Regularised Model Identification Improves Accuracy of Multisensor Systems for Noninvasive Continuous Glucose Monitoring in Diabetes Management

Continuous glucose monitoring (CGM) by suitable portable sensors plays a central role in the treatment of diabetes, a disease currently affecting more than 350 million people worldwide. Noninvasive CGM (NI-CGM), in particular, is appealing for reasons related to patient comfort (no needles are used)...

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Main Authors: Mattia Zanon, Giovanni Sparacino, Andrea Facchinetti, Mark S. Talary, Andreas Caduff, Claudio Cobelli
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Applied Mathematics
Online Access:http://dx.doi.org/10.1155/2013/793869
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author Mattia Zanon
Giovanni Sparacino
Andrea Facchinetti
Mark S. Talary
Andreas Caduff
Claudio Cobelli
author_facet Mattia Zanon
Giovanni Sparacino
Andrea Facchinetti
Mark S. Talary
Andreas Caduff
Claudio Cobelli
author_sort Mattia Zanon
collection DOAJ
description Continuous glucose monitoring (CGM) by suitable portable sensors plays a central role in the treatment of diabetes, a disease currently affecting more than 350 million people worldwide. Noninvasive CGM (NI-CGM), in particular, is appealing for reasons related to patient comfort (no needles are used) but challenging. NI-CGM prototypes exploiting multisensor approaches have been recently proposed to deal with physiological and environmental disturbances. In these prototypes, signals measured noninvasively (e.g., skin impedance, temperature, optical skin properties, etc.) are combined through a static multivariate linear model for estimating glucose levels. In this work, by exploiting a dataset of 45 experimental sessions acquired in diabetic subjects, we show that regularisation-based techniques for the identification of the model, such as the least absolute shrinkage and selection operator (better known as LASSO), Ridge regression, and Elastic-Net regression, improve the accuracy of glucose estimates with respect to techniques, such as partial least squares regression, previously used in the literature. More specifically, the Elastic-Net model (i.e., the model identified using a combination of and norms) has the best results, according to the metrics widely accepted in the diabetes community. This model represents an important incremental step toward the development of NI-CGM devices effectively usable by patients.
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spelling doaj-art-5f3621289de74fce842c2bfb37d83cf02025-02-03T06:42:18ZengWileyJournal of Applied Mathematics1110-757X1687-00422013-01-01201310.1155/2013/793869793869Regularised Model Identification Improves Accuracy of Multisensor Systems for Noninvasive Continuous Glucose Monitoring in Diabetes ManagementMattia Zanon0Giovanni Sparacino1Andrea Facchinetti2Mark S. Talary3Andreas Caduff4Claudio Cobelli5Department of Information Engineering, University of Padova, Via Gradenigo 6B, 35131 Padova, ItalyDepartment of Information Engineering, University of Padova, Via Gradenigo 6B, 35131 Padova, ItalyDepartment of Information Engineering, University of Padova, Via Gradenigo 6B, 35131 Padova, ItalyBiovotion AG, Technoparkstrasse 1, 8005 Zurich, SwitzerlandBiovotion AG, Technoparkstrasse 1, 8005 Zurich, SwitzerlandDepartment of Information Engineering, University of Padova, Via Gradenigo 6B, 35131 Padova, ItalyContinuous glucose monitoring (CGM) by suitable portable sensors plays a central role in the treatment of diabetes, a disease currently affecting more than 350 million people worldwide. Noninvasive CGM (NI-CGM), in particular, is appealing for reasons related to patient comfort (no needles are used) but challenging. NI-CGM prototypes exploiting multisensor approaches have been recently proposed to deal with physiological and environmental disturbances. In these prototypes, signals measured noninvasively (e.g., skin impedance, temperature, optical skin properties, etc.) are combined through a static multivariate linear model for estimating glucose levels. In this work, by exploiting a dataset of 45 experimental sessions acquired in diabetic subjects, we show that regularisation-based techniques for the identification of the model, such as the least absolute shrinkage and selection operator (better known as LASSO), Ridge regression, and Elastic-Net regression, improve the accuracy of glucose estimates with respect to techniques, such as partial least squares regression, previously used in the literature. More specifically, the Elastic-Net model (i.e., the model identified using a combination of and norms) has the best results, according to the metrics widely accepted in the diabetes community. This model represents an important incremental step toward the development of NI-CGM devices effectively usable by patients.http://dx.doi.org/10.1155/2013/793869
spellingShingle Mattia Zanon
Giovanni Sparacino
Andrea Facchinetti
Mark S. Talary
Andreas Caduff
Claudio Cobelli
Regularised Model Identification Improves Accuracy of Multisensor Systems for Noninvasive Continuous Glucose Monitoring in Diabetes Management
Journal of Applied Mathematics
title Regularised Model Identification Improves Accuracy of Multisensor Systems for Noninvasive Continuous Glucose Monitoring in Diabetes Management
title_full Regularised Model Identification Improves Accuracy of Multisensor Systems for Noninvasive Continuous Glucose Monitoring in Diabetes Management
title_fullStr Regularised Model Identification Improves Accuracy of Multisensor Systems for Noninvasive Continuous Glucose Monitoring in Diabetes Management
title_full_unstemmed Regularised Model Identification Improves Accuracy of Multisensor Systems for Noninvasive Continuous Glucose Monitoring in Diabetes Management
title_short Regularised Model Identification Improves Accuracy of Multisensor Systems for Noninvasive Continuous Glucose Monitoring in Diabetes Management
title_sort regularised model identification improves accuracy of multisensor systems for noninvasive continuous glucose monitoring in diabetes management
url http://dx.doi.org/10.1155/2013/793869
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