AttenGluco: Multimodal Transformer-Based Blood Glucose Forecasting on AI-READI Dataset
Abstract
Diabetes is a chronic metabolic disorder characterized by persistently high blood glucose levels (BGLs), leading to severe complications such as cardiovascular disease, neuropathy, and retinopathy. Predicting BGLs enables patients to maintain glucose levels within a safe range and allows caregivers to take proactive measures through lifestyle modifications. Continuous Glucose Monitoring (CGM) systems provide real-time tracking, offering a valuable tool for monitoring BGLs. However, accurately forecasting BGLs remains challenging due to fluctuations due to physical activity, diet, and other factors. Recent deep learning models show promise in improving BGL prediction. Nonetheless, forecasting BGLs accurately from multimodal, irregularly sampled data over long prediction horizons remains a challenging research problem. In this paper, we propose AttenGluco1 , a multimodal Transformerbased framework for long-term blood glucose prediction. AttenGluco employs cross-attention to effectively integrate CGM and activity data, addressing challenges in fusing data with different sampling rates. Moreover, it employs multi-scale attention to capture long-term dependencies in temporal data, enhancing forecasting accuracy. To evaluate the performance of AttenGluco, we conduct forecasting experiments on the recently released AIREADI dataset, analyzing its predictive accuracy across different subject cohorts including healthy individuals, people with prediabetes, and those with type 2 diabetes. Furthermore, we investigate its performance improvements and forgetting behavior as new cohorts are introduced. Our evaluations show that AttenGluco improves all error metrics, such as root mean square error (RMSE), mean absolute error (MAE), and correlation, compared to the multimodal LSTM model, which is widely used in state-of-the-art blood glucose prediction. AttenGluco outperforms this baseline model by about 10% and 15% in terms of RMSE and MAE, respectively.
Reza Rahimi Azghan
Grad Research Associate
I am a Ph.D. student at Arizona State University. I work as a Graduate Research Associate at Embedded Machine Intelligence Lab (EMIL) under the supervision of Dr. Hassan Ghasemzadeh.
Nooshin Taheri Chatrudi
Graduate Teaching Assistant
I am a Ph.D. student at the College of Health Solutions, Arizona State University (ASU). Currently, I am working under the supervision of Dr. Hassan Ghasemzadeh at the Embedded Machine Intelligence Lab (EMIL). My research interests include machine learning, clinical informatics, and health monitoring system development.
Hassan Ghasemzadeh
Director
Hassan Ghasemzadeh is an Associate Professor of Biomedical Informatics at Arizona State University (ASU) and a Computer Science Adjunct Faculty at Washington State University (WSU).