Noninvasive Hypoglycemia Detection in People With Diabetes Using Smartwatch Data
Lehmann V, Foll S, Maritsch M, van Weenen E, Kraus M, Lagger S, Odermatt K, Albrecht C, Fleisch E, Zueger T, Wortmann F, Stettler C (2023)
Publication Type: Journal article
Publication year: 2023
Journal
Book Volume: 46
Pages Range: 993-997
Journal Issue: 5
DOI: 10.2337/dc22-2290
Abstract
OBJECTIVE To develop a noninvasive hypoglycemia detection approach using smartwatch data. RESEARCH DESIGN AND METHODS We prospectively collected data from two wrist-worn wearables (Garmin vivoactive 4S, Empatica E4) and continuous glucose monitoring values in adults with diabetes on insulin treatment. Using these data, we developed a machine learning (ML) approach to detect hypoglycemia (<3.9 mmol/L) noninvasively in unseen individuals and solely based on wearable data. RESULTS Twenty-two individuals were included in the final analysis (age 54.5 ± 15.2 years, HbA1c 6.9 ± 0.6%, 16 males). Hypoglycemia was detected with an area under the receiver operating characteristic curve of 0.76 ± 0.07 solely based on wearable data. Feature analysis revealed that the ML model associated increased heart rate, decreased heart rate variability, and increased tonic electrodermal activity with hypoglycemia. CONCLUSIONS Our approach may allow for noninvasive hypoglycemia detection using wear-ables in people with diabetes and thus complement existing methods for hypoglycemia detection and warning.
Authors with CRIS profile
Involved external institutions
Inselspital, Universitätsspital Bern
Switzerland (CH)
Eidgenössische Technische Hochschule Zürich (ETHZ) / Swiss Federal Institute of Technology in Zurich
Switzerland (CH)
Universität St.Gallen
Switzerland (CH)
Switzerland (CH)
Eidgenössische Technische Hochschule Zürich (ETHZ) / Swiss Federal Institute of Technology in Zurich
Switzerland (CH)
Universität St.Gallen
Switzerland (CH)
How to cite
APA:
Lehmann, V., Foll, S., Maritsch, M., van Weenen, E., Kraus, M., Lagger, S.,... Stettler, C. (2023). Noninvasive Hypoglycemia Detection in People With Diabetes Using Smartwatch Data. Diabetes Care, 46(5), 993-997. https://doi.org/10.2337/dc22-2290
MLA:
Lehmann, Vera, et al. "Noninvasive Hypoglycemia Detection in People With Diabetes Using Smartwatch Data." Diabetes Care 46.5 (2023): 993-997.
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