1 IBM Corporation, Watson Health, Bethesda, Maryland.
2 Population Health Innovations, Inc., Miami Beach, Florida.
Popul Health Manag. 2019 Jun;22(3):229-242. doi: 10.1089/pop.2018.0129. Epub 2018 Oct 2.
An estimated 425 million people globally have diabetes, accounting for 12% of the world's health expenditures, and yet 1 in 2 persons remain undiagnosed and untreated. Applications of artificial intelligence (AI) and cognitive computing offer promise in diabetes care. The purpose of this article is to better understand what AI advances may be relevant today to persons with diabetes (PWDs), their clinicians, family, and caregivers. The authors conducted a predefined, online PubMed search of publicly available sources of information from 2009 onward using the search terms "diabetes" and "artificial intelligence." The study included clinically-relevant, high-impact articles, and excluded articles whose purpose was technical in nature. A total of 450 published diabetes and AI articles met the inclusion criteria. The studies represent a diverse and complex set of innovative approaches that aim to transform diabetes care in 4 main areas: automated retinal screening, clinical decision support, predictive population risk stratification, and patient self-management tools. Many of these new AI-powered retinal imaging systems, predictive modeling programs, glucose sensors, insulin pumps, smartphone applications, and other decision-support aids are on the market today with more on the way. AI applications have the potential to transform diabetes care and help millions of PWDs to achieve better blood glucose control, reduce hypoglycemic episodes, and reduce diabetes comorbidities and complications. AI applications offer greater accuracy, efficiency, ease of use, and satisfaction for PWDs, their clinicians, family, and caregivers.
全球估计有 4.25 亿人患有糖尿病,占全球卫生支出的 12%,然而,仍有 1/2 的人未被诊断和未得到治疗。人工智能 (AI) 和认知计算的应用在糖尿病护理方面具有广阔的前景。本文旨在更深入地了解 AI 技术的发展目前可能对糖尿病患者 (PWD)、他们的临床医生、家人和护理人员有哪些帮助。作者使用“糖尿病”和“人工智能”这两个术语,在 2009 年以后,针对公开信息来源进行了预先设定的在线 PubMed 搜索。该研究纳入了具有临床意义的高影响力的文章,并排除了那些主要目的为技术性质的文章。共有 450 篇已发表的糖尿病和 AI 文章符合纳入标准。这些研究代表了一系列多样化且复杂的创新方法,旨在从以下四个主要领域改变糖尿病护理:自动视网膜筛查、临床决策支持、预测人群风险分层和患者自我管理工具。目前市场上有许多新的人工智能驱动的视网膜成像系统、预测模型程序、葡萄糖传感器、胰岛素泵、智能手机应用程序和其他决策支持工具,还有更多的此类产品即将面世。人工智能应用有潜力改变糖尿病护理,帮助数百万 PWD 更好地控制血糖,减少低血糖事件,并降低糖尿病的合并症和并发症。人工智能应用为 PWD、他们的临床医生、家人和护理人员提供了更高的准确性、效率、易用性和满意度。