Combining uncertainty-aware predictive modeling and a bedtime Smart Snack intervention to prevent nocturnal hypoglycemia in people with type 1 diabetes on multiple daily injections.
Nocturnal hypoglycemia is a known challenge for people with type 1 diabetes, especially for physically active individuals or those on multiple daily injections. We developed an evidential neural network (ENN) to predict at bedtime the probability and timing of nocturnal hypoglycemia (0-4 vs 4-8 h after bedtime) based on several glucose metrics and physical activity patterns. We utilized these predictions in silico to prescribe bedtime carbohydrates with a Smart Snack intervention [...]
Author(s): Mosquera-Lopez, Clara, Roquemen-Echeverri, Valentina, Tyler, Nichole S, Patton, Susana R, Clements, Mark A, Martin, Corby K, Riddell, Michael C, Gal, Robin L, Gillingham, Melanie, Wilson, Leah M, Castle, Jessica R, Jacobs, Peter G
DOI: 10.1093/jamia/ocad196