PMID- 33406540 OWN - NLM STAT- MEDLINE DCOM- 20211116 LR - 20220107 IS - 1869-0327 (Electronic) IS - 1869-0327 (Linking) VI - 12 IP - 1 DP - 2021 Jan TI - Early Detection of Prediabetes and T2DM Using Wearable Sensors and Internet-of-Things-Based Monitoring Applications. PG - 1-9 LID - 10.1055/s-0040-1719043 [doi] AB - BACKGROUND: Prediabetes and type 2 diabetes mellitus (T2DM) are one of the major long-term health conditions affecting global healthcare delivery. One of the few effective approaches is to actively manage diabetes via a healthy and active lifestyle. OBJECTIVES: This research is focused on early detection of prediabetes and T2DM using wearable technology and Internet-of-Things-based monitoring applications. METHODS: We developed an artificial intelligence model based on adaptive neuro-fuzzy inference to detect prediabetes and T2DM via individualized monitoring. The key contributing factors to the proposed model include heart rate, heart rate variability, breathing rate, breathing volume, and activity data (steps, cadence, and calories). The data was collected using an advanced wearable body vest and combined with manual recordings of blood glucose, height, weight, age, and sex. The model analyzed the data alongside a clinical knowledgebase. Fuzzy rules were used to establish baseline values via existing interventions, clinical guidelines, and protocols. RESULTS: The proposed model was tested and validated using Kappa analysis and achieved an overall agreement of 91%. CONCLUSION: We also present a 2-year follow-up observation from the prediction results of the original model. Moreover, the diabetic profile of a participant using M-health applications and a wearable vest (smart shirt) improved when compared to the traditional/routine practice. CI - Thieme. All rights reserved. FAU - Baig, Mirza Mansoor AU - Baig MM AD - School of Engineering, Computer and Mathematical Sciences, Auckland University of Technology, Auckland, New Zealand. FAU - GholamHosseini, Hamid AU - GholamHosseini H AD - School of Engineering, Computer and Mathematical Sciences, Auckland University of Technology, Auckland, New Zealand. FAU - Gutierrez, Jairo AU - Gutierrez J AD - School of Engineering, Computer and Mathematical Sciences, Auckland University of Technology, Auckland, New Zealand. FAU - Ullah, Ehsan AU - Ullah E AD - School of Engineering, Computer and Mathematical Sciences, Auckland University of Technology, Auckland, New Zealand. FAU - Linden, Maria AU - Linden M AD - School of Innovation Design and Engineering, Malardalen University, Vasteras, Sweden. LA - eng PT - Journal Article DEP - 20210106 PL - Germany TA - Appl Clin Inform JT - Applied clinical informatics JID - 101537732 SB - IM MH - Artificial Intelligence MH - *Diabetes Mellitus, Type 2/diagnosis MH - Humans MH - Internet MH - *Prediabetic State/diagnosis MH - *Wearable Electronic Devices PMC - PMC7787711 COIS- None declared. EDAT- 2021/01/07 06:00 MHDA- 2021/11/17 06:00 PMCR- 2022/01/06 CRDT- 2021/01/06 20:05 PHST- 2021/01/06 20:05 [entrez] PHST- 2021/01/07 06:00 [pubmed] PHST- 2021/11/17 06:00 [medline] PHST- 2022/01/06 00:00 [pmc-release] AID - 200124ra [pii] AID - 10.1055/s-0040-1719043 [doi] PST - ppublish SO - Appl Clin Inform. 2021 Jan;12(1):1-9. doi: 10.1055/s-0040-1719043. Epub 2021 Jan 6.