scholarly journals Compositional Data Analysis of Glucose Profiles of Type 1 Diabetes Patients

2019 ◽  
Vol 52 (1) ◽  
pp. 1006-1011
Author(s):  
Lyvia Biagi ◽  
Arthur Bertachi ◽  
Josep Antoni Martín-Fernández ◽  
Josep Vehí
2018 ◽  
Vol 28 (12) ◽  
pp. 3550-3567 ◽  
Author(s):  
Lyvia Biagi ◽  
Arthur Bertachi ◽  
Marga Giménez ◽  
Ignacio Conget ◽  
Jorge Bondia ◽  
...  

The aim of this study was to apply a methodology based on compositional data analysis (CoDA) to categorise glucose profiles obtained from continuous glucose monitoring systems. The methodology proposed considers complete daily glucose profiles obtained from six patients with type 1 diabetes (T1D) who had their glucose monitored for eight weeks. The glucose profiles were distributed into the time spent in six different ranges. The time in one day is finite and limited to 24 h, and the times spent in each of these different ranges are co-dependent and carry only relative information; therefore, CoDA is applied to these profiles. A K-means algorithm was applied to the coordinates obtained from the CoDA to obtain different patterns of days for each patient. Groups of days with relatively high time in the hypo and/or hyperglycaemic ranges and with different glucose variability were observed. Using CoDA of time in different ranges, individual glucose profiles were categorised into groups of days, which can be used by physicians to detect the different conditions of patients and personalise patient's insulin therapy according to each group. This approach can be useful to assist physicians and patients in managing the day-to-day variability that hinders glycaemic control.


Sensors ◽  
2021 ◽  
Vol 21 (11) ◽  
pp. 3593
Author(s):  
Lyvia Biagi ◽  
Arthur Bertachi ◽  
Marga Giménez ◽  
Ignacio Conget ◽  
Jorge Bondia ◽  
...  

The time spent in glucose ranges is a common metric in type 1 diabetes (T1D). As the time in one day is finite and limited, Compositional Data (CoDa) analysis is appropriate to deal with times spent in different glucose ranges in one day. This work proposes a CoDa approach applied to glucose profiles obtained from six T1D patients using continuous glucose monitor (CGM). Glucose profiles of 24-h and 6-h duration were categorized according to the relative interpretation of time spent in different glucose ranges, with the objective of presenting a probabilistic model of prediction of category of the next 6-h period based on the category of the previous 24-h period. A discriminant model for determining the category of the 24-h periods was obtained, achieving an average above 94% of correct classification. A probabilistic model of transition between the category of the past 24-h of glucose to the category of the future 6-h period was obtained. Results show that the approach based on CoDa is suitable for the categorization of glucose profiles giving rise to a new analysis tool. This tool could be very helpful for patients, to anticipate the occurrence of potential adverse events or undesirable variability and for physicians to assess patients’ outcomes and then tailor their therapies.


2018 ◽  
Author(s):  
Ina Darashkevich ◽  
Tatiana Mokhort ◽  
Lola Nikanava ◽  
Serhey Tishkovsky

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 253-LB
Author(s):  
SHEN DONG ◽  
CODY T. MOWERY ◽  
KEVAN C. HEROLD ◽  
STEPHEN E. GITELMAN ◽  
JONATHAN H. ESENSTEN ◽  
...  

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