Smart Health Care Application for Predicting Complications Risk in Type 2 Diabetes Management Using Personalized Digital Twins: A focus on early intervention and prevention strategies

Document Type

Conference Proceeding

Source of Publication

Procedia Computer Science

Publication Date

1-1-2026

Abstract

The study examined the application of Personalized Digital Twins (PDTs) to prevent complications during the management of Type 2 Diabetes, especially in early intervention and prevention plans. Based on a high-quality dataset related to the CDC Behavioral Risk Factor Surveillance System (BRFSS) data, we tested multiple predictive models such as the Random Forest, Gradient Boosting machines (GBM), and Extreme Gradient Boosting (XGBoost). We developed a composite risk indicator from established clinical risk factors (hypertension, dyslipidemia, elevated BMI) to stratify complication risk. The Random Forest model achieved 99% accuracy (AUC: 0.98) at the population-level risk classification. The GBM model was optimized and showed good results in predicting diabetes complications with precision of 0.53 and recall of 0.25 and the overall accuracy rate was 79 percent with the ROC AUC score of 0.593. Notwithstanding the positive figures, there are still issues with the model on how to improve the recall and identify true positives that are important in the management of diabetes. The present study confirms the possible benefits of machine learning in improving the management of diabetes using PDTs but also singles out the key areas requiring further improvement to increase the accuracy and reliability of the models.

ISSN

1877-0509

Publisher

Elsevier BV

Volume

280

First Page

889

Last Page

896

Disciplines

Computer Sciences

Keywords

BRFSS dataset, Clinical Decision Support, Predictive Modeling, Random Forest, Type 2 Diabetes Complications

Scopus ID

105042449154

Creative Commons License

Creative Commons Attribution-NonCommercial 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

Indexed in Scopus

yes

Open Access

yes

Open Access Type

Gold: This publication is openly available in an open access journal/series

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