Skip to main content

Abstract

The type-2 diabetes (T2D) is a multifactorial chronic disease that reduces the quality of lifestyle and produces the death of a large percentage of the population worldwide. Before the development of T2D a series of symptoms are presented even years before T2D diagnosis. This condition that appears before the development of T2D is called prediabetes. Prediabetes and T2D are diagnosed from the oral glucose tolerance test (OGTT). The OGTT consists in the measurement of glucose and insulin in five-time intervals, the first after 8 h of fasting (0 min) and the other four measurements after taking 75 g of oral glucose in 30-minutes intervals (30, 60, 90 and 120 min). Some parameters have been used to improve the efficiency in the diagnosis of prediabetes and T2D, for example: the area under the glucose (AUCG) and insulin (AUCI) curve during OGTT has been used as a parameter for the diagnosis of prediabetes, T2D and obesity. The aim of this study is to assess the k-means clustering algorithm in the classification of subjects with prediabetes and T2D using the AUCG and AUCI. A database of 188 subjects (male = 88 subjects, age = 42.11 ± 14.91 years old) with values of plasma glucose and insulin during OGTT was used. The k-means clustering performed for AUCG presents acceptable results since the silhouette coefficient is above 0.6 in all cases. The findings in this study indicate that the k-means applied in the AUCG classify subjects with T2D, prediabetes and control. Furthermore, it could even predict those subjects with high probabilities of developing T2D.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Rowley, W.R., Bezold, C., Arikan, Y., Byrne, E., Krohe, S.: Diabetes 2030: insights from yesterday, today, and future trends. Popul. Health Manage. 20(1), 6–12 (2017)

    Article  Google Scholar 

  2. Nathanson, D., Sabale, U., Eriksson, J.W., Nyström, T., Norhammar, A., Olsson, U., Bodegård, J.: Healthcare cost development in a type 2 diabetes patient population on glucose-lowering drug treatment: a nationwide observational study 2006–2014. PharmacoEconomics-open 2(4), 393–402 (2018)

    Article  Google Scholar 

  3. Islam, S.M.S., Lechner, A., Ferrari, U., Laxy, M., Seissler, J., Brown, J., Holle, R.: Healthcare use and expenditure for diabetes in Bangladesh. BMJ Glob. Health 2(1), e000033 (2017)

    Article  Google Scholar 

  4. Eshwari, K., Kamath, V.G., Rao, C.R., Kamath, A.: Annual cost incurred for the management of type 2 diabetes mellitus—a community-based study from coastal Karnataka. Int. J. Diabet. Dev. Countries 39(3), 590–595 (2019)

    Article  Google Scholar 

  5. Karter, A.J., Parker, M.M., Solomon, M.D., Lyles, C.R., Adams, A.S., Moffet, H.H., Reed, M.E.: Effect of out-of-pocket cost on medication initiation, adherence, and persistence among patients with type 2 diabetes: the diabetes study of Northern California (DISTANCE). Health Serv. Res. 53(2), 1227–1247 (2018)

    Article  Google Scholar 

  6. Misra, A., Gopalan, H., Jayawardena, R., Hills, A.P., Soares, M., Reza-Albarrán, A.A., Ramaiya, K.L.: Diabetes in developing countries. J. Diabetes 11(7), 522–539 (2019)

    Article  Google Scholar 

  7. Narayan, K.V., Fleck, F.: The mysteries of type 2 diabetes in developing countries. Bull. World Health Organ. 94, 241–242 (2016)

    Article  Google Scholar 

  8. Dagogo-Jack, S.: Primary prevention of type 2 diabetes: an imperative for developing countries. In: Diabetes Mellitus in Developing Countries and Underserved Communities, pp. 7–31. Springer, Cham (2017)

    Google Scholar 

  9. American Diabetes Association2: Classification and diagnosis of diabetes: standards of medical care in diabetes—2018. Diabetes Care, 41(Suppl. 1), S13-S27 (2018)

    Google Scholar 

  10. Kim, J.Y., Michaliszyn, S.F., Nasr, A., Lee, S., Tfayli, H., Hannon, T., Arslanian, S.: The shape of the glucose response curve during an oral glucose tolerance test heralds biomarkers of type 2 diabetes risk in obese youth. Diabetes Care 39(8), 1431–1439 (2016)

    Article  Google Scholar 

  11. Hays, L.M., Hoen, H.M., Slaven, J.E., Finch, E.A., Marrero, D.G., Saha, C., Ackermann, R.T.: Effects of a community-based lifestyle intervention on change in physical activity among economically disadvantaged adults with prediabetes. Am. J. Health Educ. 47(5), 266–278 (2016)

    Article  Google Scholar 

  12. Khan, T., Tsipas, S., Wozniak, G.: Medical care expenditures for individuals with prediabetes: the potential cost savings in reducing the risk of developing diabetes. Popul. Health Manage. 20(5), 389–396 (2017)

    Article  Google Scholar 

  13. Zheng, Y., Ley, S.H., Hu, F.B.: Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nat. Rev. Endocrinol. 14(2), 88 (2018)

    Article  Google Scholar 

  14. Qu, H.Q., Li, Q., Rentfro, A.R., Fisher-Hoch, S.P., McCormick, J.B.: The definition of insulin resistance using HOMA-IR for Americans of Mexican descent using machine learning. PLoS One 6(6), e21041 (2011)

    Article  Google Scholar 

  15. Patil, B.M., Joshi, R.C., Toshniwal, D.: Hybrid prediction model for type-2 diabetic patients. Expert Syst. Appl. 37(12), 8102–8108 (2010)

    Article  Google Scholar 

  16. Velásquez, J., Severeyn, E., Herrera, H., Encalada, L., Wong, S.: Anthropometric index for insulin sensitivity assessment in older adults from Ecuadorian highlands. In: 12th International Symposium on Medical Information Processing and Analysis, vol. 10160, p. 101600S. International Society for Optics and Photonics, January 2017

    Google Scholar 

  17. Velásquez, J., Herrera, H., Encalada, L., Wong, S., Severeyn, E.: Análisis dimensional de variables antropométricas y bioquímicas para diagnosticar el síndrome metabólico. Maskana 8, 57–67 (2017)

    Google Scholar 

  18. Velásquez, J., Severeyn, E., Herrera, H., Astudillo-Salinas, F., Wong, S.: Dimensional analysis of heart rate variability parameters for metabolic dysfunctions diagnosis. In: 2017 IEEE Second Ecuador Technical Chapters Meeting (ETCM), pp. 1–6, October 2017

    Google Scholar 

  19. Severeyn, E., Velásquez, J., Herrera, H., Wong, S.: Random sub-sampling cross validation for empirical correlation between heart rate variability, biochemical and anthropometrics parameters. In: Conference on Information Technologies and Communication of Ecuador, pp. 347–357. Springer, Cham (2018)

    Google Scholar 

  20. Potteiger, J.A., Jacobsen, D.J., Donnelly, J.E.: A comparison of methods for analyzing glucose and insulin areas under the curve following nine months of exercise in overweight adults. Int. J. Obesity 26(1), 87 (2002)

    Article  Google Scholar 

  21. Abdul-Ghani, M.A., Lyssenko, V., Tuomi, T., DeFronzo, R.A., Groop, L.: The shape of plasma glucose concentration curve during OGTT predicts future risk of type 2 diabetes. Diabetes/Metab. Res. Rev. 26(4), 280–286 (2010)

    Article  Google Scholar 

  22. World Health Organization: Definition and diagnosis of diabetes mellitus and intermediate hyperglycaemia: report of a WHO/IDF consultation (2006)

    Google Scholar 

  23. Hartigan, J.A., Wong, M.A.: Algorithm as 136: a kmeans clustering algorithm. J. Roy. Stat. Soc. Ser. C (Appl. Stat.) 28(1), 100–108 (1979)

    Google Scholar 

  24. Rousseeuw, P.J.: Silhouettes: a graphical aid to the interpretation and validation of cluster analysis. J. Comput. Appl. Math. 20, 53–65 (1987)

    Article  Google Scholar 

  25. Powers, D.: Evaluation: from precision, recall and F1-measure to ROC, informedness, markedness and correlation (2011)

    Google Scholar 

  26. Marusteri, M., Bacarea, V.: Comparing groups for statistical differences: how to choose the right statistical test? Biochem. Medica: Biochem. Medica 20(1), 15–32 (2010)

    Article  Google Scholar 

  27. Menke, A., Casagrande, S., Geiss, L., Cowie, C.C.: Prevalence of and trends in diabetes among adults in the United States, 1988–2012. JAMA 314(10), 1021–1029 (2015)

    Article  Google Scholar 

  28. Tangvarasittichai, S.: Oxidative stress, insulin resistance, dyslipidemia and type 2 diabetes mellitus. World J. Diabetes 6(3), 456 (2015)

    Article  Google Scholar 

  29. Burgeiro, A., Cerqueira, M., Varela-Rodríguez, B., Nunes, S., Neto, P., Pereira, F., Carvalho, E.: Glucose and lipid dysmetabolism in a rat model of prediabetes induced by a high-sucrose diet. Nutrients 9(6), 638 (2017)

    Article  Google Scholar 

  30. Vintimilla, C., Wong, S., Astudillo-Salinas, F., Encalada, L., Severeyn, E.: An aide diagnosis system based on k-means for insulin resistance assessment in eldery people from the Ecuadorian highlands. In: 2017 IEEE Second Ecuador Technical Chapters Meeting (ETCM), pp. 1–6, October 2017

    Google Scholar 

  31. Anjana, R.M., Rani, C.S.S., Deepa, M., Pradeepa, R., Sudha, V., Nair, H.D., Mohan, V.: Incidence of diabetes and prediabetes and predictors of progression among Asian Indians: 10-year follow-up of the Chennai urban rural epidemiology study (CURES). Diabetes Care 38(8), 1441–1448 (2015)

    Article  Google Scholar 

Download references

Acknowledgments

This work was funded by the Research Vice-rectorate of the University Antonio Nariño, and the Research and Development Deanery of the Simón Bolívar University (DID) and Pontifical Bolivarian University.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Erika Severeyn .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Severeyn, E. et al. (2020). Diagnosis of Type 2 Diabetes and Pre-diabetes Using Machine Learning. In: González Díaz, C., et al. VIII Latin American Conference on Biomedical Engineering and XLII National Conference on Biomedical Engineering. CLAIB 2019. IFMBE Proceedings, vol 75. Springer, Cham. https://doi.org/10.1007/978-3-030-30648-9_105

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-30648-9_105

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-30647-2

  • Online ISBN: 978-3-030-30648-9

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics