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Diabetes: Symptoms, Diagnosis, and Complications01:15

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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
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Optimizing Feature Selection and Machine Learning Algorithms for Early Detection of Prediabetes Risk: Comparative

Mahmoud B Almadhoun1, M A Burhanuddin1

  • 1Fakulti Kecerdasan Buatan dan Keselamatan Siber, Universiti Teknikal Malaysia, Melaka, Durian Tunggal, 75450, Malaysia, 60 194807552.

JMIR Bioinformatics and Biotechnology
|December 4, 2025
PubMed
Summary
This summary is machine-generated.

Machine learning models, particularly random forest and XGBoost, effectively predict prediabetes risk. Key predictors include BMI, age, and cholesterol levels, enabling early intervention for cardiovascular and kidney health.

Keywords:
extreme gradient boostingfeature selectionk-nearest neighborsmachine learningprediabetespredictionsupport vector machine

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Area of Science:

  • Computational biology and bioinformatics
  • Clinical informatics and decision support
  • Preventive medicine and public health

Background:

  • Prediabetes signifies an intermediate metabolic stage preceding type 2 diabetes.
  • It elevates the risk of severe complications, including cardiovascular disease and kidney failure.
  • Early identification of prediabetes is critical for timely interventions to prevent diabetes progression.

Purpose of the Study:

  • To compare the predictive performance of various machine learning (ML) algorithms for prediabetes detection.
  • To identify key clinical predictors associated with prediabetes using ML techniques.
  • To enhance the interpretability and accuracy of ML models for clinical application.

Main Methods:

  • Evaluated multiple ML models: Random Forest, XGBoost, SVM, and KNN on a dataset of 4743 individuals.
  • Employed LASSO regression and PCA for feature selection and dimensionality reduction.
  • Utilized hyperparameter tuning (RandomizedSearchCV, GridSearchCV) and SMOTE for model optimization and handling data imbalance.
  • Applied SHAP analysis for model-agnostic feature importance assessment.

Main Results:

  • Random Forest achieved the highest cross-validated ROC-AUC of 0.9117, demonstrating robust generalization.
  • XGBoost also showed strong performance in distinguishing between normal and prediabetic states.
  • SHAP analysis identified BMI, age, HDL, and LDL cholesterol as primary predictors.
  • Hyperparameter tuning significantly improved model performance, e.g., SVM ROC-AUC increased from 0.813 to 0.863.

Conclusions:

  • Optimized ML models, especially Random Forest and XGBoost, are effective for early prediabetes risk assessment.
  • Integrating SHAP, LASSO, and PCA enhances model transparency for clinical decision support systems.
  • Future research should focus on validating these models in diverse settings and incorporating additional biomarkers for improved accuracy in personalized preventive care.