An Artificial Intelligence-Based System for Nutrient Intake Assessment of Hospitalised Patients

Regular nutrient intake monitoring in hospitalised patients plays a critical role in reducing the risk of disease-related malnutrition (DRM). Although several methods to estimate nutrient intake have been developed, there is still a clear demand for a more reliable and fully automated technique, as this could improve the data accuracy and reduce both the participant burden and the health costs. In this paper, we propose a novel system based on artificial intelligence to accurately estimate nutrient intake, by simply processing RGB depth image pairs captured before and after a meal consumption. For the development and evaluation of the system, a dedicated and new database of images and recipes of 322 meals was assembled, coupled to data annotation using innovative strategies. With this database, a system was developed that employed a novel multi-task neural network and an algorithm for 3D surface construction. This allowed sequential semantic food segmentation and estimation of the volume of the consumed food, and permitted fully automatic estimation of nutrient intake for each food type with a 15% estimation error.

A dual mode adaptive basal-bolus advisor based on reinforcement learning

Self-monitoring of blood glucose (SMBG) and continuous glucose monitoring (CGM) are commonly used by type 1 diabetes (T1D) patients to measure glucose concentrations. The proposed adaptive basal-bolus algorithm (ABBA) supports inputs from either SMBG or CGM devices to provide personalised suggestions for the daily basal rate and prandial insulin doses on the basis of the patients' glucose level on the previous day. The ABBA is based on reinforcement learning (RL), a type of artificial intelligence, and was validated in silico with an FDA-accepted population of 100 adults under different realistic scenarios lasting three simulated months. The scenarios involve three main meals and one bedtime snack per day, along with different variabilities and uncertainties for insulin sensitivity, mealtime, carbohydrate amount, and glucose measurement time. The results indicate that the proposed approach achieves comparable performance with CGM or SMBG as input signals, without influencing the total daily insulin dose. The results are a promising indication that AI algorithmic approaches can provide personalised adaptive insulin optimisation and achieve glucose control - independently of the type of glucose monitoring technology.

Predicting Blood Glucose with an LSTM and Bi-LSTM Based Deep Neural Network

A deep learning network was used to predict future blood glucose levels, as this can permit diabetes patients to take action before imminent hyperglycaemia and hypoglycaemia. A sequential model with one long-short-term memory (LSTM) layer, one bidirectional LSTM layer and several fully connected layers was used to predict blood glucose levels for different prediction horizons. The method was trained and tested on 26 datasets from 20 real patients. The proposed network outperforms the baseline methods in terms of all evaluation criteria.