PMID- 37107975 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230430 IS - 2227-9032 (Print) IS - 2227-9032 (Electronic) IS - 2227-9032 (Linking) VI - 11 IP - 8 DP - 2023 Apr 15 TI - Using Machine Learning for the Risk Factors Classification of Glycemic Control in Type 2 Diabetes Mellitus. LID - 10.3390/healthcare11081141 [doi] LID - 1141 AB - Several risk factors are related to glycemic control in patients with type 2 diabetes mellitus (T2DM), including demographics, medical conditions, negative emotions, lipid profiles, and heart rate variability (HRV; to present cardiac autonomic activity). The interactions between these risk factors remain unclear. This study aimed to use machine learning methods of artificial intelligence to explore the relationships between various risk factors and glycemic control in T2DM patients. The study utilized a database from Lin et al. (2022) that included 647 T2DM patients. Regression tree analysis was conducted to identify the interactions among risk factors that contribute to glycated hemoglobin (HbA1c) values, and various machine learning methods were compared for their accuracy in classifying T2DM patients. The results of the regression tree analysis revealed that high depression scores may be a risk factor in one subgroup but not in others. When comparing different machine learning classification methods, the random forest algorithm emerged as the best-performing method with a small set of features. Specifically, the random forest algorithm achieved 84% accuracy, 95% area under the curve (AUC), 77% sensitivity, and 91% specificity. Using machine learning methods can provide significant value in accurately classifying patients with T2DM when considering depression as a risk factor. FAU - Cheng, Yi-Ling AU - Cheng YL AUID- ORCID: 0000-0002-7484-1916 AD - Department of Psychology, College of Humanities and Social Sciences, Kaohsiung Medical University, Kaohsiung 807378, Taiwan. FAU - Wu, Ying-Ru AU - Wu YR AD - Department of Psychology, College of Humanities and Social Sciences, Kaohsiung Medical University, Kaohsiung 807378, Taiwan. FAU - Lin, Kun-Der AU - Lin KD AD - The Lin's Clinic, Kaohsiung 807057, Taiwan. FAU - Lin, Chun-Hung Richard AU - Lin CR AUID- ORCID: 0000-0003-0840-394X AD - Department of Computer Science and Engineering, National Sun Yat-sen University, Kaohsiung 80424, Taiwan. FAU - Lin, I-Mei AU - Lin IM AUID- ORCID: 0000-0001-9658-1783 AD - Department of Psychology, College of Humanities and Social Sciences, Kaohsiung Medical University, Kaohsiung 807378, Taiwan. AD - Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung 807378, Taiwan. LA - eng GR - NSYSUKMU111KN-002/Kaohsiung Medical University/ GR - MOST-111-2410-H-037-004-MY2/Ministry of Science and Technology, Taiwan/ PT - Journal Article DEP - 20230415 PL - Switzerland TA - Healthcare (Basel) JT - Healthcare (Basel, Switzerland) JID - 101666525 PMC - PMC10138388 OTO - NOTNLM OT - artificial intelligence OT - depression OT - glycemic control OT - machine learning OT - type 2 diabetes mellitus COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. EDAT- 2023/04/28 06:41 MHDA- 2023/04/28 06:42 PMCR- 2023/04/15 CRDT- 2023/04/28 01:24 PHST- 2023/03/06 00:00 [received] PHST- 2023/04/05 00:00 [revised] PHST- 2023/04/13 00:00 [accepted] PHST- 2023/04/28 06:42 [medline] PHST- 2023/04/28 06:41 [pubmed] PHST- 2023/04/28 01:24 [entrez] PHST- 2023/04/15 00:00 [pmc-release] AID - healthcare11081141 [pii] AID - healthcare-11-01141 [pii] AID - 10.3390/healthcare11081141 [doi] PST - epublish SO - Healthcare (Basel). 2023 Apr 15;11(8):1141. doi: 10.3390/healthcare11081141.