Abstract:In the U.S., over a third of adults are pre-diabetic, with 80\% unaware of their status. This underlines the need for better glucose monitoring to prevent type 2 diabetes and related heart diseases. Existing wearable glucose monitors are limited by the lack of models trained on small datasets, as collecting extensive glucose data is often costly and impractical. Our study introduces a novel machine learning method using modified recurrence plots in the frequency domain to improve glucose level prediction accuracy from wearable device data, even with limited datasets. This technique combines advanced signal processing with machine learning to extract more meaningful features. We tested our method against existing models using historical data, showing that our approach surpasses the current 87\% accuracy benchmark in predicting real-time interstitial glucose levels.