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Related Concept Videos

Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis01:25

Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis

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Type 2 diabetes mellitus develops gradually and is often asymptomatic in early stages.Clinical ManifestationsWhen symptoms appear, they include fatigue, blurred vision, pruritus, delayed wound healing, and recurrent infections, particularly candidal infections. Peripheral neuropathy may present as numbness or tingling in the extremities. Classic hyperglycemia symptoms—polyuria, polydipsia, and polyphagia—are less common. Most patients are overweight and frequently have associated...
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An inflammatory biomarker panel for prediabetes classification using interpretable machine learning.

Maher Maalouf1, Maram Tammam1, Sana Kurungadan2

  • 1Department of Management Science and Engineering, Khalifa University, Abu Dhabi, United Arab Emirates.

Plos One
|March 16, 2026
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Summary
This summary is machine-generated.

A new inflammatory biomarker panel, including IL-10, IGF-1, and CRP, can identify prediabetes without glucose measures. This discovery offers a promising, non-glycemic approach for early metabolic dysfunction detection.

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Area of Science:

  • Biomarker discovery
  • Machine learning in diagnostics
  • Metabolic health research

Background:

  • Prediabetes is often undetected, necessitating novel diagnostic biomarkers beyond traditional glycemic measures like hemoglobin A1c (HbA1c).
  • Oxidative stress, inflammation, and lipid metabolism are implicated in prediabetes development.
  • Developing interpretable machine learning models can aid in identifying complex disease patterns.

Purpose of the Study:

  • To develop an interpretable machine learning model for classifying prediabetes using biomarkers.
  • To identify a panel of biomarkers for prediabetes detection independent of HbA1c.
  • To compare different biomarker panels for optimal predictive accuracy.

Main Methods:

  • Developed and validated interpretable machine learning models using clinical and biomarker data from 545 participants.
  • Employed nested cross-validation for robust findings and managed feature collinearity with VIF.
  • Interpreted model performance using Shapley Additive exPlanations (SHAP).

Main Results:

  • Identified a panel of inflammatory biomarkers (IL-10, IGF-1, CRP) that accurately classify prediabetes.
  • Achieved an Area Under the Curve (AUC) of 0.711 for the non-glycemic model on holdout validation.
  • Established inflammation as a key, measurable indicator of early metabolic dysfunction.

Conclusions:

  • Introduced a novel panel of inflammatory biomarkers for prediabetes identification, independent of glucose-based measures.
  • Highlighted inflammation as an early indicator of metabolic dysfunction, potentially improving prediabetes detection precision.
  • Recommended longitudinal studies with larger, diverse populations for clinical validation and improved metabolic health management.