The 4 diabetes support system: A case study in CBR research and development

Abstract

This paper presents the 4 Diabetes Support System™ (4DSS) project as a case study in case-based reasoning (CBR) research and development. This project aims to help patients with type 1 diabetes on insulin pump therapy achieve and maintain good blood glucose control. Over the course of seven years and three clinical research studies, a series of defining cases altered the research and development path. Each of these cases suggested a new, unanticipated research direction or clinical application. New AI technologies, including naive Bayes classification and support vector regression, were incorporated. New medical research into glycemic variability and blood glucose prediction was undertaken. The CBR research paradigm has provided a strong framework for medical research as well as for artificial intelligence (AI) research. This new work has the potential to positively impact the health and wellbeing of patients with diabetes. This paper shares the 4DSS project experience. © 2011 Springer-Verlag.