Nursing Strategies for Diabetic Patient Management: Predicting Parameter Values Post-Exenatide Treatment with Machine Learning Algorithm

Abstract

The global escalation of DM parallels the rise in obesity rates, with Turkey experiencing a prevalence of 13.7% for diabetes and 32% for obesity among adults. Managing diabetic patients necessitates a comprehensive approach due to the intertwined nature of diabetes and obesity, along with the heightened risk of additional chronic illnesses. Diabet nurses play a pivotal role in diabetic care, encompassing regular assessments, blood glucose monitoring, medication management, patient education. Incretin-mimetic glucagon-like peptide-1 receptor-agonists (GLP-1A) have demonstrated superiority in diabetes, weight control, positioning them as second-line treatments. Weight management remains fundamental in diabetes care, with Diabet nurses providing vital support through dietary guidance, physical activity promotion, and weight loss assistance for diabetic patients. Predicting patient responses to GLP-1A therapy is crucial for optimizing treatment outcomes, streamlining decisions, averting potential complications. Artificial intelligence (AI) and machine learning (ML) offer promising avenues for enhancing healthcare delivery. Our study aimed to forecast fasting blood sugar levels, HbA1C values, and weight loss outcomes in diabetic patients using exenatide, utilizing the random forest algorithm. Analyzing real patient data from the Western-Mediterranean, this study achieved substantial success rates of %99.9, %99.9 and %97.3 in predicting weight loss, fasting blood sugar levels, and HbA1C values, respectively. Our findings underscore the potential of AI-driven approaches in nursing, particularly in prognostic modeling for diabetic patient management. By leveraging ML, nurses can anticipate treatment responses, streamline decision-making, and elevate patient care quality. As AI applications evolve, integrating these technologies into nursing roles promises to advance patient-centered care and optimize health outcomes.