In-Silico Validation of Insulin Sensitivity Prediction by Neural Network-based Quantile Regression

High blood glucose levels and stress-induced hyperglycemia are common issues in intensive care units (ICU). Controlling blood glucose levels is crucial but challenging due to patient-specific variability. This challenge was addressed by developing model-based control protocols, which rely on identifying and predicting the patient-specific metabolic state. This study presents the in-silico simulation-based evaluation of a new artificial neural network-based insulin sensitivity (SI) prediction method. The models were trained on a dataset collected during clinical treatment using the stochastic-targeted (STAR) protocol and evaluated by simulating the clinical interventions on virtual patients created from retrospective clinical data. The results show the new models could be safely applied for SI prediction. Furthermore, the adopted method had very similar accuracy in the overall comparison of cohorts, with only minor differences noted in hypoglycemia events. © 2024 The Authors. This is an open access article under the CC BY-NC-ND license.