Prism-refraction K-means polar lights optimizer-driven feature selection for accurate diabetes diagnosis

This study developed a machine learning framework for stratifying abnormal glucose tolerance risk among outpatients presenting with foamy urine. It retrospectively analyzed 64 features from 511 patients with foamy urine in the outpatient medical record system. Patients were divided into two groups based on oral glucose tolerance tests (OGTT) results. This study proposed a novel predictive framework, bPKPLO-SVM, which integrates the Prism-refraction K-means Polar Lights Optimizer (PKPLO) with the Support Vector Machine (SVM) for feature selection and early diabetes diagnosis. The proposed PKPLO algorithm enhances the Polar Lights Optimizer (PLO) by incorporating mechanisms for improved search diversity and solution refinement, inspired by Prism refraction and K-means clustering. Results showed that bPKPLO-SVM performed well in early diabetes prediction, achieving an accuracy of 81.639% and a recall of 85.927%, outperforming many common prediction models and similar algorithms. Model analysis further identified fasting plasma glucose (FPG), glycosylated hemoglobin (HbA1c), platelet distribution width-standard deviation (PDW-SD), urine specific gravity (USG), and age as frequently selected predictors. These findings suggest that bPKPLO-SVM may serve as a supportive risk-stratification tool for patients presenting with foamy urine, rather than a universal screening model for the general population.