Evidence map›Paper›PMID 40671514›Full record

ArticleDiabetes, obesity & metabolism2025

Prediction of glycaemic control and quality of life in people with type 2 diabetes using glucose-lowering drugs with machine learning-The Maastricht study.

Nikki C C Werkman, Johannes T H Nielen, José Tapia-Galisteo, Francisco J Somolinos-Simón, Maria Elena Hernando, Junfeng Wang, Li Jiu, Wim G Goettsch, Hans Bosma, Miranda T Schram and 5 more

Abstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Nikki C C WerkmanDepartment of Clinical Pharmacy, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-3878-8302
Johannes T H NielenDepartment of Clinical Pharmacy, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-3633-2504
José Tapia-GalisteoBioengineering and Telemedicine Group, Centro de Tecnología Biomédica, ETSI de Telecomunicación, Universidad Politécnica de Madrid, Madrid, Spain.
Francisco J Somolinos-SimónBioengineering and Telemedicine Group, Centro de Tecnología Biomédica, ETSI de Telecomunicación, Universidad Politécnica de Madrid, Madrid, Spain.
Maria Elena HernandoBioengineering and Telemedicine Group, Centro de Tecnología Biomédica, ETSI de Telecomunicación, Universidad Politécnica de Madrid, Madrid, Spain.
Junfeng WangDivision of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.
Li JiuDivision of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.
Wim G GoettschDivision of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.
Hans BosmaSchool for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Miranda T SchramDepartment of Clinical Pharmacy, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.
Marleen M J van GreevenbroekDepartment of Clinical Pharmacy, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.
Anke WesseliusSchool for Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, Maastricht, The Netherlands.
Coen D A StehouwerDepartment of Clinical Pharmacy, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.ORCID 0000-0001-8752-3223
Johanna H M DriessenDepartment of Clinical Pharmacy, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.
Gema Garcia-SáezBioengineering and Telemedicine Group, Centro de Tecnología Biomédica, ETSI de Telecomunicación, Universidad Politécnica de Madrid, Madrid, Spain.

Funding

CAPHRI Care and Public Health Research InstituteCardiovascular CenterCARIM School for Cardiovascular DiseasesEuropean Regional Development Fund via OP-ZuidHealth Foundation LimburgNovo Nordisk Farma B.V.NUTRIM School for Nutrition and Translational Research in MetabolismPearl String Initiative DiabetesProvince of Limburg, the Dutch Ministry of Economic Affairs 31O.041Sanofi-Aventis Netherlands B.V.Stichting AnnadalStichting De Weijerhorstunrestricted grants from Janssen-Cilag B.V.
6 · The paper itself

Abstract

backgroundDespite the heterogeneity of type 2 diabetes (T2D), all patients are treated according to the same guideline. Some people have more difficulty reaching treatment goals (adequate glycaemic control) and maintaining quality of life (QoL). Therefore, a prediction model identifying who is unlikely to reach these goals within the next year would be useful to allow specific attention to these people.

aimTo investigate if machine learning algorithms can predict which individuals are unlikely to reach glycaemic control and likely to deteriorate in QoL in 1 year.

methodsWe used data from The Maastricht Study, including 842 people with T2D and information on HbA1c values, and 964 people with T2D and information on QoL. We evaluated several machine learning algorithms with feature selection methods and hyperparameter tuning in fivefold cross-validation for the corresponding outcomes.

resultsThe prediction of inadequate glycaemic control showed good performance. The support vector machine classifier performed best in terms of accuracy (0.76 (95% CI 0.71-0.79)), precision (0.79 (95% CI 0.71-0.83)) and area under the receiver operating characteristic curve (AUC-ROC) (0.85 (95% CI 0.80-0.89)). The multi-layer perceptron classifier performed best in terms of recall (0.72 (95% CI 0.64-0.79)) and F1-score (0.73 (95% CI 0.64-0.79)). The prediction of deterioration in QoL showed inadequate performance and did not seem feasible.

conclusionPrediction of glycaemic control after 1 year in T2D is feasible with good model performance. However, the prediction of deterioration in QoL remains a challenge and needs further work.

Indexed as

Diabetes Mellitus, Type 2Glycemic ControlHypoglycemic AgentsMachine LearningQuality of LifeAgedAlgorithmsBlood GlucoseFemaleGlycated HemoglobinHumansMaleMiddle AgedSupport Vector MachineBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic Agentsantidiabetic drugglycaemic controlobservational studytype 2 diabetes

Identifiers

PMID40671514
PMCPMC12409208

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.