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References    237




                  •  The same heuristics is used to detect CGM spikes.
                  •  If the time interval between two BG references is too close (e.g., absolute
                    difference below 5 min), it is likely that the first reference measurement have
                    been considered “abnormal” by the study personnel and repeated a second time.
                    Therefore the algorithm asks the operator which sample should be trusted.
                     Data preprocessing could be further improved exploiting more refined fault
                  detection techniques, such as Ref. [30], that rely on CGM and BG reference signal
                  only or exploiting also other signals collected during the trial such as insulin infusion
                  [31] and carbohydrates ingestion [32] or physical activity.



                  Acknowledgments
                  This work was supported by the EU project ICT FP7-247138 “Bringing the Artificial Pancreas
                  at Home (AP@home)” (Funding Agency: European Union’s Research and Innovation funding
                  programme, FP7 initiative: FP7-ICT-2007-2) and by the Italian SIR project RBSI14JYM2
                  “Learning Patient-Specific Models for an Adaptive, Fault-Tolerant Artificial Pancreas (Lear-
                  n4AP)” (Funding agency: MIUR, Italian Ministry of Education, Universities and Research;
                  initiative: SIRdScientific Independence of young Researchers).



                  References
                   [1] Rodbard D. Continuous glucose monitoring: a review of successes, challenges, and
                      opportunities. Diabetes Technology and Therapeutics 2016;18(Suppl. 2):23e213.
                   [2] Weinzimer S, Miller K, Beck R, Xing D, Fiallo-Scharer R, Gilliam LK, Kollman C,
                      Laffel L, Mauras N, Ruedy K, Tamborlane W, Tsalikian E. Effectiveness of continuous
                      glucose monitoring in a clinical care environment: evidence from the Juvenile Diabetes
                      Research Foundation continuous glucose monitoring (JDRF-CGM) trial. Diabetes Care
                      2010;33(1):17e22.
                   [3] Available from: http://www.fda.gov/AdvisoryCommittees/CommitteesMeetingMaterials/
                      MedicalDevices/MedicalDevicesAdvisoryCommittee/ClinicalChemistryandClinicalToxi
                      cologyDevicesPanel/ucm511565.htm.
                   [4] Scheiner G. CGM retrospective data analysis. Diabetes Technology and Therapeutics
                      2016;18(Suppl. 2):S214e22.
                   [5] Beck RW, Calhoun P, Kollman C. Use of continuous glucose monitoring as an outcome
                      measure in clinical trials. Diabetes Technology and Therapeutics 2012;14(10):877e82.
                   [6] Del Favero S, Facchinetti A, Sparacino G, Cobelli C. Retrofitting of continuous glucose
                      monitoring traces allows more accurate assessment of glucose control in outpatient
                      studies. Diabetes Technology and Therapeutics 2015;17(5):355e63.
                   [7] Schiavon M, Dalla Man C, Kudva YC, Basu A, Cobelli C. Quantitative estimation of
                      insulin sensitivity in type 1 diabetic subjects wearing a sensor-augmented insulin
                      pump. Diabetes Care 2014;37(5):1216e23.
                   [8] Georga E, Protopappas V, Fotiadis D. “Glucose prediction in type 1 and type 2 diabetic
                      patients using data driven techniques,” Knowledge-Oriented Applications in Data Min-
                      ing. 2011. p. 277e96. Cited by 3.
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