/dL) in 30- and 60-minute time horizons based on CGM datasets obtained from 112 patients over a range of 90 days consisting of over 1.6 million CGM values under normal living conditions. A comprehensive set of features relevant for hypoglycemia are developed and a parsimonious subset with most influence on predicting hypoglycemic risk is identified. Model performance is evaluated both with and without contextual information on insulin and carbohydrate intake.

resultsThe model predicted hypoglycemia with >91% sensitivity for 30- and 60-minute prediction horizons while maintaining specificity >90%. Inclusion of insulin and carbohydrate data yielded performance improvement for 60-minute but not for 30-minute predictions. Model performance was highest for nocturnal hypoglycemia (~95% sensitivity). Shortterm (less than one hour) and medium-term (one to four hours) features for good prediction performance are identified.

conclusionsInnovative feature identification facilitated high performance for hypoglycemia risk prediction in pediatric youth with T1D. Timely alerts of impending hypoglycemia may enable proactive measures to avoid severe hypoglycemia and achieve optimal glycemic control. The model will be deployed on a patient-facing smartphone application in an upcoming pilot study.

Indexed as

Diabetes Mellitus, Type 1HypoglycemiaAdolescentBlood GlucoseBlood Glucose Self-MonitoringChildHumansHypoglycemic AgentsInsulinMachine LearningPilot ProjectsBlood GlucoseHypoglycemic AgentsInsulincarbohydrate intakecontinuous glucose monitoringfeature extractionhypoglycemia predictioninsulin pump datamachine learning

Identifiers

PMID32476492
PMCPMC8258517

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.