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Policy Implications of Artificial Intelligence and Machine Learning in Diabetes Management
David T Broome1, C Beau Hilton2, Neil Mehta3
1Department of Endocrinology, Diabetes & Metabolism, Cleveland Clinic Foundation, F-20 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Machine learning (ML) shows promise in diabetes care, particularly for automated insulin delivery and retinopathy screening. Overcoming implementation challenges requires collaboration among developers, regulators, and clinicians for wider real-world application.
Area of Science:
- Diabetes care technology
- Artificial intelligence in medicine
- Health services research
Background:
- Machine learning (ML) is increasingly explored for diabetes screening, diagnosis, and management.
- Current ML applications in diabetes show varied success, with many models not translating to practical, real-world solutions.
- A significant gap exists between ML developers, regulatory bodies, healthcare providers, and patients.
Purpose of the Study:
- To review the current state of ML applications across different facets of diabetes care.
- To identify critical challenges hindering the effective implementation of ML in diabetes management.
- To explore strategies for maximizing the potential of ML in improving diabetes outcomes.
Main Methods:
- Literature review of current machine learning applications in diabetes.
- Analysis of challenges in translating ML models into clinical practice.
- Examination of regulatory approaches and stakeholder collaborations.
Main Results:
- ML has demonstrated notable success in automated insulin delivery systems and diabetic retinopathy screening.
- The application of ML in other areas of diabetes management remains in its nascent stages.
- The Food & Drug Administration (FDA) is actively developing frameworks for expedited and safe technology adoption.
Conclusions:
- Machine learning holds substantial potential for advancing diabetes care and management.
- Enhanced collaboration between regulatory bodies, researchers, clinicians, developers, and patients is crucial.
- Addressing implementation gaps is key to realizing the full benefits of ML for individuals and populations with diabetes.
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