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Loop parameter estimation

Tune implements parameter estimation for Loop. Tune employs a simple "basal and bolus" model that can estimate basal rates, carb ratios, and insulin sensitivities.

Web service

This repository includes a Google AppEngine service (deployed at https://tune.basal.io/) that accepts a user's historical data, trains the model, and provides estimated parameters.

API

The web service can expose a number of models. Each model is named by its URI. For example, the "standard" model is reached via the URL https://tune.basal.io/standard.

Model handlers accept JSON-formatted POST requests with content-type "application/json". The JSON payload encodes a number of timelines, indexed by (Unix) timestamp. Each timeline has a type and parameters. Timeline values are delta encoded (the value is the difference from the previous; the first value is the difference from 0). Timeline values may also be runlength encoded by specifying a 2-element array in place of the value: the first element is the value; the second the number of repetitions. Run length encoding is applied after delta encoding. Missing timeline values should be omitted; in particular, the presence of NaN values is undefined.

The JSON content should have the following layout. Timelines should be provided for insulin delivery, glucose readings, and carbohydrate entries.

{
	// Version indicates the version of the data schema to be used.
	// This informal layout document describes version 1.
	"version": 1,

	// Timezone is the timezone of all of the data. This is used to
	// compute the "time of day" in the model. (Note: currently the
	// model does not make any assumptions about, e.g., night-time vs.
	// day time, but it may in the future.)
	"timezone": "US/Pacific",

	// The smallest time interval for basal rate schedules, in seconds. (Optional.)
	"minimum_time_interval": 1800,

	// The maximum number of basal rate entries. (Optional.)
	"maximum_schedule_item_count": 48,

	// Allowable basal rate values. (Optional.)
	"allowed_basal_rates": [0, 0.05, 0.1, 0.15, 0.2, ...],

	// The parameters (see below) for basal insulin delivery.
	"basal_insulin_parameters": {
		"delay": 5.008907445178995,
		"peak": 65.17257836911605,
		"duration": 203.67999991629117
	},

	// Current parameter schedules: insulin_sensitivity_schedule,
	// basal_rate_schedule, and carb_ratio_schedule are the current
	// parameter schedules in use by the subject. Schedules are indexed
	// by time (minutes) since midnight.
	//
	// These schedules may be used to initialize model parameters. Some
	// models may attempt to "fine-tune" user-supplied parameters, while
	// others may attempt to build de novo parameter schedules.

	// The current insulin sensitivity schedule. Values are in mg/dL/U.
	"insulin_sensitivity_schedule": {
		"index": [360, 720, ...],
		"values": [140, 100, ...],
	},

	// The current carbohydrate ratio schedule. Values are in g/U.
	"carb_ratio_schedule": {
		"index": [0, 360, ...],
		"values": [25, 16, ...],
	},

	// The current basal rate schedule. Values are in U/h.
	"basal_rate_schedule": {
		"index": [360, ...],
		"values": [0.25, ...],
	}

	// Optional parameter specifying the allowable parameter tuning range.
	// If specified and greater than zero, it indicates the percentage of value
	// that should be considered the tunable range.
	"tuning_limit": 0.35,

	// Timelines contains time-indexed data for all features relevant to
	// modeling insulin and carbohydrate response.
	"timelines": [
		{
			// Basal insulin columns must specify the delay, peak, and
			// duration (all in minutes), parameterizing the insulin curves.
			// Each column value is the rate delivered at the provided time;
			// the duration given was the amount of time this basal rate was
			// delivered.
			"type": "basal",
			"parameters": {
				"delay": 6,
				"peak": 65,
				"duration": 200,
			},
			// Index is delta-encoded Unix timestamps.
			"index": [
				1576623834,
				300,
				300,
				...
			],
			// Basal insulin values are given in milliunits per hour (mU/h).
			"values": [
				500,
				100,
				-200,
				...
			],
			// Durations are given in seconds.
			"durations": [
				3600,
				120,
				...
			],
		},
		{
			// Insulin columns must specify the delay, peak, and
			// duration (all in minutes), parameterizing the insulin
			// curves. Each column value is the amount delivered at
			// the indexed time.
			"type": "insulin",
			"parameters": {
				"delay": 6,
				"peak": 65,
				"duration": 200,
			},
			// Index is delta-encoded Unix timestamps.
			"index": [
				1576623834,
				300,
				300,
				300,
				...
			],
			// Basal insulin values are given in milliunits per hour (mU/h).
			"values": [
				50,
				100,
				60,
				...
			],
		},
		{
			// Carb columns must specify the delay and duration of
			// absorption (both in minutes).
			"type": "carb",
			"parameters": {
				"delay": 15,
				"duration": 120,
			}
			"index": [
				1576623834,
				164,
				...
			],
			// Carb values are given in grams (g).
			"values": [
				10,
				-5,
				...
			]
		},
		{
			"type": "glucose"
			"index": [
				1576623834,
				300,
				300,
				...
			]
			// Glucose values are given in mg/dL.
			"values": [
				110,
				2,
				-4,
				...
			]
		}
	]
}

Alternative encodings may be offered in the future allowing for a more compact representation of values. (TODO: consider allowing for delta-encoded values in this encoding too.) The current encoding compresses (using gzip) to about 40kB for 3 months of data for my daughter, with deliveries (almost) every 5 minutes, and the frequency of meals that can be attained only by 6 year-olds and ultra-marathon runners. (Without delta encoding, the same content compresses to about 100kB).

Once the model has been trained, the model handler returns the estimated parameters in a JSON-formatted body (content-type "application/json") with the following layout:

{
	// The version corresponding to the output. This should always
	// be the same as in the request.
	"version": 1,

	// The timezone for which the time of day indices below are relative.
	// This should always be the same as in the request.
	"timezone": "US/Pacific",

	// Modeled parameters: insulin_sensitivity_schedule,
	// carb_ratio_schedule, and basal_rate_schedule. These are as in the
	// request. Each represents a schedule of parameters, indexed by
	// time (in minutes) relative to midnight.
	//
	// Each schedule specifies an index (whose values are minutes since
	// midnight) and a value vector, whose values depends on the
	// specific value type. The entries are sorted by start time. The
	// schedule is always complete: the value for one entry is valid
	// until the next entry. The last entry may span midnight: it always
	// ends at the time of the first entry.

	"insulin_sensitivity_schedule": {
		"index": [360, 720, ...]
		// The insulin sensitivity at 360 minutes past 00:00 (i.e.,
		// at 6am) is 119, at 720 minutes past 00:00 (noon)
		// it is 130,
		"values": [119, 130, ...],
	},

	// The computed carb ratios, in g/U.
	"carb_ratio_schedule": {
		"index": [0, ...],
		"values": [17.615762468879538, ...],
	},

	// The computed basal rates, in U/h.
	"basal_rate_schedule": {
		"index": [180, ...],
		"values": [0.3, ...],
	}

	// The training loss (goodness of fit) of the above parameters. This
	// is not interpretable by the user except by relative comparison:
	// Lower values indicate a better fit.
	"training_loss": 0.7105391088965228
}

These formats are implemented by the python module codec.py.

Development

The AppEngine frontend is a Flask application. The Python module main.py implements the tuning service API; it can be run locally:

$ python3 main.py

The project may also be deployed as an AppEngine server. Once you have set up an AppEngine project, you can deploy it in the usual manner, from the present directory:

$ gcloud app deploy

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Parameter tuning models for Loop

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