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Glucose values prediction five years ahead with a new framework of missing responses in reproducing kernel Hilbert spaces, and the use of continuous glucose monitoring technology

Abstract

AEGIS study possesses unique information on longitudinal changes in circulating glucose from a random sample. However, some five-year outcomes, such as glycosylated hemoglobin (A1C), are over 40\% missing data. To alleviate this problem, this article proposes a new data analysis framework based on learning in reproducing kernel Hilbert spaces (RKHS) with missing responses. In particular, we extend the Hilbert-Schmidt dependence measure to this context introducing a new bootstrap procedure in which we prove to be consistent. In addition, we adapt or use existing algorithms/models of variable selection, regression, or conformal inference to acquire new clinical findings with the AEGIS study data. The fitted models allow: i) to identify new factors associated with long-term glucose changes; ii) to highly the usefulness of CGM technology predictive capacity; and iii) to improve and optimize clinical interventions based on expected glucose changes according to patients' baseline characteristics.

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