Implementing a Novel Machine Learning System for Nutrition Education in Diabetes Mellitus Nutritional Clinic: Predicting 1-Year Blood Glucose Control
(1) Background: Persistent hyperglycemia in diabetes mellitus (DM) increases the risk of death and causes cardiovascular disease (CVD), resulting in significant social and economic costs. This study used a machine learning (ML) technique to build prediction models with the factors of lifestyle, medi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Bioengineering |
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| Online Access: | https://www.mdpi.com/2306-5354/10/10/1139 |
| _version_ | 1797574681288507392 |
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| author | Mei-Yuan Liu Chung-Feng Liu Tzu-Chi Lin Yu-Shan Ma |
| author_facet | Mei-Yuan Liu Chung-Feng Liu Tzu-Chi Lin Yu-Shan Ma |
| author_sort | Mei-Yuan Liu |
| collection | DOAJ |
| description | (1) Background: Persistent hyperglycemia in diabetes mellitus (DM) increases the risk of death and causes cardiovascular disease (CVD), resulting in significant social and economic costs. This study used a machine learning (ML) technique to build prediction models with the factors of lifestyle, medication compliance, and self-control in eating habits and then implemented a predictive system based on the best model to forecast whether blood glucose can be well-controlled within 1 year in diabetic patients attending a DM nutritional clinic. (2) Methods: Data were collected from outpatients aged 20 years or older with type 2 DM who received nutrition education in Chi Mei Medical Center. Multiple ML algorithms were used to build the predictive models. (3) Results: The predictive models achieved accuracies ranging from 0.611 to 0.690. The XGBoost model with the highest area under the curve (AUC) of 0.738 was regarded as the best and used for the predictive system implementation. SHAP analysis was performed to interpret the feature importance in the best model. The predictive system, evaluated by dietitians, received positive feedback as a beneficial tool for diabetes nutrition consultations. (4) Conclusions: The ML prediction model provides a promising approach for diabetes nutrition consultations to maintain good long-term blood glucose control, reduce diabetes-related complications, and enhance the quality of medical care. |
| first_indexed | 2024-03-10T21:26:42Z |
| format | Article |
| id | doaj.art-b4aaf282cf064c0185913e3074485170 |
| institution | Directory Open Access Journal |
| issn | 2306-5354 |
| language | English |
| last_indexed | 2024-03-10T21:26:42Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Bioengineering |
| spelling | doaj.art-b4aaf282cf064c0185913e30744851702023-11-19T15:41:31ZengMDPI AGBioengineering2306-53542023-09-011010113910.3390/bioengineering10101139Implementing a Novel Machine Learning System for Nutrition Education in Diabetes Mellitus Nutritional Clinic: Predicting 1-Year Blood Glucose ControlMei-Yuan Liu0Chung-Feng Liu1Tzu-Chi Lin2Yu-Shan Ma3Department of Nutrition, Chi Mei Medical Center, Tainan 710402, TaiwanDepartment of Medical Research, Chi Mei Medical Center, Tainan 710402, TaiwanNursing Department, Chi Mei Medical Center, Liouying, Tainan 73657, TaiwanDepartment of Medical Research, Chi Mei Medical Center, Tainan 710402, Taiwan(1) Background: Persistent hyperglycemia in diabetes mellitus (DM) increases the risk of death and causes cardiovascular disease (CVD), resulting in significant social and economic costs. This study used a machine learning (ML) technique to build prediction models with the factors of lifestyle, medication compliance, and self-control in eating habits and then implemented a predictive system based on the best model to forecast whether blood glucose can be well-controlled within 1 year in diabetic patients attending a DM nutritional clinic. (2) Methods: Data were collected from outpatients aged 20 years or older with type 2 DM who received nutrition education in Chi Mei Medical Center. Multiple ML algorithms were used to build the predictive models. (3) Results: The predictive models achieved accuracies ranging from 0.611 to 0.690. The XGBoost model with the highest area under the curve (AUC) of 0.738 was regarded as the best and used for the predictive system implementation. SHAP analysis was performed to interpret the feature importance in the best model. The predictive system, evaluated by dietitians, received positive feedback as a beneficial tool for diabetes nutrition consultations. (4) Conclusions: The ML prediction model provides a promising approach for diabetes nutrition consultations to maintain good long-term blood glucose control, reduce diabetes-related complications, and enhance the quality of medical care.https://www.mdpi.com/2306-5354/10/10/1139diabetes mellitus (DM)machine learningartificial intelligencefeature importancepredictive systemglycosylated hemoglobin (HbA1c) |
| spellingShingle | Mei-Yuan Liu Chung-Feng Liu Tzu-Chi Lin Yu-Shan Ma Implementing a Novel Machine Learning System for Nutrition Education in Diabetes Mellitus Nutritional Clinic: Predicting 1-Year Blood Glucose Control Bioengineering diabetes mellitus (DM) machine learning artificial intelligence feature importance predictive system glycosylated hemoglobin (HbA1c) |
| title | Implementing a Novel Machine Learning System for Nutrition Education in Diabetes Mellitus Nutritional Clinic: Predicting 1-Year Blood Glucose Control |
| title_full | Implementing a Novel Machine Learning System for Nutrition Education in Diabetes Mellitus Nutritional Clinic: Predicting 1-Year Blood Glucose Control |
| title_fullStr | Implementing a Novel Machine Learning System for Nutrition Education in Diabetes Mellitus Nutritional Clinic: Predicting 1-Year Blood Glucose Control |
| title_full_unstemmed | Implementing a Novel Machine Learning System for Nutrition Education in Diabetes Mellitus Nutritional Clinic: Predicting 1-Year Blood Glucose Control |
| title_short | Implementing a Novel Machine Learning System for Nutrition Education in Diabetes Mellitus Nutritional Clinic: Predicting 1-Year Blood Glucose Control |
| title_sort | implementing a novel machine learning system for nutrition education in diabetes mellitus nutritional clinic predicting 1 year blood glucose control |
| topic | diabetes mellitus (DM) machine learning artificial intelligence feature importance predictive system glycosylated hemoglobin (HbA1c) |
| url | https://www.mdpi.com/2306-5354/10/10/1139 |
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