1. Predicting long-term type 2 diabetes with support vector machine using oral glucose tolerance test
- Author
-
Abbas, Hasan T., Alic, Lejla, Erraguntla, Madhav, Ji, Jim X., Abdul-Ghani, Muhammad, Abbasi, Qammer H., Qaraqe, Marwa K., and Magnetic Detection and Imaging
- Subjects
Blood Glucose ,Male ,Support Vector Machine ,Physiology ,Cardiovascular Medicine ,Biochemistry ,Body Mass Index ,Machine Learning ,Endocrinology ,Mathematical and Statistical Techniques ,Medicine and Health Sciences ,Insulin ,Statistics ,Middle Aged ,Body Fluids ,Type 2 Diabetes ,Blood ,Cardiovascular Diseases ,Physical Sciences ,Medicine ,Female ,Anatomy ,Research Article ,Adult ,Computer and Information Sciences ,Endocrine Disorders ,Science ,Research and Analysis Methods ,Blood Plasma ,Artificial Intelligence ,Diagnostic Medicine ,Support Vector Machines ,Diabetes Mellitus ,Humans ,Statistical Methods ,Life Style ,Diabetic Endocrinology ,Biology and Life Sciences ,Glucose Tolerance Test ,Hormones ,United States ,Diabetes Mellitus, Type 2 ,Metabolic Disorders ,Glucose Tolerance Tests ,Insulin Resistance ,Mathematics ,Biomarkers ,Forecasting - Abstract
Diabetes is a large healthcare burden worldwide. There is substantial evidence that lifestyle modifications and drug intervention can prevent diabetes, therefore, an early identification of high risk individuals is important to design targeted prevention strategies. In this paper, we present an automatic tool that uses machine learning techniques to predict the development of type 2 diabetes mellitus (T2DM). Data generated from an oral glucose tolerance test (OGTT) was used to develop a predictive model based on the support vector machine (SVM). We trained and validated the models using the OGTT and demographic data of 1,492 healthy individuals collected during the San Antonio Heart Study. This study collected plasma glucose and insulin concentrations before glucose intake and at three time-points thereafter (30, 60 and 120 min). Furthermore, personal information such as age, ethnicity and body-mass index was also a part of the data-set. Using 11 OGTT measurements, we have deduced 61 features, which are then assigned a rank and the top ten features are shortlisted using minimum redundancy maximum relevance feature selection algorithm. All possible combinations of the 10 best ranked features were used to generate SVM based prediction models. This research shows that an individual's plasma glucose levels, and the information derived therefrom have the strongest predictive performance for the future development of T2DM. Significantly, insulin and demographic features do not provide additional performance improvement for diabetes prediction. The results of this work identify the parsimonious clinical data needed to be collected for an efficient prediction of T2DM. Our approach shows an average accuracy of 96.80% and a sensitivity of 80.09% obtained on a holdout set.
- Published
- 2019