Faculty of Information Engineering, Guangdong University of Technology, Guangzhou, China.
IET Syst Biol. 2023 Jun;17(3):107-120. doi: 10.1049/syb2.12063. Epub 2023 Mar 31.
The traditional blood glucose estimation method requires to take the invasive measurements several times a day. Therefore, it has a high infection risk and the users are suffered from the pain. Moreover, the long term consumable cost is high. Recently, the wearable and non-invasive blood glucose estimation approach has been proposed. However, due to the unreliability of the acquisition device, the presence of the noise and the variations of the acquisition environments, the obtained features and the reference blood glucose values are highly unreliable. Moreover, different subjects have different responses of the infrared light to the blood glucose. To address this issue, a polynomial fitting approach to smooth the obtained features or the reference blood glucose values has been proposed. In particular, the design of the coefficients in the polynomial is formulated as the various optimisation problems. First, the blood glucose values are estimated based on the individual optimisation approaches. Second, the absolute difference values between the estimated blood glucose values and the actual blood glucose values based on each optimisation approach are computed. Third, these absolute difference values for each optimisation approach are sorted in the ascending order. Fourth, for each sorted blood glucose value, the optimisation method corresponding to the minimum absolute difference value is selected. Fifth, the accumulate probability of each selected optimisation method is computed. If the accumulate probability of any selected optimisation method at a point is greater than a threshold value, then the accumulate probabilities of these three selected optimisation methods at that point are reset to zero. A range of the sorted blood glucose values are defined as that with the corresponding boundaries points being the previous reset point and this reset point. Hence, after performing the above procedures for all the sorted reference blood glucose values in the validation set, the regions of the sorted reference blood glucose values and the corresponding optimisation methods in these regions are determined. It is worth noting that the conventional lowpass denoising method was performed in the signal domain (either in the time domain or in the frequency domain), while the authors' proposed method is performed in the feature space or the reference blood glucose space. Hence, the authors' proposed method can further improve the reliability of the obtained feature values or the reference blood glucose values so as to improve the accuracy of the blood glucose estimation. Moreover, the individual modelling regression method has been employed here to suppress the effects of different users having different responses of the infrared light to the blood glucose values. The computer numerical simulation results show that the authors' proposed method yields the mean absolute relative deviation (MARD) at 0.0930 and the percentage of the test data falling in the zone A of the Clarke error grid at 94.1176%.
传统的血糖估计方法需要每天进行多次有创测量。因此,它具有很高的感染风险,使用者会感到疼痛。此外,长期的耗材成本也很高。最近,已经提出了可穿戴和非侵入式血糖估计方法。然而,由于采集设备的不可靠性、噪声的存在以及采集环境的变化,所获得的特征值和参考血糖值非常不可靠。此外,不同的个体对红外光对血糖的反应也不同。为了解决这个问题,已经提出了一种多项式拟合方法来平滑所获得的特征值或参考血糖值。具体来说,多项式中系数的设计被表述为各种优化问题。首先,基于个体优化方法来估计血糖值。其次,计算基于每个优化方法的估计血糖值与实际血糖值之间的绝对差值。然后,按升序对每个优化方法的这些绝对差值进行排序。第四,对于每个排序的血糖值,选择对应于最小绝对差值的优化方法。第五,计算每个选定优化方法的累积概率。如果在某一点处任何选定优化方法的累积概率大于阈值,则该点处这三个选定优化方法的累积概率将重置为零。定义了一系列排序后的血糖值范围,其边界点为前一个重置点和该重置点。因此,在对验证集中所有排序后的参考血糖值执行上述步骤后,确定排序后的参考血糖值的区域以及这些区域中的相应优化方法。值得注意的是,传统的低通去噪方法是在信号域(时域或频域)中执行的,而作者提出的方法是在特征空间或参考血糖空间中执行的。因此,作者提出的方法可以进一步提高所获得的特征值或参考血糖值的可靠性,从而提高血糖估计的准确性。此外,这里采用了个体建模回归方法来抑制不同个体对红外光对血糖值的反应不同的影响。计算机数值模拟结果表明,作者提出的方法的平均绝对相对偏差(MARD)为 0.0930,测试数据落入 Clarke 误差网格 A 区的百分比为 94.1176%。