Explainable deep learning framework incorporating medical knowledge for insulin titration in diabetes

We present an explainable deep learning framework that combines post-hoc XAI and expert domain knowledge to provide transparent and expert-aligned explanations for insulin titration in type 2 diabetes management. This framework enhances decision-making accuracy and confidence, especially for junior clinicians, and may facilitate broader clinical adoption of AI-assisted decision-making tools.

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Publication Details

Journal
Communications Medicine
Published
2026-02-26
DOI
https://doi.org/10.1038/s43856-026-01449-1
Primary Topic
Machine Learning in Healthcare
Type
article
Field-Weighted Citation Impact
0.00
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article

Explainable deep learning framework incorporating medical knowledge for insulin titration in diabetes

Liming Wu, Yanying Guo, Biao Li, Yujuan Fan et al.
Communications Medicine
Machine Learning in Healthcare
article

Explainable deep learning framework incorporating medical knowledge for insulin titration in diabetes

Liming Wu, Yanying Guo, Biao Li, Yujuan Fan, Haowei He, Jiaping Lu, Hexu Zhao, Yang Yuan, Guangyu Wang, Ping Wang, Xiaoying Li, Zhen Ying, Ying Chen
article en

Abstract

We present an explainable deep learning framework that combines post-hoc XAI and expert domain knowledge to provide transparent and expert-aligned explanations for insulin titration in type 2 diabetes management. This framework enhances decision-making accuracy and confidence, especially for junior clinicians, and may facilitate broader clinical adoption of AI-assisted decision-making tools.

Communications Medicine
Beijing University of Posts and Telecommunications (CN), Sun Yat-sen University (CN), Fudan University (CN), Shanghai Xuhui Central Hospital (CN), People's Hospital of Xinjiang Uygur Autonomous Region (CN), ShangHai JiAi Genetics & IVF Institute (CN), Zhongshan Hospital (CN), The First Affiliated Hospital, Sun Yat-sen University (CN), Center for Life Sciences (CN), Tsinghua University (CN)
Peace, Justice and strong institutions
Openalex Percentile: Top 45%
Machine Learning in Healthcare
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