Reza Rahimi Azghan

Ebrahim Farahmand, Reza Rahimi Azghan, Nooshin Taheri Chatrudi et al.

Diabetes is a chronic metabolic disorder characterized by persistently high blood glucose levels (BGLs), leading to severe complications such as cardiovascular disease, neuropathy, and retinopathy. Predicting BGLs enables patients to maintain glucose levels within a safe range and allows caregivers to take proactive measures through lifestyle modifications. Continuous Glucose Monitoring (CGM) systems provide real-time tracking, offering a valuable tool for monitoring BGLs. However, accurately forecasting BGLs remains challenging due to fluctuations due to physical activity, diet, and other factors. Recent deep learning models show promise in improving BGL prediction. Nonetheless, forecasting BGLs accurately from multimodal, irregularly sampled data over long prediction horizons remains a challenging research problem. In this paper, we propose AttenGluco, a multimodal Transformer-based framework for long-term blood glucose prediction. AttenGluco employs cross-attention to effectively integrate CGM and activity data, addressing challenges in fusing data with different sampling rates. Moreover, it employs multi-scale attention to capture long-term dependencies in temporal data, enhancing forecasting accuracy. To evaluate the performance of AttenGluco, we conduct forecasting experiments on the recently released AIREADI dataset, analyzing its predictive accuracy across different subject cohorts including healthy individuals, people with prediabetes, and those with type 2 diabetes. Furthermore, we investigate its performance improvements and forgetting behavior as new cohorts are introduced. Our evaluations show that AttenGluco improves all error metrics, such as root mean square error (RMSE), mean absolute error (MAE), and correlation, compared to the multimodal LSTM model. AttenGluco outperforms this baseline model by about 10% and 15% in terms of RMSE and MAE, respectively.

Reza Rahimi Azghan, Gautham Krishna Gudur, Mohit Malu et al.

The rise of deep learning has greatly advanced human behavior monitoring using wearable sensors, particularly human activity recognition (HAR). While deep models have been widely studied, most assume stationary data distributions - an assumption often violated in real-world scenarios. For example, sensor data from one subject may differ significantly from another, leading to distribution shifts. In continual learning, this shift is framed as a sequence of tasks, each corresponding to a new subject. Such settings suffer from catastrophic forgetting, where prior knowledge deteriorates as new tasks are learned. This challenge is compounded by the scarcity and inconsistency of labeled data in human studies. To address these issues, we propose CLAD-Net (Continual Learning with Attention and Distillation), a framework enabling wearable-sensor models to be updated continuously without sacrificing performance on past tasks. CLAD-Net integrates a self-supervised transformer, acting as long-term memory, with a supervised Convolutional Neural Network (CNN) trained via knowledge distillation for activity classification. The transformer captures global activity patterns through cross-attention across body-mounted sensors, learning generalizable representations without labels. Meanwhile, the CNN leverages knowledge distillation to retain prior knowledge during subject-wise fine-tuning. On PAMAP2, CLAD-Net achieves 91.36 percent final accuracy with only 8.78 percent forgetting, surpassing memory-based and regularization-based baselines such as Experience Replay and Elastic Weight Consolidation. In semi-supervised settings with only 10-20 percent labeled data, CLAD-Net still delivers strong performance, demonstrating robustness to label scarcity. Ablation studies further validate each module's contribution.

Ebrahim Farahmand, Reza Rahimi Azghan, Nooshin Taheri Chatrudi et al.

This paper proposes GluMind, a transformer-based multimodal framework designed for continual and long-term blood glucose forecasting. GluMind devises two attention mechanisms, including cross-attention and multi-scale attention, which operate in parallel and deliver accurate predictive performance. Cross-attention effectively integrates blood glucose data with other physiological and behavioral signals such as activity, stress, and heart rate, addressing challenges associated with varying sampling rates and their adverse impacts on robust prediction. Moreover, the multi-scale attention mechanism captures long-range temporal dependencies. To mitigate catastrophic forgetting, GluMind incorporates a knowledge retention technique into the transformer-based forecasting model. The knowledge retention module not only enhances the model's ability to retain prior knowledge but also boosts its overall forecasting performance. We evaluate GluMind on the recently released AIREADI dataset, which contains behavioral and physiological data collected from healthy people, individuals with prediabetes, and those with type 2 diabetes. We examine the performance stability and adaptability of GluMind in learning continuously as new patient cohorts are introduced. Experimental results show that GluMind consistently outperforms other state-of-the-art forecasting models, achieving approximately 15% and 9% improvements in root mean squared error (RMSE) and mean absolute error (MAE), respectively.