Konferensartikel

Developing and testing a novel study design for improving hypoglycaemia detection and prediction with continuous glucose monitoring data

Morten Hasselstrøm Jensen
Department of Health Science and Technology, Aalborg University, Denmark/Center for Information Technology Research In the Interest of Society, UC Berkeley, CA, USA

Jenna Hua
School of Public Health, UC Berkeley, CA,USA

Mette Dencker Johansen
Department of Health Science and Technology, Aalborg University, Denmark

Jay Han
Department of Physical Medicine and Rehabilitation, UC Davis School of Medicin, Sacramento, CA, USA

Gnangurudasan Prakasam
Center of Excellence in Diabetes & Endocrinology, Sacramento, CA, USA

Ole Hejlesen
Department of Health Science and Technology, Aalborg University, Denmark/Department of Health and Nursing Science, University of Agder, Norway/Department of Computer Science, University of Tromsø, Norway

Edmund Seto
Center for Information Technology Research In the Interest of Society, UC Berkeley, CA, USA/School of Public Health, UC Berkeley, CA, USA

Ladda ner artikel

Ingår i: Scandinavian Conference on Health Informatics 2013; Copenhagen; Denmark; August 20; 2013

Linköping Electronic Conference Proceedings 5:10, s. 45-49

Visa mer +

Publicerad: 2013-08-21

ISBN: 978-91-7519-518-6

ISSN: 1650-3686 (tryckt), 1650-3740 (online)

Abstract

Persons with Type 1 diabetes need continuous exogenous insulin supply throughout their life. Determining the optimal insulin treatment in relation to diet and physical activity is one of the main goals of diabetes management; but is difficult; especially for vulnerable populations; such as adolescents. Erroneous treatment may result in both repeated and severe low blood glucose events. Continuous glucose monitoring (CGM) may help in avoiding these events; but is inaccurate compared to traditional glucose monitoring. Models have been developed to significantly improve C’s detection of insulin-induced events by using information from the CGM signal itself. Additional temporal data on insulin doses; diet and physical activity may improve hypoglycaemia prediction models. In this research; we present and pilot test a study in which a smartphone was used to obtain these data. Data from one female was obtained over a period of two days. CGM and continuous physical activity accelerometry data were collected with minimum and no dropouts; respectively. The collection of diet; insulin and blood glucose data; also; proceeded without problems. These results indicate that it is possible to collect glucose; diet; insulin and physical activity data of high quality. These data will facilitate further development of models for the detection and prediction of low blood glucose. Persons with Type 1 diabetes need continuous exogenous insulin supply throughout their life. Determining the optimal insulin treatment in relation to diet and physical activity is one of the main goals of diabetes management; but is difficult; especially for vulnerable populations; such as adolescents. Erroneous treatment may result in both repeated and severe low blood glucose events. Continuous glucose monitoring (CGM) may help in avoiding these events; but is inaccurate compared to traditional glucose monitoring. Models have been developed to significantly improve CGM’s detection of insulin-induced events by using information from the CGM signal itself. Additional temporal data on insulin doses; diet and physical activity may improve hypoglycaemia prediction models. In this research; we present and pilot test a study in which a smartphone was used to obtain these data. Data from one female was obtained over a period of two days. CGM and continuous physical activity accelerometry data were collected with minimum and no dropouts; respectively. The collection of diet; insulin and blood glucose data; also; proceeded without problems. These results indicate that it is possible to collect glucose; diet; insulin and physical activity data of high quality. These data will facilitate further development of models for the detection and prediction of low blood glucose.

Nyckelord

Hypoglycaemia; detection; prediction; continuous glucose monitoring; study design.

Referenser

Inga referenser tillgängliga

Citeringar i Crossref