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Updated: May 31, 2025

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Patient Directed Recording of a Bipolar Three-Lead Electrocardiogram using a Smartwatch with ECG Function
Published on: December 11, 2019
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Edge-AI Enabled Wearable Device for Non-Invasive Type 1 Diabetes Detection Using ECG Signals.
Maria Gragnaniello1, Vincenzo Romano Marrazzo1, Alessandro Borghese1
1Department of Electrical Engineering and Information Technology (DIETI), University of Naples Federico II, 80125 Naples, Italy.
Bioengineering (Basel, Switzerland)
|January 24, 2025
Summary
This study introduces a novel Edge-AI system for non-invasive diabetes detection using electrocardiogram (ECG) analysis. The wearable device achieves 89.52% accuracy, offering a practical solution for real-time health monitoring.
Area of Science:
- Biomedical Engineering
- Artificial Intelligence in Healthcare
- Wearable Technology
Background:
- Traditional diabetes monitoring is invasive and impacts patient quality of life.
- There is a need for non-invasive, real-time diabetes detection methods.
- Edge Artificial Intelligence (Edge-AI) offers potential for on-device health monitoring.
Purpose of the Study:
- To design and validate an innovative Edge-AI system for real-time, non-invasive diabetes detection.
- To analyze electrocardiogram (ECG) signals for diabetes presence using a microcontroller-based system.
- To optimize the system for low power consumption and minimal memory footprint suitable for wearable devices.
Main Methods:
- Developed a microcontroller-based system for real-time ECG acquisition.
- Implemented a spectrogram-based preprocessing technique combined with a 1-Dimensional Convolutional Neural Network (1D-CNN).
- Applied quantization for model optimization, balancing memory usage and accuracy.
- Designed and validated a custom Printed Circuit Board (PCB) for real-world testing.
Main Results:
- Achieved 89.52% accuracy in diabetes detection.
- Obtained average precision of 0.91 and recall of 0.90.
- Demonstrated a minimal memory footprint (347 kB flash, 23 kB RAM).
- Validated the system's feasibility on a custom PCB with low power consumption.
Conclusions:
- The developed Edge-AI system enables non-invasive, real-time diabetes detection.
- The system is suitable for resource-constrained wearable embedded devices.
- This approach significantly enhances the accessibility and practicality of diabetes monitoring.
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