Journal Article


Temporal case-based reasoning for type 1 diabetes mellitus bolus insulin decision support

Abstract

Individuals with type 1 diabetes have to monitor their blood glucose levels, determine the quantity of insulin required to achieve optimal glycaemic control and administer it themselves subcutaneously, multiple times per day. To help with this process bolus calculators have been developed that suggest the appropriate dose. However these calculators do not automatically adapt to the specific circumstances of an individual and require fine-tuning of parameters, a process that often requires the input of an expert. To overcome the limitations of the traditional methods this paper proposes the use of an artificial intelligence technique, case-based reasoning, to personalise the bolus calculation. A novel aspect of our approach is the use of temporal sequences to take into account preceding events when recommending the bolus insulin doses rather than looking at events in isolation. The in silico results described in this paper show that given the initial conditions of the patient, the temporal retrieval algorithm identifies the most suitable case for reuse. Additionally through insulin-on-board adaptation and postprandial revision, the approach is able to learn and improve bolus predictions, reducing the blood glucose risk index by up to 27% after three revisions of a bolus solution.

Attached files

Authors

Brown, Daniel
Aldea, Arantza
Harrison, Rachel
Martin, Clare
Bayley, Ian

Oxford Brookes departments

Faculty of Technology, Design and Environment\Department of Computing and Communication Technologies

Dates

Year: 2017


Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License


Related resources

This RADAR resource is the Accepted Manuscript of Temporal case-based reasoning for type 1 diabetes mellitus bolus insulin decision support

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