Rapid model identification for online subcutaneous glucose concentration prediction for new subjects with type I diabetes.

GOAL: For conventional modeling methods, the work of model identification has to be repeated with sufficient data for each subject because different subjects may have different response to exogenous inputs. This may cause repetitive cost and burden for patients and clinicians and require a lot of modeling efforts. Here, to overcome the aforementioned problems, a rapid model development strategy for new subjects is proposed using the idea of model migration for online glucose prediction.
METHODS: First, a base model is obtained that can be empirically identified from any subject or constructed by a priori knowledge. Then, parameters of inputs in the base model are properly revised based on a small amount of new data from new subjects so that the updated models can reflect the specific glucose dynamics excited by inputs for new subjects. These problems are investigated by developing autoregressive models with exogenous inputs (ARX) based on 30 in silico subjects using UVA/Padova metabolic simulator.
RESULTS: The prediction accuracy of the rapid modeling method is comparable to that for subject-dependent modeling method for some cases. Also, it can present better generalization ability.
CONCLUSION: The proposed method can be regarded as an effective and economic modeling method instead of repetitive subject-dependent modeling method especially for lack of modeling data.