arXiv:2502.14183cs.LGcs.AI2025-02被引 6

提出轻量级血糖预测框架,显著提升糖尿病高风险期预警能力。

Glycemic-Aware and Architecture-Agnostic Training Framework for Blood Glucose Forecasting in Type 1 Diabetes

  • 通过区域感知损失与遗传算法优化,聚焦低血糖/高血糖区预测精度。
  • 在两个数据集上使预测误差降低超24%,对危险血糖事件召回率达98.4%。
  • 仅用1万参数即媲美数百万参数模型,适合嵌入式医疗设备部署。

1型糖尿病管理需持续监控血糖水平以避免高/低血糖。尽管自动胰岛素输注(AID)系统整合了胰岛泵和连续血糖监测仪(CGM)数据,但因预测算法不足,仍难以预防血糖异常。为此,我们提出GLIMMER(Glucose Level Indicator Model with Modified Error Rate)——一种模块化、与模型架构无关的训练框架。该框架结合结构化预处理、区域感知损失函数及遗传算法权重优化,强化对高危血糖区的预测。在公开的OhioT1DM数据集和新收集的包含25名患者数据的AZT1D数据集上评估显示,GLIMMER在多种基线架构上均显著提升性能,最大降低RMSE 24.6%、MAE 29.6%。同时,其对低/高血糖事件的召回率达98.4%,F1分数达86.8%。相较拥有数百万参数的先进模型(如TimesNet 18.7M、BG-BERT 2.1M、Gluformer 11.2M),GLIMMER仅用10K参数即可达到相当精度,展现出卓越的轻量化与通用性优势。

原文摘要 · Abstract (English)

Managing Type 1 Diabetes (T1D) demands constant vigilance as individuals strive to regulate their blood glucose levels and avoid dysglycemia, including hyperglycemia and hypoglycemia. Despite advances in automated insulin delivery (AID) systems, achieving optimal glycemic control remains challenging. These systems integrate data from wearable devices such as insulin pumps and continuous glucose monitors (CGMs), helping reduce variability and improve time in range. However, they often fail to prevent dysglycemia due to limitations in prediction algorithms that cannot accurately anticipate glycemic excursions. This limitation highlights the need for more advanced glucose forecasting methods. To address this need, we introduce GLIMMER (Glucose Level Indicator Model with Modified Error Rate), a modular and architecture-agnostic training framework for glucose forecasting. GLIMMER combines structured preprocessing, a region-aware loss formulation, and genetic algorithm-based weight optimization to emphasize prediction accuracy in dysglycemic regions. We evaluate GLIMMER using two datasets: the publicly available OhioT1DM dataset and a newly collected AZT1D dataset consisting of data from 25 individuals with T1D. Our analyses demonstrate that GLIMMER consistently improves forecasting performance across baseline architectures, reducing RMSE and MAE by up to 24.6% and 29.6%, respectively. Additionally, GLIMMER achieves a recall of 98.4% and an F1-score of 86.8% for dysglycemia prediction, highlighting strong performance in clinically high-risk regions. Compared with state-of-the-art models containing millions of parameters-such as TimesNet (18.7M), BG-BERT (2.1M), and Gluformer (11.2M)-GLIMMER attains comparable accuracy while using only 10K parameters, demonstrating its efficiency as a lightweight and architecture-agnostic solution for glycemic forecasting.

血糖预测糖尿病管理轻量模型医学AI

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