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Diabetic: Multi-Layer Metabolic Intelligence Specification

This document defines the five data layers used by the digital-twin and CNN prediction path. They isolate Static Traits, Environmental Forcing, Human Agency, Systemic Error, and Subjective Truth.


🏗️ Layer 1: The Bio-Basal Vessel (Static & Predictable)

Focus: Personal baseline and real-time biometric telemetry.

Feature Type Frequency Rationale
Blood Glucose (BG) Continuous 5-min Core signal for temporal pattern extraction.
Heart Rate (HR-BPM) Continuous 1-min Real-time physiological stress/arousal index.
Age Predictable Yearly Shifts metabolic baseline and ISF/CSF parameters.
Weight / Height Fixed/Manual Monthly Biological mass for volume-of-distribution math.
Ethnicity / Nationality Static Constant Genetic/Cultural metabolic traits (e.g. higher T1D risk groups).
GENDER STATIC Constant Genetics, determine hormone
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🌊 Layer 2: The Adaptive Regimes (Uncontrollable Cycles)

Focus: External and internal forced oscillations.

Feature Type Cycle Rationale
Climate (Temp/Hum) Stochastic Hourly Affects subcutaneous insulin absorption rates.
Air Quality (AQI) Stochastic Hourly Pollution-driven systemic inflammation / resistance.
Biphasic Hormones Sinusoidal 24h & 28d Male/Female hormonal resistance waves.
Seasonality Slow Wave Yearly Broad shifts in insulin sensitivity (Summer vs Winter).
Regime Detection Computed Adaptive Real-time resistance gain (Normal vs Sick/High Stress).

🎮 Layer 3: The Behavioral Engine (Controllable Agency)

Focus: User-driven inputs and lifestyle choices.

Feature Type Source Rationale
Dietary Intake Discrete Manual/App Carb counts, GI index, and nutritional density.
Drink/Hydration Discrete Manual Impacts blood viscosity and glucose concentration.
Insulin Dosing Discrete App/Pump Direct pharmacodynamic dropping events.
Sleep Quality Periodic Sensor Circadian recovery state and cortisol clearing.
Exercise Intensity Stochastic HR-Relay Aerobic vs Anaerobic glucose utilization.

🎯 Layer 4: The Meta-Correction Layer (Audit & Feedback)

Focus: Systemic self-awareness and forensic back-audit.

Feature Type Source Rationale
Model Residuals Analytic Back-Audit Tracks the error delta between validated forecasts and actual outcomes.
Sensor Integrity Diagnostic Signal Jitter Detects compression artifacts or sensor end-of-life failures.
Metabolic Inertia Longitudinal History Long-term HbA1c/Fructosamin drift (3-month baselines).
Confidence Score Computed Ensemble A meta-index defining how much to "trust" the Layer 1-3 synthesis.

🔄 Layer 5: The Interaction & Calibration Layer (RLHF)

Focus: Subjective truth and user-labeled ground truth.

Feature Type Source Rationale
User Flags Subjective UI / Manual Marking "False Alarms" or "Missed Faints" to tune thresholds.
Symptom Mapping Event Survey Linking L1-2 signal patterns to felt symptoms (fog, dizziness).
Threshold Bias Control App Settings Customizing the aggressive vs. conservative alert sensitivity.

Canonical glucose units

All five layers exchange glucose internally as mmol/L. Provider adapters normalize at ingestion; model features, forecasts, thresholds, and audit state never switch units. PREFER_MMOL affects presentation formatting only and cannot alter a safety decision.

🧠 Model Ensemble Strategy

  1. Digital Twin (Behavioral): Simulates meal, insulin, and basal effects.
  2. 1D-CNN (Signal): Recognizes Layer 1 temporal signatures when validated weights and real cardiac telemetry are available.
  3. Meta-Oracle (Layer 4): Estimates circadian basal drift.
  4. Safety Gate (Layer 5): Applies conservative confidence and physiology constraints before an alert is considered.